The Effect of Motor Learning-Based Mirror Therapy (mMT) on Accuracy and som Hand Functions in Children with Hemiplegic Cerebral Palsy
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شناسه دیجیتال (DOI): 10.22089/ssrc.2024.4184
کد مقاله : 1148-SSRC
نویسندگان
1دانشگاه شهید بهشتی
2دانشگاه علوم پزشکی اصفهان
چکیده
Purpose: This research aimed to investigate the impact of motor learning-based mirror therapy (mMT) on the hand function of children with hemiplegic cerebral palsy (HCP).
Methods: In this study, 26 children aged 7 to 12 years with HCP residing in Isfahan participated. Participants received interventions in the form of conventional mirror therapy (MT) and mMT over 7 weeks and 21 sessions. Data was collected using a demographic information questionnaire, the Modified Ashworth Scale, a goniometer, the Raven's Progressive Matrices test, a clinical assessment of active and passive range of motion (ROM), and an accuracy throwing task. After the end of the intervention and ensuring the normal distribution of the data, ANOVA statistical tests with composite analysis were used, and for the data that did not have a normal distribution, the U-Man-Whitney tests with independent samples and Wilcoxon signed ranks were used.
Results: In the variables of accuracy, active and passive ROM of the shoulder, and passive ROM of the wrist, participants in the mMT group showed significant differences in the post-test compared to the pre-test (P≤0.05). Unlike the pre-test, in the post-test, the mean accuracy scores were different between the mMT and MT groups (P≤0.05). In other variables, no significant differences were observed between the pre-test and post-test in both groups (P>0.05).
Conclusion: The current study demonstrated that mMT is a more suitable method compared to MT for improving hand function in children with HCP.
Therapists are advised to make mirror therapy sessions more effective and engaging for .children by designing structured practice exercises
Methods: In this study, 26 children aged 7 to 12 years with HCP residing in Isfahan participated. Participants received interventions in the form of conventional mirror therapy (MT) and mMT over 7 weeks and 21 sessions. Data was collected using a demographic information questionnaire, the Modified Ashworth Scale, a goniometer, the Raven's Progressive Matrices test, a clinical assessment of active and passive range of motion (ROM), and an accuracy throwing task. After the end of the intervention and ensuring the normal distribution of the data, ANOVA statistical tests with composite analysis were used, and for the data that did not have a normal distribution, the U-Man-Whitney tests with independent samples and Wilcoxon signed ranks were used.
Results: In the variables of accuracy, active and passive ROM of the shoulder, and passive ROM of the wrist, participants in the mMT group showed significant differences in the post-test compared to the pre-test (P≤0.05). Unlike the pre-test, in the post-test, the mean accuracy scores were different between the mMT and MT groups (P≤0.05). In other variables, no significant differences were observed between the pre-test and post-test in both groups (P>0.05).
Conclusion: The current study demonstrated that mMT is a more suitable method compared to MT for improving hand function in children with HCP.
Therapists are advised to make mirror therapy sessions more effective and engaging for .children by designing structured practice exercises
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