- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04227262
Efficacy of Lower Extremity Mirror Therapy on Balance in Children With Hemiplegic Cerebral Palsy
January 9, 2020 updated by: Mohammed E. Ali, Ph. D Candidate., South Valley University
EFFICACY OF LOWER EXTREMITY MIRROR THERAPY ON BALANCE IN CHILDREN WITH HEMIPLEGIC CEREBRAL PALSY: A Randomized Controlled Trail
The study will be conducted to assess the efficacy of mirror therapy on balance in children with hemiplegic cerebral palsy.
Study Overview
Detailed Description
Hemiplegic cerebral palsy in the most common type of cerebral palsy that has permanent motor disorders and associated with life-long disability.
the aim of study to assess the efficacy of mirror therapy on balance in children with hemiplegic cerebral palsy.
Seventy child with hemiplegic cerebral were enrolled in this study and were assessed for eligibility.
Their aged ranged from eight to twelve years.
The children were assigned randomly into two equal groups.
Group (a) control group received traditional physical therapy program.
And group (b) study group received the same traditional physical therapy program in addition to mirror therapy three times / weak for three successful months.
Biodex balance system was used to assess balance pre and post treatment.
All children were assisted before and after three months of intervention.
Study Type
Interventional
Enrollment (Actual)
70
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Qina
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Qinā, Qina, Egypt, 83523
- South Valley University, Faculty of Physical Therapy
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
6 years to 10 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Children's aged ranged from eight to twelve years.
- Children participated in this study will from both sexes.
- Their degree of spasticity will ranged from mild to moderate according to Modified Ashworth Scale.
- Children with stable medical and psychological status.
- Children able to follow the verbal commands or instructions.
Exclusion Criteria:
- children with visual or auditory problems.
- Children with history of epilepsy.
- Children with history of surgical interference in lower limbs less than one year.
- Medically unstable children especially with cardiovascular disorders.
- Mentally retarded children.
- un-cooperative children.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: the control group
Group (a) control group received traditional physical therapy program.
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Experimental: the study group
group (b) study group received the same traditional physical therapy program in addition to mirror therapy three times / weak for three successful months.
|
The children were instructed to sitting on chair and a mirror is placed in midsagittal plane of the child, with the normal limb in front of mirror and the affected limb is blocked so the patient see only the reflected movement of the sound limb (non affected).
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Antro-posterior stability index
Time Frame: Antro-posterior stability index will be assessed at day 0.
|
the ability of child to maintain his balance from forward to backward direction
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Antro-posterior stability index will be assessed at day 0.
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Antro-posterior stability index
Time Frame: Antro-posterior stability index will be assessed at day 90.
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the ability of child to maintain his balance from forward to backward direction
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Antro-posterior stability index will be assessed at day 90.
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Over All Stability Index
Time Frame: Over All Stability Index will be assessed at day 0.
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the ability of child to maintain his balance in all directions
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Over All Stability Index will be assessed at day 0.
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Over All Stability Index
Time Frame: Over All Stability Index will be assessed at day 90.
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the ability of child to maintain his balance in all directions
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Over All Stability Index will be assessed at day 90.
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Mediolateral Stability Index
Time Frame: Mediolateral Stability Index will be assessed at day 0.
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the ability of child to maintain his balance from side to side directions
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Mediolateral Stability Index will be assessed at day 0.
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Mediolateral Stability Index
Time Frame: Mediolateral Stability Index will be assessed at day 90.
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the ability of child to maintain his balance from side to side directions
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Mediolateral Stability Index will be assessed at day 90.
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Nehad A. Abo-zaid, PhD, South Valley University, Faculty of Physical Therapy
- Principal Investigator: Mohammed E. Ali, PhD student, South Valley University, Faculty of Physical Therapy
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Garry MI, Loftus A, Summers JJ. Mirror, mirror on the wall: viewing a mirror reflection of unilateral hand movements facilitates ipsilateral M1 excitability. Exp Brain Res. 2005 May;163(1):118-22. doi: 10.1007/s00221-005-2226-9. Epub 2005 Mar 8.
- McInnes K, Friesen C, Boe S. Specific Brain Lesions Impair Explicit Motor Imagery Ability: A Systematic Review of the Evidence. Arch Phys Med Rehabil. 2016 Mar;97(3):478-489.e1. doi: 10.1016/j.apmr.2015.07.012. Epub 2015 Aug 5.
- Gstottner M, Neher A, Scholtz A, Millonig M, Lembert S, Raschner C. Balance ability and muscle response of the preferred and nonpreferred leg in soccer players. Motor Control. 2009 Apr;13(2):218-31. doi: 10.1123/mcj.13.2.218.
- Zeng W, Guo Y, Wu G, Liu X, Fang Q. Mirror therapy for motor function of the upper extremity in patients with stroke: A meta-analysis. J Rehabil Med. 2018 Jan 10;50(1):8-15. doi: 10.2340/16501977-2287.
- Kenis-Coskun O, Giray E, Eren B, Ozkok O, Karadag-Saygi E. Evaluation of postural stability in children with hemiplegic cerebral palsy. J Phys Ther Sci. 2016 May;28(5):1398-402. doi: 10.1589/jpts.28.1398. Epub 2016 May 31.
- El-Shamy SM, Abd El Kafy EM. Effect of balance training on postural balance control and risk of fall in children with diplegic cerebral palsy. Disabil Rehabil. 2014;36(14):1176-83. doi: 10.3109/09638288.2013.833312. Epub 2013 Sep 13.
- Altschuler EL, Hu J. Mirror therapy in a patient with a fractured wrist and no active wrist extension. Scand J Plast Reconstr Surg Hand Surg. 2008;42(2):110-1. doi: 10.1080/02844310701510355.
- Funase K, Tabira T, Higashi T, Liang N, Kasai T. Increased corticospinal excitability during direct observation of self-movement and indirect observation with a mirror box. Neurosci Lett. 2007 May 29;419(2):108-12. doi: 10.1016/j.neulet.2007.04.025. Epub 2007 Apr 19.
- Cattaneo L, Rizzolatti G. The mirror neuron system. Arch Neurol. 2009 May;66(5):557-60. doi: 10.1001/archneurol.2009.41.
- Summers JJ, Kagerer FA, Garry MI, Hiraga CY, Loftus A, Cauraugh JH. Bilateral and unilateral movement training on upper limb function in chronic stroke patients: A TMS study. J Neurol Sci. 2007 Jan 15;252(1):76-82. doi: 10.1016/j.jns.2006.10.011. Epub 2006 Nov 28.
- Sutbeyaz S, Yavuzer G, Sezer N, Koseoglu BF. Mirror therapy enhances lower-extremity motor recovery and motor functioning after stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2007 May;88(5):555-9. doi: 10.1016/j.apmr.2007.02.034.
- Saghaei M. Random allocation software for parallel group randomized trials. BMC Med Res Methodol. 2004 Nov 9;4:26. doi: 10.1186/1471-2288-4-26.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
December 1, 2019
Primary Completion (Anticipated)
March 1, 2020
Study Completion (Anticipated)
March 31, 2020
Study Registration Dates
First Submitted
January 4, 2020
First Submitted That Met QC Criteria
January 9, 2020
First Posted (Actual)
January 13, 2020
Study Record Updates
Last Update Posted (Actual)
January 13, 2020
Last Update Submitted That Met QC Criteria
January 9, 2020
Last Verified
January 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- P.T.REC/012/002575
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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