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A Single Session of Mirror‐based Tactile and Motor Training Improves Tactile Dysfunction in Children with Unilateral Cerebral Palsy: A Replicated Randomized Controlled Case Series
Author(s) -
Auld Megan L.,
Johnston Leanne M.,
Russo Remo N.,
Moseley G. Lorimer
Publication year - 2017
Publication title -
physiotherapy research international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.509
H-Index - 49
eISSN - 1471-2865
pISSN - 1358-2267
DOI - 10.1002/pri.1674
Subject(s) - cerebral palsy , psychology , physical medicine and rehabilitation , tactile perception , session (web analytics) , perception , randomized controlled trial , barthel index , crossover study , audiology , physical therapy , medicine , activities of daily living , neuroscience , computer science , surgery , placebo , alternative medicine , pathology , world wide web
This replicated randomized controlled crossover case series investigated the effect of mirror‐based tactile and motor training on tactile registration and perception in children with unilateral cerebral palsy (UCP). Methods Six children with UCP (6–18 years; median 10 years, five male, three‐left hemiplegia, four‐manual ability classification system (MACS) I, one MACS II and one MACS III) participated. They attended two 90‐minute sessions — one of mirror‐based training and one of standard practice, bimanual therapy — in alternated order. Tactile registration (Semmes Weinstein Monofilaments) and perception (double simultaneous or single‐point localization) were assessed before and after each session. Change was estimated using reliable change index (RCI). Results Tactile perception improved in four participants (RCI > 1.75), with mirror‐based training, but was unchanged with bimanual therapy (RCI < 1.0 for all participants). Neither intervention affected tactile registration. Discussion Mirror‐based training demonstrates potential to improve tactile perception in children with UCP. Copyright © 2016 John Wiley & Sons, Ltd.