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：

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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。