Volume 81, Issue 11 (February 2024)
Tehran Univ Med J 2024, 81(11): 867-874 |
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Alipour J, Askary Kachoosangy R, Ebrahimabadi Z, Shavehei Y, Malek M S. Effect of mirror therapy on static and dynamic stability of children with hemiplegic cerebral palsy (between 5-12 years old). Tehran Univ Med J 2024; 81 (11) :867-874
URL: http://tumj.tums.ac.ir/article-1-12888-en.html
URL: http://tumj.tums.ac.ir/article-1-12888-en.html
Javad Alipour1 
, Reihaneh Askary Kachoosangy2 , Zahra Ebrahimabadi * 2, Yaghoub Shavehei3 , Mohammad Sadegh Malek1
, Reihaneh Askary Kachoosangy2 , Zahra Ebrahimabadi * 2, Yaghoub Shavehei3 , Mohammad Sadegh Malek1
1- Student Research Committee, Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Physiotherapy Research Center, School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences,Tehran, Iran.
3- Department of Biomedical Engineering, Amirkabir University of Technology, Tehran, Iran.
2- Physiotherapy Research Center, School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences,Tehran, Iran.
3- Department of Biomedical Engineering, Amirkabir University of Technology, Tehran, Iran.
Abstract: (164 Views)
Background: Most hemiplegic children experience disorders related to lower limbs such as balance. Considering the importance of balance, in order to participate in activities of daily living, it is very important to use modern neuro-rehabilitation methods such as mirror therapy to improve balance. The purpose of the present study was to determine the effectiveness of mirror therapy on the static and dynamic balance of children with hemiplegic CP aged 5 to 12 years.
Methods: This study was conducted as a double-blind, randomized clinical trial on 20 children with spastic hemiplegia aged between 5-12 years old, from June 2021 to August 2022 in Tehran, Iran. Participating children were randomly allocated into test (n=10) and control (n=10) groups. The children in the treatment group underwent 20 treatment sessions during four weeks. Each session consisted of 30 minutes of routine treatment and 15 minutes of mirror therapy for lower limbs. In the control group, sham therapy was performed instead of mirror therapy. The exercises performed in a seated position were: (1) active flexion of hip, knee, and ankle joints, (2) active knee extension plus ankle dorsiflexion, and (3) knee flexion (> 90°). Both groups were measured by the Pediatric Balance Scale to assess static balance and the Timed Up and Go test to assess dynamic balance at entry and the end of the study. SPSS version 26 software was used for statistical analysis.
Methods: This study was conducted as a double-blind, randomized clinical trial on 20 children with spastic hemiplegia aged between 5-12 years old, from June 2021 to August 2022 in Tehran, Iran. Participating children were randomly allocated into test (n=10) and control (n=10) groups. The children in the treatment group underwent 20 treatment sessions during four weeks. Each session consisted of 30 minutes of routine treatment and 15 minutes of mirror therapy for lower limbs. In the control group, sham therapy was performed instead of mirror therapy. The exercises performed in a seated position were: (1) active flexion of hip, knee, and ankle joints, (2) active knee extension plus ankle dorsiflexion, and (3) knee flexion (> 90°). Both groups were measured by the Pediatric Balance Scale to assess static balance and the Timed Up and Go test to assess dynamic balance at entry and the end of the study. SPSS version 26 software was used for statistical analysis.
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Results: Examining the results of the evaluations showed that before the treatment, the static and dynamic balance of the two groups did not differ significantly (p> 0/05), but the static and dynamic balance scores of the children in the treatment group after the four weeks mirror therapy period (five days per week) were statistically significant different from the control group (p<0/05).
Conclusion: According to the present study, it seems that mirror therapy as a complementary treatment can have a positive effect on improving balance (static and dynamic) in children with hemiplegic CP. |
Type of Study: Original Article |
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