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

Auld, Megan, Johnston, Leanne, Russo, Remo and Moseley, G. Lorimer (2016) 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. Physiotherapy Research International, 22 4: . doi:10.1002/pri.1674


Author Auld, Megan
Johnston, Leanne
Russo, Remo
Moseley, G. Lorimer
Title 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
Journal name Physiotherapy Research International   Check publisher's open access policy
ISSN 1471-2865
Publication date 2016-08-17
Year available 2017
Sub-type Article (original research)
DOI 10.1002/pri.1674
Open Access Status Not yet assessed
Volume 22
Issue 4
Total pages 9
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons
Language eng
Abstract Introduction. 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 (C) 2016 John Wiley & Sons, Ltd.
Formatted abstract
Introduction
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.
Keyword Cerebral palsy
Mirror therapy
Tactile
Upper limb
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 1061279
Institutional Status UQ
Additional Notes Published online 17 August 2016

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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Created: Wed, 19 Oct 2016, 18:46:16 EST by Megan Auld on behalf of School of Health & Rehabilitation Sciences