Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis

Hatem Abd Al-Mohsen Emara; Tamer Emam El Negamy

doi:doi:10.11648/j.ijnpt.20170304.12

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Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis

Hatem Abd Al-Mohsen Emara, Tamer Emam El Negamy

Published in International Journal of Neurologic Physical Therapy (Volume 3, Issue 4)

Received: 2 June 2017 Accepted: 20 June 2017 Published: 10 October 2017

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Abstract

The function of the affected side in the hemiplegic cerebral palsy is influenced by muscle tone abnormality, change of proprioception, diminished power, and decreased the speed of movement, weak grasp, and release functions. Mirror therapy (MT) is a therapeutic technique that uses the interaction of visuomotor-proprioception inputs to improve movement performance of the affected limb. This study was done to investigate the effects of mirror visual feedback exercises on upper extremity function and on the alternation of wrist proprioception in children with hemiparesis. Thirty-two children with spastic hemiparesis from both sexes ranging in age from five to seven years represented the sample of the study. They were assigned randomly into two groups of equal number (control and study). Every child in both groups was evaluated at baseline and after 3 months of intervention using The Quality of Upper Extremity Skills Test to evaluate movement patterns and hand function. Also, electro-goniometer was used to assess repositioning error through Active Reproduction of Active Positioning test (ARAP). The control group received a selected exercise program, while the study group received mirror visual feedback (MVF) exercises program training in addition to the same exercise program given to control group. Comparison of the pre-treatment results of the two groups revealed no significant differences in all variables, while significant improvements were observed in all the measuring variables of the two groups when comparing their pre and post-treatment mean values. Significant differences were also observed when comparing the post-treatment results of the two groups in favor of the study group. MVF exercises could be used together with a therapeutic exercise program for the enhancement of hand function and wrist proprioception in children with hemiparesis.

Published in	International Journal of Neurologic Physical Therapy (Volume 3, Issue 4)
DOI	10.11648/j.ijnpt.20170304.12
Page(s)	28-34
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Hemiplegic Cerebral Palsy, Mirror Therapy, Wrist Proprioception, Upper Extremity Function

References

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APA Style

Hatem Abd Al-Mohsen Emara, Tamer Emam El Negamy. (2017). Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis. International Journal of Neurologic Physical Therapy, 3(4), 28-34. https://doi.org/10.11648/j.ijnpt.20170304.12

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ACS Style

Hatem Abd Al-Mohsen Emara; Tamer Emam El Negamy. Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis. Int. J. Neurol. Phys. Ther. 2017, 3(4), 28-34. doi: 10.11648/j.ijnpt.20170304.12

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AMA Style

Hatem Abd Al-Mohsen Emara, Tamer Emam El Negamy. Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis. Int J Neurol Phys Ther. 2017;3(4):28-34. doi: 10.11648/j.ijnpt.20170304.12

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@article{10.11648/j.ijnpt.20170304.12,
  author = {Hatem Abd Al-Mohsen Emara and Tamer Emam El Negamy},
  title = {Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis},
  journal = {International Journal of Neurologic Physical Therapy},
  volume = {3},
  number = {4},
  pages = {28-34},
  doi = {10.11648/j.ijnpt.20170304.12},
  url = {https://doi.org/10.11648/j.ijnpt.20170304.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnpt.20170304.12},
  abstract = {The function of the affected side in the hemiplegic cerebral palsy is influenced by muscle tone abnormality, change of proprioception, diminished power, and decreased the speed of movement, weak grasp, and release functions. Mirror therapy (MT) is a therapeutic technique that uses the interaction of visuomotor-proprioception inputs to improve movement performance of the affected limb. This study was done to investigate the effects of mirror visual feedback exercises on upper extremity function and on the alternation of wrist proprioception in children with hemiparesis. Thirty-two children with spastic hemiparesis from both sexes ranging in age from five to seven years represented the sample of the study. They were assigned randomly into two groups of equal number (control and study). Every child in both groups was evaluated at baseline and after 3 months of intervention using The Quality of Upper Extremity Skills Test to evaluate movement patterns and hand function. Also, electro-goniometer was used to assess repositioning error through Active Reproduction of Active Positioning test (ARAP). The control group received a selected exercise program, while the study group received mirror visual feedback (MVF) exercises program training in addition to the same exercise program given to control group. Comparison of the pre-treatment results of the two groups revealed no significant differences in all variables, while significant improvements were observed in all the measuring variables of the two groups when comparing their pre and post-treatment mean values. Significant differences were also observed when comparing the post-treatment results of the two groups in favor of the study group. MVF exercises could be used together with a therapeutic exercise program for the enhancement of hand function and wrist proprioception in children with hemiparesis.},
 year = {2017}
}

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TY  - JOUR
T1  - Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis
AU  - Hatem Abd Al-Mohsen Emara
AU  - Tamer Emam El Negamy
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DO  - 10.11648/j.ijnpt.20170304.12
T2  - International Journal of Neurologic Physical Therapy
JF  - International Journal of Neurologic Physical Therapy
JO  - International Journal of Neurologic Physical Therapy
SP  - 28
EP  - 34
PB  - Science Publishing Group
SN  - 2575-1778
UR  - https://doi.org/10.11648/j.ijnpt.20170304.12
AB  - The function of the affected side in the hemiplegic cerebral palsy is influenced by muscle tone abnormality, change of proprioception, diminished power, and decreased the speed of movement, weak grasp, and release functions. Mirror therapy (MT) is a therapeutic technique that uses the interaction of visuomotor-proprioception inputs to improve movement performance of the affected limb. This study was done to investigate the effects of mirror visual feedback exercises on upper extremity function and on the alternation of wrist proprioception in children with hemiparesis. Thirty-two children with spastic hemiparesis from both sexes ranging in age from five to seven years represented the sample of the study. They were assigned randomly into two groups of equal number (control and study). Every child in both groups was evaluated at baseline and after 3 months of intervention using The Quality of Upper Extremity Skills Test to evaluate movement patterns and hand function. Also, electro-goniometer was used to assess repositioning error through Active Reproduction of Active Positioning test (ARAP). The control group received a selected exercise program, while the study group received mirror visual feedback (MVF) exercises program training in addition to the same exercise program given to control group. Comparison of the pre-treatment results of the two groups revealed no significant differences in all variables, while significant improvements were observed in all the measuring variables of the two groups when comparing their pre and post-treatment mean values. Significant differences were also observed when comparing the post-treatment results of the two groups in favor of the study group. MVF exercises could be used together with a therapeutic exercise program for the enhancement of hand function and wrist proprioception in children with hemiparesis.
VL  - 3
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Author Information

