Mirror Therapy With Sensory Motor Training in Children With CP

NCT ID: NCT06292416

Last Updated: 2025-04-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 54 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-12-30
• Study Completion Date: 2024-05-14

Brief Summary

The study compares two interventions in CP children: mirror therapy with sensory motor training versus mirror therapy with motor training. Mirror therapy works by manipulating the brain out of pain, ultimately improving movement in patients with one-sided paralysis. It can be used in combination with other therapies to assist patients with cerebral palsy in retraining the brains, restoring function, and enhancing the overall quality of life. The purpose of this study is to use a combination of Mirror therapy with sensory motor training and motor training and observe which one of these combinations has the most desirable effects in improving movement and quality of life in CP Children

Detailed Description

The neurodevelopmental disorder known as cerebral palsy (CP) is caused by damage to the developing brain and is characterized by abnormalities of muscle tone, mobility, and motor skills. A person with cerebral palsy can be classified according to how it affects movement, the area of the body that is affected, and how severe the effects are. Children with hemiplegic cerebral palsy have a variety of motor and sensory deficits in the upper limb, which makes it more difficult to perform everyday tasks including reaching, gripping, releasing, and manipulating things. The movement produced by constraints on the less-affected hand and extensive training on the more-affected hand aims to enhance upper limb function in hemiparetic youngsters. One such intervention to improve the motor function of these patients is the use of mirror therapy. Mirror therapy is one of the more recent approaches to helping the more severely afflicted upper extremities regain function after stroke. During mirror therapy, a mirror is held in the patient's midsagittal plane, reflecting the less-affected side as though it were the more-affected side. In this arrangement, the motions of the less affected extremity give the impression that the more affected extremity is moving normally. Mirror treatment is easy to use, reasonably priced, and non-intrusive. This makes it a promising and secure complement to hemiparesis therapy for children. Sensorimotor training involves proprioceptive and balance exercises that were developed to help individuals suffering from chronic musculoskeletal pain syndromes. Repetitive sensorimotor training may increase the responsiveness of nociceptive-evoked potentials. Motor training, on the other hand, focuses on skill acquisition through repetition. Through this study, the investigator wants to use a combination of techniques to improve upper limb function and quality of movement in patients with CP

Conditions

Cerebral Palsy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Mirror therapy with sensory motor training.

1. Visual perception activities

2. Body awareness

3. Tactile perception.

4. Visual-motor coordination training

The child will be seated on a chair and a 30*30 cm mirror will set up on a table in front of them. The affected hand will be placed behind the mirror so that the image of a healthy hand can be seen clearly

Group Type: EXPERIMENTAL

Experimental: Mirror therapy with sensory motor training.

Intervention Type: OTHER

Block design, finding shapes in pictures, puzzles, matching geometric shapes and letters, numbers, and classification.

Pointing to the body parts, life-size drawing, turning left and right side and awareness of the body parts through touch.

feeling various textures, touching boards, and feeling shapes. Ocular-pursuit training, moving ball and pegboard activities During the sessions, subjects were asked to try and do the same movement with the paretic hand simultaneously The patients will be asked to repeat each movement 20 times per set for three sets, with a 2-minute break between sets.

Session will last for 45 mins

Mirror Therapy with motor training.

supination-pronation, wrist flexion-extension, finger flexion-extension, abduction, adduction, opposition

Group Type: EXPERIMENTAL

Experimental: Mirror Therapy with motor training

Intervention Type: OTHER

the participant is asked to perform a forearm movement sting on the paretic side while the subjects look into the mirror, watching the image of their non-involved hand and thus seeing the reflection of the hand movement projected over the involved hand. During the sessions subjects were asked to try and do the same movement with the paretic hand simultaneously. movement was repeated 20 times per set for three sets, with a 2-minute break between sets

Motor Training

1. Holding objects

2. Stabilize objects

3. manipulate objects

Group Type: OTHER

Experimental: Motor Training

Intervention Type: OTHER

1. Holding object with two hands, clapping, banging objects together.

2. Stabilize objects with one hand while the other is manipulating (holding paper while coloring, holding a container while putting objects in)

3. manipulate objects with both hands simultaneously (stringing beads, tying a knot),

4. ask child to padlock in which a key can be put into, markers with caps to put on, a box with a lid and objects to put inside the box

5. hold a cup with one hand while putting object in with other hand

6. Buttoning with both hands, tying a bow. doing craft project, fitting blocks together

Interventions

Experimental: Mirror therapy with sensory motor training.

Block design, finding shapes in pictures, puzzles, matching geometric shapes and letters, numbers, and classification.

Pointing to the body parts, life-size drawing, turning left and right side and awareness of the body parts through touch.

feeling various textures, touching boards, and feeling shapes. Ocular-pursuit training, moving ball and pegboard activities During the sessions, subjects were asked to try and do the same movement with the paretic hand simultaneously The patients will be asked to repeat each movement 20 times per set for three sets, with a 2-minute break between sets.

Session will last for 45 mins

Intervention Type: OTHER

Experimental: Mirror Therapy with motor training

the participant is asked to perform a forearm movement sting on the paretic side while the subjects look into the mirror, watching the image of their non-involved hand and thus seeing the reflection of the hand movement projected over the involved hand. During the sessions subjects were asked to try and do the same movement with the paretic hand simultaneously. movement was repeated 20 times per set for three sets, with a 2-minute break between sets

Intervention Type: OTHER

Experimental: Motor Training

1. Holding object with two hands, clapping, banging objects together.

2. Stabilize objects with one hand while the other is manipulating (holding paper while coloring, holding a container while putting objects in)

3. manipulate objects with both hands simultaneously (stringing beads, tying a knot),

4. ask child to padlock in which a key can be put into, markers with caps to put on, a box with a lid and objects to put inside the box

5. hold a cup with one hand while putting object in with other hand

6. Buttoning with both hands, tying a bow. doing craft project, fitting blocks together

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Aged between 6 and 12 years
• Lack of use of the affected upper limb
• Level I-III of the Manual Ability Classification System (MACS)
• Level I-III in the Gross Motor Function Classification System (GMFCS)

Exclusion Criteria

• Disease not associated with congenital hemiplegia
• Presence of contractures in the affected upper limb affecting the functional movement
• Surgery in the six months previously to the treatment
• Botulinum toxin in the two months previously to or during the intervention
• Pharmacologically uncontrolled epilepsy

• Minimum Eligible Age: 6 Years
• Maximum Eligible Age: 12 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Huma Saleem, MS NMPT*

Role: PRINCIPAL_INVESTIGATOR

Riphah International Univerisity

Ammara Abbas, tDPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Eliya care Centre Faisalabad

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC/0257Huma Saleem

Identifier Type: -

Identifier Source: org_study_id