Mirror therapy versus constraint induced movement therapy on upper limb functions in hemiplegic children / Sara Mohamed Elabasiry ; Supervised Manal Salah Eldin , Sahar Mohamed Nour Eldin

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Disorders in Pediatrics

Purpose: Is to compare between mirror therapy versus constraint induced movement therapy in order to detect which is more effective modality in controlling upper limb functions in hemiplegic cerebral palsied children. Subjects and Procedures: This study was carried out on thirty children (sixteen girls and fourteen boys) with hemiplegic cerebral palsy at outpatient clinic of Pediatric Physical Therapy, Cairo University. They were divided into two studied groups of equal numbers; Group A: fifteen children, who were treated by mirror therapy three times per week for twelve weeks, each session lasted for thirty minutes, Group B: Fifteen children who received intervention with constraint induced movement therapy (CIMT) six hours per day for twenty one days then a period of one week rest was given and the application of (CIMT) was repeated twice again. Assessment of range of motion (ROM) of forearm supination and pronation, elbow flexion, and wrist extension for both groups was done by goniometer, also hand grip strength was measured by a baseline hand held dynamometer, and hand functions assessment was measured for both groups by Quest Scale. All these measured variables were repeated after the first, second and third month of treatment application. Results: A statistically significant improvement was recorded in all measured variables after treatment application in each group, when comparing their pre and post treatment mean values, while between both groups there was statistically insignificant difference before treatment, however a statistically significant difference was recorded post treatment in all measured variable in favor of mirror group when comparing them with CIMT group except (wrist extension ,after the first month treatment of elbow flexion ROM and forearm supination)

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