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Combined effects of mirror therapy and exercises on the upper extremities in children with unilateral cerebral palsy: a randomized controlled trial [with consumer summary]
Kara OK, Yardimci BN, Sahin S, Orhan C, Livanelioglu A, Soylu AR
Developmental Neurorehabilitation 2020;23(4):253-264
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: This study investigated the combined effects of mirror therapy involving power and strength exercises of the upper extremities in children with unilateral spastic cerebral palsy (USCP). METHODS: Thirty children were included in either an experimental group or a control group. All participants were evaluated with the Quality of Upper Extremity Skill Test (QUEST), Canadian Occupational Performance Measure (COPM), and a handheld dynamometer to measure isometric muscle strength. RESULTS: Compared to the control group, greater improvement was found in dissociated movements (p < 0.001, d = 1.82), grasp (p < 0.001, d = 1.38), weight bearing (p = 0.006, d = 0.91), and total scores (p = 0.001, d = 1.16) of QUEST; performance (p < 0.001, d = 2.9), satisfaction (p < 0.001, d = 1.91), and total scores (p < 0.001, d = 2.87) of COPM; and isometric muscle strength of the biceps brachii (p < 0.001, d = 1.27) and triceps brachii (p = 0.002, d = 2.22) of the affected upper limbs in the experimental group. CONCLUSIONS: Mirror therapy combined with power and strength exercises is a promising intervention approach to improve activity performance and upper-limb function in children with USCP.

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