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Combined Effects of Mirror Therapy and Exercises on the Upper Extremities in Children with Unilateral Cerebral Palsy: A Randomized Controlled Trial.
Developmental Neurorehabilitation ( IF 1.1 ) Pub Date : 2019-09-13 , DOI: 10.1080/17518423.2019.1662853
Ozgun Kaya Kara 1 , Bilge Nur Yardimci 2 , Sedef Sahin 2 , Ceren Orhan 2 , Ayse Livanelioglu 2 , Abdullah Ruhi Soylu 2
Affiliation  

Purpose: This study investigated the combined effects of mirror therapy involving power and strength exercises of the upper extremities in children with Unilateral Spastic Cerebral Palsy (USCP). Methods: Thirty children were included in either an experimental group or a control group. All participants were evaluated with the Quality of Upper Extremity Skill Test (QUEST), Canadian Occupational Performance Measure (COPM), and a handheld dynamometer to measure isometric muscle strength. Results: Compared to the control group, greater improvement was found in dissociated movements (p < .001, d = 1.82), grasp (p < .001, d = 1.38), weight bearing (p = .006, d = 0.91), and total scores (p = .001, d = 1.16) of QUEST; performance (p < .001, d = 2.9), satisfaction (p < .001, d = 1.91), and total scores (p < .001, d = 2.87) of COPM; and isometric muscle strength of the biceps brachii (p < .001, d = 1.27) and triceps brachii (p = .002, d = 2.22) of the affected upper limbs in the experimental group. Conclusions: Mirror therapy combined with power and strength exercises is a promising intervention approach to improve activity performance and upper-limb function in children with USCP.

中文翻译:

镜子疗法和运动疗法对单侧脑瘫患儿上肢的综合影响:一项随机对照试验。

目的:本研究调查了单侧痉挛性脑瘫(USCP)患儿上肢力量和力量锻炼的镜面疗法的综合效果。方法:实验组或对照组均纳入30名儿童。所有参与者均接受了上肢技能测验质量(QUEST),加拿大职业绩效测评(COPM)和手持式测功机以测量等长肌的力量。结果:与对照组相比,分离运动(p <.001,d = 1.82),抓地力(p <.001,d = 1.38),负重(p = .006,d = 0.91)有更大的改善。 ,以及QUEST的总分(p = .001,d = 1.16);COPM的绩效(p <.001,d = 2.9),满意度(p <.001,d = 1.91)和总得分(p <.001,d = 2.87); 实验组受影响的上肢的肱二头肌(p <.001,d = 1.27)和肱三头肌(p = .002,d = 2.22)的等距肌肉力量。结论:镜面疗法结合力量和力量运动是改善USCP儿童活动表现和上肢功能的有前途的干预方法。
更新日期:2020-04-23
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