Efficacy of Lower Extremity Mirror Therapy on Balance in Children With Hemiplegic Cerebral Palsy: A Randomized Controlled Trial

Authors

  • Nehad A. Abo zaid L ecturer of physical therapy, Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, South Valley University, Qena, Egypt Author
  • Hebatallah M. Zaghloul Lecturer of physical therapy, Department of Orthopedic, Cairo University Hospitals, Cairo University, Egypt. Author
  • Heba A. . Khalifa 3Lecturer of physical therapy, Department of Physical Therapy for neuromuscular disorders and its surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt Author
  • Mohammed E. Ali 4Assistant Lecturer of physical therapy, Department of Physical Therapy for Integumentary System Disorders and Burn, Faculty of Physical Therapy, South Valley University, Qena, Egypt Author
  • Vilvijay Lecturer of physical therapy, Department of Basic Science, Faculty of Physical Therapy, Delta University for Science and Technology, Egypt Author

DOI:

https://doi.org/10.61841/ad111n45

Keywords:

Hemiplegic cerebral palsy, Balance, Mirror therapy.

Abstract

Aim: To assess the efficacy of lower extremity mirror therapy on balance in children with hemiplegic cerebral palsy.

Methodology: Sixty hemiplegic cerebral palsy children were selected in this study after the assessment of eligibility. Their ages ranged from eight to twelve years. They were randomly assigned into two equal groups. The control group (GA) received a guideline protocol. And study group (GB) received the same guideline protocol in addition to mirror therapy three times / weak for three successive months. Assessment of balance by Biodex balance system pre and post-treatment that continued three months.

Results: Post-treatment, significant improvement was in the Overall stability index, the Anteroposterior stability index, and the Mediolateral stability index in both groups and in favor of (GB) (P< 0.05).

Conclusions: Lower extremity mirror therapy has a significant effect on balance in children with hemiplegic cerebral palsy.

 

Downloads

Download data is not yet available.

References

1. Miller F. and Bachrach S.: Cerebral Palsy: A complete guide for caregiving. 3rd edition, Part one: What is cerebral palsy? Publisher: John Hopkins University Press, Baltimore (2017); 3-28.

2. Robert J., Steven E., Peter L., et al.: Probability of walking, wheeled mobility and assisted mobility in children and adolescents with cerebral palsy. J. Dev. Med. Dev. (2010); 52 (1): 66–71.

3. Chen L., Chen Y., Liaw Y., et al.: Efficacy of home-based virtual cycling training on bone mineral density in ambulatory children with cerebral palsy. Osteoporosis Int (2013); 24:1399–406.

4. Kenis-Coskun O., Giray E., Eren B., et al.: Evaluation of postural stability in children with hemiplegic cerebral palsy. J PhysTherSci (2016); 28(5):1398-1402.

5. Woollacott M.H. and Shumway-cook A: Postural dysfunction during standing and walking in children with cerebral palsy: What are the underlying problems and what new therapies might improve balance? Neural Plasticity (2005), 12 (2-3), pp. 211-9,

6. Gan S.M.: Psychometric properties of functional balance assessment in children with cerebral palsy. Neurorehabilitation and Neural Repair (2008); 22(6): pp. 745–753.

7. McInnes K, Friesen C, Boe S.: Specific brain lesions impair explicit motor imagery ability: A systematic review of the evidence. Arch Phys Med Rehabil. (2016); 97(3):478–89.e1.

8. Funase K, Tabira T, Higashi T, et al.: Increased corticospinal excitability during direct observation of self-movement and indirect observation with a mirror box. NeurosciLett (2007); 419:108–112.

9. Cattaneo L. and Rizzolatti G.: The mirror neuron system. Arch Neurol. (2009); 66:557–560.

10. Summers JJ, Kagerer FA, Garry MI, et al.: Bilateral and unilateral movement training on upper limb function in chronic stroke patients: a TMS study. J Neurol Sci. (2007); 252:76–82.

11. Myoung-Kwon Kim, Ph.D., Young-Jun Shin, MS, Eun-Hong Choi, MS: Effect of Mirror Therapy Combined with Lower Extremity Muscle Strength Exercise on Gait and Balance of Patients with Chronic Stroke (2017)

12. Sutbeyaz S., Yavuzer G., Sezer N., et al.: “Mirror therapy enhances lower-extremity motor recovery and motor functioning after stroke: a randomized controlled trial,” Archives of Physical Medicine and Rehabilitation (2007), vol. 88. No. 5, pp. 555 –559.

