Mirror visual feedback training can improve the upper extremity functioning of children with spastic hemiplegia
10.3760/cma.j.issn.0254-1424.2022.08.008
- VernacularTitle:镜像视觉反馈训练对痉挛型偏瘫脑性瘫痪患儿上肢功能的影响
- Author:
Guohui NIU
1
;
Jun WANG
;
Xiaoli ZHANG
;
Linchen LI
;
Hongxing LIU
;
Bo CUI
;
Xin WANG
;
Jiayang XIE
;
Dengna ZHU
Author Information
1. 郑州大学第三附属医院儿童康复科，郑州 450052
- Keywords:
Mirror visual feedback;
Hemiplegia;
Cerebral palsy;
Upper limb motor function
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(8):707-711
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of mirror visual feedback training on upper limb function and muscle tension in children with spastic hemiplegia resulting from cerebral palsy (SHCP).Methods:Seventy-six children aged 2-5 with SHCP were randomly divided into a control group of 33 and a treatment group 34. All were given routine occupational therapy, physical therapy, massage and physical agents. Each therapy session lasted 30 minutes daily, 5 times a week over 3 weeks as a course of treatment. There was a one week interval after each of 6 courses, so the total treatment lasted 6 months. The treatment group was additionally trained with mirror visual feedback with the same schedule. Before, as well as after 3 and 6 months of treatment, each patient′s upper limb motor function, fine motor function and muscle tone were evaluated using the Fugl-Meyer motor function assessment scale (FMA), the Peabody fine motor development scales (PDMS-FM), the modified Ashworth scale (MAS) and integrated electromyograms (iEMGs).Results:There were no significant differences between the two groups before treatment. After both 3 and 6 months significant improvement was observed in both groups′ average FMA score, PDMS-FM total score, grip, and visual motor integration. At both points the treatment group′s averages were significantly better than those of the control group. The average MAS and iEMG results, however, were not significantly different at either time point.Conclusions:For children with spastic hemiplegia caused by cerebral palsy, mirror visual feedback training can effectively improve upper limb functioning, but it cannot reduce their muscle tone.
