Effect of Mirror Therapy on Complex Regional Pain Syndrome Post Wrist Burn in Children with Type I Diabetes: A Randomized Controlled Trial

Authors

  • Mina Nashat Halim Farag Department of physical Therapy for cardiopulmonary disorders and geriatrics- Faculty of Physical Therapy – Deraya University, Minia, Egypt. Author
  • Wagdy William Amin Younan 2Colonel physiotherapist at physical therapy department sector of medical services, ministry of interior Department of physical Therapy for disturbance of growth and development in pediatric and it is Surgeries- Faculty of Physical Therapy – Deraya University, Minia, Egypt. Author
  • 3Emad Makram Ghattas Department for integumentary- Faculty of Physical Therapy – Deraya University, Minia, Egypt Author
  • Marwa Mahmoud Mahfouz Mahmoud Department of Basic Science- Faculty of Physical Therapy – Deraya University, Minia, Egypt. Author

DOI:

https://doi.org/10.61841/xsbnp722

Keywords:

Type I diabetic children, complex regional pain syndrome (CRPS), visual analogue scale (VAS), Handheld Dynamometer

Abstract

Background: Studying of mirror therapy training in complex regional pain syndrome on type I diabetic children is a strategy for determining its efficacy in reducing degree of pain and increase in hand grip and pinch strength

Objective: To evaluate the effectiveness of mirror therapy on complex regional pain syndrome (CRPS) post wrist burn in children with type I diabetes and prevent worsening of the case by neurological complication for diabetes

Methods: Thirty diabetic children with CRPS post wrist burn with age ranged from 10 to16 from both genders participated in this study. Children divided randomly into two groups (A &B) of equal number, fifteen children each. All individuals assessed in our study using VAS to assess the degree of pain and using baseline handheld dynamometer to assess hand grip and pinch before starting the treatment protocol and 4 weeks after starting the treatment program.

The treatment protocol used for the two groups include: children in study Group (A) received conventional hand progressive exercise program (active, and active resisted hand exercises) for 15 min in addition, the same exercises were done by the sound hand in front of mirror for 15 min. Group (B) received only conventional hand progressive exercise program for 30 min. Both groups participated in 12 sessions and the overall times assigned in both groups are the same

Results: This study revealed statistically significant differences in decrease degree of pain and increase in hand grip and pinch strength, in mirror group than control group. (P value < 0.01)

Conclusion: From the finding of this study we concluded that mirror therapy exercise program is an effective, safe, relatively inexpensive, simple, and available modality in decreasing pain and improving function level.

 

 

 

Downloads

Download data is not yet available.

References

1. David W, Leslie P. Type 1 Diabetes Mellitus in Pediatrics. Pediatr. Rev. 2008;29;374-385.

2. Maahs D, West N, Lawrence J, Mayer-D. Epidemiology of type 1 diabetes. Endocrinol Metab Clin North Am 2010; 39: 481-497 [PMID: 20723815 DOI: 10.1016/j.ecl.2010.05.011].

3. Daneman D. Type 1 diabetes. Lancet 2006; 367: 847-858.

4. Siddiqui M, Siddiqui S, RanasingheJ,Furgang F. complex regional pain syndrom A clinical review.2000; Volume 2 number 1.

5. Ismail, M. Clinical evaluation of antidiabetic activity of Trigonella seeds and Aegle marmelos Leaves, Worl Appl Scien J.,2009; 7(10): 1231-1234.

6. Kraemer F, Ginsberg H, Gerald M, Reaven M. Demonstration of the central role of insulin resistance in type 2 diabetes and cardiovascular disease. Diabetes Care 2014; 37: 1178-1181.

7. Ferttloh J, Huppe M. and Maier C. severity & specificity of the neglect- like symptoms in patients with complex regional pain syndrome (CRPS) compared to chronic limb pain of other origins Pain. 2006; 124(1-2):184-9.

8. Sherry DD, Wallace CA, Kelley C. Short- and long-term outcomes of children with complex regional pain syndrome type I treated with exercise therapy. Clin J Pain.1999 ;15:218–223.

9. Harden R, Bruehl S, and Stanton HM. Proposed new diagnostic criteria for complex regional pain syndrome. Pain Med.2007; 8 (4) :326-331.

10. Michielsen M, Smits M, Ribbers G, Stam H, Selles R, Bussmann J and Van der gesst J. The Neuronal correlates of mirror therapy: an FMRI study on mirror induced visual illusions in stroke patients", Journal of Neurology, Neurosurgery and Psychiatry.2011; 82 (4): 393-8.

11. Priganc V, and Stralka S. Graded motor imagery. Journal of Hand Therapy.2011 ; 24(2) :164-8.

12. McCabe C. Mirror visual feedback therapy: a practical approach. Journal of Hand Therapy.2011 ; 24

(2) :170-9.

13. Fess E, Casanova J. Clinical assessment recommendations. 2nd. Chicago: American Society of Hand Therapists; 1992. Grip strength; pp. 41–45.