13. Saghaei M.: Random allocation software for parallel-group randomized trials. BMC Med Res Methodol (2004); 4:26.

14. El-Shamy S.M.and Abd El-Kafy E.M.: Effect of balance training on postural balance control and risk of fall in children with diplegic cerebral palsy. DisabilRehabil (2014); 36: 1176–83

15. Gstöttner M., Neher A., Scholtz A., et al.: Balance ability and muscle response of the preferred and non-preferred leg in soccer players. Motor Control (2009); 13: 218-31.

16. Arifin N., Abu Osman N.A., & Wan Abas .. Interrater test-retest reliability of static and dynamic stability indexes measurement using the Biodex Stability System during unilateral stance. ApplBiomech Apr (2014), 30(2), 300-4.

17. Levitt S.: Treatment of cerebral palsy and motor delay, 6th Ed., Blackwell Publishing, Oxford; (2018), 157-175.

18. Hadders M., Fits I., Stremmelaar E., et al.: Development of postural adjustments during reaching in infants with CP. Developmental Medicine & Child. Neurology (1999), 766,

19. Nolan L., Grigorenko A., and Thorstensson A.: Balance control: Sex and Age Differences in 9 to 16 Year-Olds. Developmental Medicine and Child Neurology (2005); 47: 449-454,

20. Altschuler EL and Hu J.: Mirror therapy in a patient with a fractured wrist and no active wrist extension. Scand J PlastReconstrSurg Hand Surg (2008); 42:110–111.

21. Zeng W, Guo Y, Wu G, et al.: Mirror therapy for motor function of the upper extremity in patients with stroke: a meta-analysis. J Rehabil Med (2018); 50:8–15.

22. Garry MI, Loftus A, Summers JJ.: Mirror, mirror on the wall: viewing a mirror reflection of unilateral hand movements facilitates ipsilateral M1 excitability. Exp Brain Res (2005); 163:118–122.

23. Yavuzer G., Selles R. and, Sezer N.: Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Arch Phys Med Rehabil (2008); 89:393–98.

24. Stevens JA. And Stoykov ME.: Using motor imagery in the rehabilitation of hemiparesis. Arch Phys Med Rehabil (2003); 84:1090e2.

25. Ltschuler EL., Wisdom SB., and Stone L.: Rehabilitation of hemiparesis after stroke with a mirror. Lancet (1999); 353:2035–36.

26. SussmanM. and Aiona M.: Treatment of Spastic Diplegia in Patients with Cerebral Palsy. Journal of Pediatric Orthopedics (2004). Lippincott Williams & Wilkin: 13:54-59.

27. Ottenbacher K., Biocca Z., DeCremer G., et al.: Quantitative Analysis of the Effectiveness of Pediatric Therapy Emphasis on the Neurodevelopmental Treatment Approach. Physical therapy (1986); 66: 1095-1101.

28. Shumway-Cook A.: Assessment and Management of the Patient with Traumatic Brain Injury and Vestibular Dysfunction InHerdman S.; Vestibular Rehabilitation. 3rd ed. F.A. Davis Company. Philadelphia (2007): 449-451.

29. Runge C.F., Shupert C.L., Horak F.B., et al.: Postural strategies defined by joint torques. Gait Posture (1999), 10: 161-170.

30. Deconinck, F.J., Smorenburg, A.R., Benham, A., et al.: Reflections on mirror therapy: a systematic review of the effect of mirror visual feedback on the brain. Neurorehabil. Neural Repair (2015); 29 (4), 349–361.

31. Galeazzi GM, Monzani D, Gherpelli C, et al.: Posturographic stabilization of healthy participants exposed to full-length mirror image is inversely related to body-image preoccupations. Neurosci Lett (2006); 410:71e5.

32. Feltham MG, Ledebt A, Deconinck FJ, et al.: Mirror visual feedback induces lower neuromuscular activity in children with spastic hemiparetic cerebral palsy. Res Dev Disabil (2010); 31:1525e35.

33. Cui Y and Cong F.: Basic theory of mirror neuron system and its meanings in motor rehabilitation. J Rehab TheorPract (2012); 18: 239-243.

Downloads

Published

31.10.2020

How to Cite

zaid, N. A. A., Zaghloul, H. M., Khalifa, H. A. ., E. Ali, M., & Abdelsamee, M. Y. (2020). Efficacy of Lower Extremity Mirror Therapy on Balance in Children With Hemiplegic Cerebral Palsy: A Randomized Controlled Trial. International Journal of Psychosocial Rehabilitation, 24(8), 8974-8973. https://doi.org/10.61841/ad111n45