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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Group | Experimental | The experimental group will perform a 5-week motor program consisting of 4 bimanual exercises with mirror therapy, to be done at home 30 minutes a day, 5 days a week. |
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| Control Group | Active Comparator | The control group will perform a 5-week motor program consisting of 4 bimanual exercises without mirror therapy, to be done at home 30 minutes a day, 5 days a week. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mirror Therapy | Other | Therapy consisting of perfoming bimanual activities with a mirror placed on the patient's sagital plane, so it creates the brain illusion that the impaired limb moves the same way and quality that the unimpaired does. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Bimanual Performance | How Bimanual Performance, assessed with Children's Hand-use Experience Questionnaire, changes by doing the intervention | Baseline, at 5 weeks and at 9 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Tactile Registration of the impaired hand. | An evaluation to determine whether the impaired hand is capable of identifying a somatosensory stimuli. The index pad is stimulated with the Semmes Weinstein Monofilament, starting with the largest monofilament considered as "normal sensation. 3 correct identifications are considered as a correct answer, with the smallest monofilament possible. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MARIA CARITAT BAGUR CALAFAT, PHD | Universitat Internacional de Catalunya | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fundació Aspace Catalunya | Barcelona | 08038 | Spain |
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| Program without Mirror Therapy | Other | Bimanual exercises performed with both upper limbs. |
|
| Baseline, at 5 weeks and at 9 weeks |
| Change in static two-point discrimination of the impaired hand. | An evaluation to determine the shortest distance that the impaired hand is capable of identifying to simultaneous stimuli.The index pad is stimulated with the Disk-Criminator, that applies two simultaneous stimuly. The shortest distance at which the patient is capable of idenitfying both stimuli 7/10 times is considered as a correct answer. | Baseline, at 5 weeks and at 9 weeks |
| Change in moving two-point discrimination of the impaired hand. | An evaluation to determine the shortest distance that the impaired hand is capable of identifying to moving simultaneous stimuli.The index pad is stimulated with the Disk-Criminator, that applies two simultaneous stimuly, with small circular movement. The shortest distance at which the patient is capable of idenitfying both stimuli 7/10 times is considered as a correct answer. | Baseline, at 5 weeks and at 9 weeks |
| Change in single point localisation of the impaired hand. | An evaluation to determine both the capacity of the patient to identify a threshold stimuly applied to thumb, index, 4th and 5th finger of the impaired hand, and the position where stimuli is applied (front, back or side). 12 different stimulations are applied, and the correct answers are the final punctuation. | Baseline, at 5 weeks and at 9 weeks |
| Change in double simultaneous of the impaired hand. | An evaluation to determine the capacity of the patient to identify a threshold stimuly applied to thumb, index, 4th and 5th finger of the impaired hand, and on the same fingers of the other hand, single and combined. 24 different stimulations are applied, and the correct answers are the final punctuation. | Baseline, at 5 weeks and at 9 weeks |
| Change in sterognosis of the impaired hand. | An evaluation to determine the capacity of the patient to identify 9 different objects (pen, pencil, button, coin, safety pin, paper clip, key, peg and spoon) placed on the impaired hand, without visual feedback. The final punctuation is for the correct identifications. | Baseline, at 5 weeks and at 9 weeks |
| Self-reported Quality of Life | How the self-perceived quality of life, assessed with Pediatric Quality of Life Inventory (PEDSQL - CP Module), changes by performing the intervention. The evaluation consists of gradinf (from 0 - never; to 4 - always), how have different situations caused trouble or impairment to children. The presented situations are related to daily activities, movement, pain, school activities, comunication, feeding and fatigue. | Baseline, at 5 weeks and at 9 weeks |
| ID | Term |
|---|---|
| D000088762 | Mirror Movement Therapy |
| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D013812 | Therapeutics |
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