Robot-Assisted Mirror Therapy in the Rehabilitation of Hemiparetic Cerebral Palsy

The goal of this clinical trial is to learn whether robot-assisted mirror therapy improves upper extremity function in children with spastic hemiparetic cerebral palsy. The study will also compare the effects of robot-assisted mirror therapy with those of conventional mirror therapy.

The main questions this study aims to answer are:

• Does robot-assisted mirror therapy improve spasticity, grip strength, selective motor control, hand skills, bimanual performance, participation in activities of daily living, and quality of life?
• Does robot-assisted mirror therapy improve upper extremity function more than conventional mirror therapy?

Researchers will compare robot-assisted mirror therapy combined with neurodevelopmental treatment with conventional mirror therapy combined with neurodevelopmental treatment.

Participants will:

• Receive individualized neurodevelopmental treatment for 6 weeks.
• Complete a 2-week interval after neurodevelopmental treatment.
• Be randomly assigned to either the robot-assisted mirror therapy group or the conventional mirror therapy group.
• Receive robot-assisted mirror therapy or conventional mirror therapy twice a week for 6 weeks.
• Complete assessments before neurodevelopmental treatment, after neurodevelopmental treatment, before the study intervention, and after the intervention.

Researchers will evaluate upper extremity function, spasticity, grip strength, selective motor control, hand skills, bimanual performance, participation in activities of daily living, and quality of life using standardized clinical assessment tools.