Efficacy of Lower Extremity Mirror Therapy on Balance in Children With Hemiplegic Cerebral Palsy

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.

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.

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.