14. Woodforde J and Merskey. H. Correlation between verbal scale and visual analogue scale and pressure algometer. 1. psychosom. Res.1971; 16 173--178. 175-184.

15. Wewers M, and Lowe N. A critical review of visual analogue scales in the measurement of clinical phenomena. Research in Nursing and Health .1990; 13 (4):227-236.

16. Tample M, Bary O, Riddell M. reliability and repeatability of blood glucose response to prolonged exercise in adolescent boys with IDDM. Daibetic care.1995;18 : 326-32

17. Robertson K, Addlfsson P, Riddell M, Scheiner G, Hanas R. exercise in children and adolescent with diabetus.2009; (10 suppl. 12) : 154- 168.

18. Ramachandran V, and Roger-Ramachandran D. Synaesthesiain phantom limbs induced with mirrors. Proc R SocLond B BiolSci.1996 ; 263(1369) : 37.

19. Johnson E, Pierpont Y, Salas R, Naidu D and Payne D. Complex regional Pain Syndrome following Trigger Finger Release” The internet journal of health Surgery.2008 ; 2 : 2.

20. Gary A, Robert H, Dworkin, Elliot J, Alyssa A, Rolf D.Neuropathic Pain in Children: Special Considerations. 2010; 85(3 Suppl): S33-S41.

21. Michielsen M, Smits M, Ribbers G, Stam H, Selles R, Bussmann J and Van der gesst J.The Neuronal correlates of mirror therapy: an FMRI study on mirror induced visual illusions in stroke patients", Journal of Neurology, Neurosurgery and Psychiatry.2011; 82 (4): 393-8

22. Priganc V, and Stralka S. Graded motor imagery". Journal of Hand Therapy.2011 ; 24(2) :164-.

23. Moseley G, Alberto G , and Charles S. Is mirror therapy all it is cracked up to be? Current evidence and future directions. Pain.2008; 138 (1):7-10.

24. Yun D. and Kim M. Effects of mirror therapy on muscle activity, muscle tone, pain, and function in patients with mutilating injuries A randomized controlled trial”. Medicine baltimore.2019; 98 (17):15157.

25. Boesch E, Bellan V and Moseley G.The effect of bodily illusions on clinical pain: a systematic review and meta-analysis”. Pain .2016;157 (3) : 516–29.

26. Thieme H, Morkisch N, Rietz C, Dohle C and Borgetto B. The efficacy of movement representation techniques for treatment of limb pain”: a systematic review and meta-analysis. J Pain.2016; 17(2):167-80.

27. Park J , Chang M , Kim MK and Kim H. The effect of mirror therapy on upper-extremity function and activities of daily living in stroke patients”, J Phys Ther Sci, Jun. 2015; 27(6): 1681–1683.

28. Rostami HR, Arefi A. and Tabatabaei S. Effect of mirror therapy on hand function in patients with hand orthopaedic injuries”: a randomized controlled trial.Disabil Rehabil.2013 ;35(19) :1647–51.

29. Wand B, Tulloch V, George P, Smith A, Goucke R and O’Connell N. Seeing it helps: movement-related back pain is reduced by visualization of the back during movement”. Clin J Pain.2012; 28(7)

:602-8.

30. Cacchio A, De Blasis E, Santilli V, Necozione S. and Di orio F. “Mirror Therapy for Chronic Complex Regional Pain Syndrome Type I and Stroke”. The New England Journal of Medicine.2009 ; 361( 6):634-6.

31. Yavuzer G, Selles R, and Sezer N, Bussmann J and Stam H. Mirror therapy improve handfunction in subacute stroke: a randomized controlled trial. Arch Phys Med Rehabil.2008 ; 89 (3):393-398 .

32. Yun D. and Kim M. Effects of mirror therapy on muscle activity, muscle tone, pain, and function in patients with mutilating injuries A randomized controlled trial”. Medicine baltimore.2019 ; 98 (17):e15157

33. Fukumura K., Sugawara K., and Tanabe S. Influence of mirror therapy on human motor cortex. Int J Neurosci.2007; 117(7) :1039-48.

34. Ramachandran V, and Roger-Ramachandran D. Synaesthesiain phantom limbs induced with mirrors". Proc R SocLond B BiolSci.1996 ; 263(1369) : 377-386.

Downloads

Published

31.10.2020

Issue

Vol. 24 No. 8 (2020): 24 (8) 2020

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

You are free to:

  1. Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
  2. Adapt — remix, transform, and build upon the material for any purpose, even commercially.
  3. The licensor cannot revoke these freedoms as long as you follow the license terms.

Under the following terms:

  1. Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  2. No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Notices:

You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .

No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.

How to Cite

Farag, M. N. H., Younan, W. W. A., Ghattas, 3Emad M., & Mahfouz Mahmoud, M. M. (2020). Effect of Mirror Therapy on Complex Regional Pain Syndrome Post Wrist Burn in Children with Type I Diabetes: A Randomized Controlled Trial. International Journal of Psychosocial Rehabilitation, 24(8), 8963-8973. https://doi.org/10.61841/xsbnp722