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A single session of mirror-based tactile and motor training improves tactile dysfunction in children with unilateral cerebral palsy: a replicated randomized controlled case series [with consumer summary]
Auld ML, Johnston LM, Russo RN, Moseley GL
Physiotherapy Research International 2017 Oct;22(4):e1674
clinical trial
2/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: This replicated randomized controlled crossover case series investigated the effect of mirror-based tactile and motor training on tactile registration and perception in children with unilateral cerebral palsy (UCP). METHODS: Six children with UCP (6 to 18 years; median 10 years, five male, three-left hemiplegia, four-manual ability classification system (MACS) I, one MACS II and one MACS III) participated. They attended two 90-minute sessions -- one of mirror-based training and one of standard practice, bimanual therapy -- in alternated order. Tactile registration (Semmes Weinstein Monofilaments) and perception (double simultaneous or single-point localization) were assessed before and after each session. Change was estimated using reliable change index (RCI). RESULTS: Tactile perception improved in four participants (RCI > 1.75), with mirror-based training, but was unchanged with bimanual therapy (RCI < 1.0 for all participants). Neither intervention affected tactile registration. DISCUSSION: Mirror-based training demonstrates potential to improve tactile perception in children with UCP.

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