Abstract：
BACKGROUND: Children with cerebral palsy (CP) have motor deficits caused by spasticity, weakness, contractures, diminished selective motor control (SMC), and poor balance. The purpose of the current study was to evaluate the influence of mirror feedback on lower extremity selective motor control and balance in children with hemiplegic cerebral palsy. Understanding the relationship between SMC and balance will help children with hemiplegic CP receive more appropriate therapies.
METHODS: Forty-seven children of both sexes diagnosed with hemiplegic CP participated in the study. Group1 (Gr1 - control group) received conventional physical therapy training while group 2 (Gr2 - intervention group) received conventional physical therapy training in addition to bilateral lower extremity mirror therapy (MT). The primary outcome measure used was Selective Control Assessment of Lower Extremity scale (SCALE), while the secondary outcome measure was the Pediatric Balance Scale (PBS).
RESULTS: There were significant differences in Selective Control Assessment of Lower Extremity Scale (SCALE) and Pediatric Balance Scale (PBS) between both groups in favor of Gr2. After treatment, both groups improved significantly, yet Gr2 outperformed Gr1 by a large margin.
CONCLUSIONS: Mirror therapy may be a useful addition to home-based motor interventions for children with hemiplegic CP due to its relative simplicity, low cost, and high patient adherence. Additionally, it may help children improve their selective motor skills and balance.
BACKGROUND: Current Controlled Trials using African Clinical Trials Registry website with ID number PACTR202105604636415 retrospectively registered on 21/01/202.
METHODS: Forty-seven children of both sexes diagnosed with hemiplegic CP participated in the study. Group1 (Gr1 - control group) received conventional physical therapy training while group 2 (Gr2 - intervention group) received conventional physical therapy training in addition to bilateral lower extremity mirror therapy (MT). The primary outcome measure used was Selective Control Assessment of Lower Extremity scale (SCALE), while the secondary outcome measure was the Pediatric Balance Scale (PBS).
RESULTS: There were significant differences in Selective Control Assessment of Lower Extremity Scale (SCALE) and Pediatric Balance Scale (PBS) between both groups in favor of Gr2. After treatment, both groups improved significantly, yet Gr2 outperformed Gr1 by a large margin.
CONCLUSIONS: Mirror therapy may be a useful addition to home-based motor interventions for children with hemiplegic CP due to its relative simplicity, low cost, and high patient adherence. Additionally, it may help children improve their selective motor skills and balance.
BACKGROUND: Current Controlled Trials using African Clinical Trials Registry website with ID number PACTR202105604636415 retrospectively registered on 21/01/202.
摘要：
背景：患有脑瘫（CP）的儿童有由痉挛引起的运动障碍，弱点,挛缩,减少选择性电机控制(SMC)，糟糕的平衡。本研究的目的是评估镜像反馈对偏瘫脑瘫儿童下肢选择性运动控制和平衡的影响。了解SMC与平衡之间的关系将有助于偏瘫CP患儿接受更合适的治疗。
方法：47名被诊断为偏瘫性CP的男女儿童参与了这项研究。第1组（Gr1-对照组）接受常规物理治疗训练，第2组（Gr2-干预组）除接受双侧下肢镜像治疗（MT）外还接受常规物理治疗训练。使用的主要结果测量是选择性对照评估下肢量表（SCALE），而次要结局指标是儿科平衡量表（PBS）。
结果：两组在选择控制评估下肢量表（SCALE）和小儿平衡量表（PBS）方面存在显着差异，有利于Gr2。治疗后,两组都有显著改善，然而，Gr2的表现大大优于Gr1。
结论：镜像疗法可能是偏瘫儿童家庭运动干预的有用补充，因为它相对简单，低成本,和高患者依从性。此外,它可以帮助孩子提高他们的选择性运动技能和平衡。
背景：使用非洲临床试验注册中心网站进行的当前对照试验，ID号为PACTR202105604636415，回顾性注册于21/01/202。
方法：47名被诊断为偏瘫性CP的男女儿童参与了这项研究。第1组（Gr1-对照组）接受常规物理治疗训练，第2组（Gr2-干预组）除接受双侧下肢镜像治疗（MT）外还接受常规物理治疗训练。使用的主要结果测量是选择性对照评估下肢量表（SCALE），而次要结局指标是儿科平衡量表（PBS）。
结果：两组在选择控制评估下肢量表（SCALE）和小儿平衡量表（PBS）方面存在显着差异，有利于Gr2。治疗后,两组都有显著改善，然而，Gr2的表现大大优于Gr1。
结论：镜像疗法可能是偏瘫儿童家庭运动干预的有用补充，因为它相对简单，低成本,和高患者依从性。此外,它可以帮助孩子提高他们的选择性运动技能和平衡。
背景：使用非洲临床试验注册中心网站进行的当前对照试验，ID号为PACTR202105604636415，回顾性注册于21/01/202。