Hatem Abd Al-Mohsen Emara

Department of Physical Therapy for Growth and Development Disorders in Children and Its Surgery, Cairo University, Ghisa, Egypt
Tamer Emam El Negamy

Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, October 6 University, 6th October City, Egypt

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Hatem Abd Al-Mohsen Emara, Tamer Emam El Negamy. (2017). Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis. International Journal of Neurologic Physical Therapy, 3(4), 28-34. https://doi.org/10.11648/j.ijnpt.20170304.12

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ACS Style

Hatem Abd Al-Mohsen Emara; Tamer Emam El Negamy. Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis. Int. J. Neurol. Phys. Ther. 2017, 3(4), 28-34. doi: 10.11648/j.ijnpt.20170304.12

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AMA Style

Hatem Abd Al-Mohsen Emara, Tamer Emam El Negamy. Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis. Int J Neurol Phys Ther. 2017;3(4):28-34. doi: 10.11648/j.ijnpt.20170304.12

Copy | Download

@article{10.11648/j.ijnpt.20170304.12,
  author = {Hatem Abd Al-Mohsen Emara and Tamer Emam El Negamy},
  title = {Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis},
  journal = {International Journal of Neurologic Physical Therapy},
  volume = {3},
  number = {4},
  pages = {28-34},
  doi = {10.11648/j.ijnpt.20170304.12},
  url = {https://doi.org/10.11648/j.ijnpt.20170304.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnpt.20170304.12},
  abstract = {The function of the affected side in the hemiplegic cerebral palsy is influenced by muscle tone abnormality, change of proprioception, diminished power, and decreased the speed of movement, weak grasp, and release functions. Mirror therapy (MT) is a therapeutic technique that uses the interaction of visuomotor-proprioception inputs to improve movement performance of the affected limb. This study was done to investigate the effects of mirror visual feedback exercises on upper extremity function and on the alternation of wrist proprioception in children with hemiparesis. Thirty-two children with spastic hemiparesis from both sexes ranging in age from five to seven years represented the sample of the study. They were assigned randomly into two groups of equal number (control and study). Every child in both groups was evaluated at baseline and after 3 months of intervention using The Quality of Upper Extremity Skills Test to evaluate movement patterns and hand function. Also, electro-goniometer was used to assess repositioning error through Active Reproduction of Active Positioning test (ARAP). The control group received a selected exercise program, while the study group received mirror visual feedback (MVF) exercises program training in addition to the same exercise program given to control group. Comparison of the pre-treatment results of the two groups revealed no significant differences in all variables, while significant improvements were observed in all the measuring variables of the two groups when comparing their pre and post-treatment mean values. Significant differences were also observed when comparing the post-treatment results of the two groups in favor of the study group. MVF exercises could be used together with a therapeutic exercise program for the enhancement of hand function and wrist proprioception in children with hemiparesis.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis
AU  - Hatem Abd Al-Mohsen Emara
AU  - Tamer Emam El Negamy
Y1  - 2017/10/10
PY  - 2017
N1  - https://doi.org/10.11648/j.ijnpt.20170304.12
DO  - 10.11648/j.ijnpt.20170304.12
T2  - International Journal of Neurologic Physical Therapy
JF  - International Journal of Neurologic Physical Therapy
JO  - International Journal of Neurologic Physical Therapy
SP  - 28
EP  - 34
PB  - Science Publishing Group
SN  - 2575-1778
UR  - https://doi.org/10.11648/j.ijnpt.20170304.12
AB  - The function of the affected side in the hemiplegic cerebral palsy is influenced by muscle tone abnormality, change of proprioception, diminished power, and decreased the speed of movement, weak grasp, and release functions. Mirror therapy (MT) is a therapeutic technique that uses the interaction of visuomotor-proprioception inputs to improve movement performance of the affected limb. This study was done to investigate the effects of mirror visual feedback exercises on upper extremity function and on the alternation of wrist proprioception in children with hemiparesis. Thirty-two children with spastic hemiparesis from both sexes ranging in age from five to seven years represented the sample of the study. They were assigned randomly into two groups of equal number (control and study). Every child in both groups was evaluated at baseline and after 3 months of intervention using The Quality of Upper Extremity Skills Test to evaluate movement patterns and hand function. Also, electro-goniometer was used to assess repositioning error through Active Reproduction of Active Positioning test (ARAP). The control group received a selected exercise program, while the study group received mirror visual feedback (MVF) exercises program training in addition to the same exercise program given to control group. Comparison of the pre-treatment results of the two groups revealed no significant differences in all variables, while significant improvements were observed in all the measuring variables of the two groups when comparing their pre and post-treatment mean values. Significant differences were also observed when comparing the post-treatment results of the two groups in favor of the study group. MVF exercises could be used together with a therapeutic exercise program for the enhancement of hand function and wrist proprioception in children with hemiparesis.
VL  - 3
IS  - 4
ER  -

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