Bruchez, Roselyn; Jequier Gygax, Marine; Roches, Sylvie; Fluss, Joel; Jacquier, David; Ballabeni, Pierluigi; Grunt, Sebastian; Newman, Christopher J (2016). Mirror therapy in children with hemiparesis: a randomized observer-blinded trial. Developmental medicine and child neurology, 58(9), pp. 970-978. Wiley 10.1111/dmcn.13117
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AIM
To determine the efficacy of mirror therapy in children with hemiparesis.
METHOD
The design was an observer-blinded parallel-group randomized controlled trial (International Standard Randomised Controlled Trial Number 48748291). Randomization was computer-generated, 1:1 allocation to mirror therapy or comparison groups. The settings were home-based intervention and tertiary centre assessments. Participants were 90 children with hemiparesis aged 7 to 17 years. Intervention was 15 minutes per day of simultaneous arm training, 5 days a week, for 5 weeks. The mirror therapy group used a mirror; those in the comparison group looked at their paretic limb. Assessments comprised measures of upper limb strength, function (Melbourne Assessment 2), daily performance (ABILHAND-Kids), and sensory function at weeks 0 (T0 ), 5 (T1 ), and 10 (T2 ).
RESULTS
There were no significant differences in outcomes and their progression over time between the mirror therapy and comparison groups. Post-hoc intention-to-treat analyses showed significant improvements in both groups for grasp strength (T0 -T1 +12.6%), pinch strength (T0 -T2 +9.1%), upper limb function in terms of accuracy (T0 -T2 +2.7%) and fluency (T0 -T2 +5.0%), as well as daily performance (T0 -T2 +16.6%). Per protocol analyses showed additional improvements in dexterity (T0 -T2 +4.0%).
INTERPRETATION
The use of the mirror illusion during therapy had no significant effect on treatment outcomes. However, 5 weeks of daily simultaneous arm training significantly improved paretic upper limb strength, function, and daily use.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine 04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Neuropaediatrics |
UniBE Contributor: |
Grunt, Sebastian |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0012-1622 |
Publisher: |
Wiley |
Language: |
English |
Submitter: |
Anette van Dorland |
Date Deposited: |
24 May 2017 08:43 |
Last Modified: |
05 Dec 2022 15:03 |
Publisher DOI: |
10.1111/dmcn.13117 |
PubMed ID: |
27046296 |
BORIS DOI: |
10.7892/boris.95821 |
URI: |
https://boris.unibe.ch/id/eprint/95821 |
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