Mirror therapy to improve hand function in spastic cerebral palsy children

Abstract

Hand function is one of the important functional activities of the human being to perform a daily activity. One of the impairments is hand function commonly observed in spastic hemiplegics. Spasticity is one of the major factors affecting children, as a result of increased muscle tone, that in luences hand movement. Children become more dependent when hand function is impaired. Normal muscle tone is a prerequisite for moving the hand to activity for normal hand function. Hand movement improves by reducing spasticity, which in daily living activity helps the child functionally independent. The aim of this research is therefore to enhance the hand function by using mirror therapy in children with spastic hemiplegic cerebral palsy. 46 subjects are studied and divided into two groups, namely the group of mirror therapy (Experimental) and the conventional group. The informed concern was taken from their parents. Conventional training was given to one group and mirror therapy was given to another group. Both groups were treated for 60 min/ each session, 5 days/week for the duration of 4 weeks. Modi ied Ashworth scale was used to evaluate spasticity, 9 hole peg boards were used to measure inger dexterity, Fegl Meyer assessment upper limb was used to assess changes in the motor improvement, and Upper Extremity Functional Index was self-evaluating questionnaire done my parents or caretakers. The independent "t" test was used to analyze the outcome measures, the effect of spasticity effect and ability to function by hand. The mean post-test values of all mirror therapy variables were better than those of the conventional group (p<0.005). The study shows spasticity reduction and improvement in the function of the hand in children with spastic hemiplegic cerebral palsy using mirror therapy.

Effect of Mirror Intervention Program on Hand Activity, Mastery Motivation and Self-Esteem among Children with Cerebral Palsy

“…Children with unilateral cerebral palsy experience difficulties with unimanual and bimanual upper limb function, impacting independence in daily life such as reaching, pointing, taking, releasing, and manipulating objects (Elanchezhian & Swarna, 2019). The prevalence of cerebral palsy in Arabic-speaking countries was 1.8/1000 live births in which spastic cerebral palsy was the most common motor type, representing 59.8% (Mushta et al, 2022).…”

Forced use therapy to improve hand function in spastic cerebral palsy children

“…A glove was used to restrain the child's less affected upper extremity and the sling was secured with a belt to his/her body 16 . Forced used during the weekend intervention were not given but still the hands were restrained for 6 hours where the child does all the functional activity with the affected hand.…”

SEAS Exercise to Treat Scoliosis and Improve Functional Activities in Children with Spastic Cerebral Palsy

“…SEAS are the term for "Scienti ic Exercise Approach to Scoliosis." SEAS is a single exercise program designed in any case of conservation therapy, standalone in low-mediate-grade development, to mitigate the risk of bracing, in order to improve correction and preparation and prevent / reduce secondary effects in relation to bracing in mediumhigh curves during development (Elanchezhian and Swarnakumari, 2019b;Romano et al, 2015). The SEAS is focused on unique active self-correction strategies conducted without medical help and integrated in functional activity focusing on the patient's cognitive behavioral strategy to improve medication compliance (Elanchezhian and Swarnakumari, 2019a).…”