Article

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.
CI - (c) 2016 Mac Keith Press.
- Thérapie en miroir

Langue : ANGLAIS