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Effectiveness of Modified Constraint-Induced Movement Therapy Versus Mirror Therapy in Spastic Hemiplegic Cerebral Palsy Children
Sponsor: Ibadat International University, Islamabad
Summary
This randomized controlled trial was conducted to compare the effectiveness of Modified Constraint-Induced Movement Therapy (MCIMT) and Mirror Therapy in improving upper limb function among children with spastic hemiplegic cerebral palsy. Upper limb dysfunction, including reduced grip strength, impaired manual dexterity, and increased spasticity, limits functional independence and participation in daily activities in these children. Although both interventions are widely used in pediatric rehabilitation, direct comparative evidence remains limited. A total of 42 children aged 5-9 years diagnosed with spastic hemiplegic cerebral palsy were recruited from Akbar Kare Institute and Comprehensive Physical Rehabilitation Center, Peshawar. Participants were selected through convenience sampling and randomly allocated into two equal groups using the sealed envelope method. Group A received Modified Constraint-Induced Movement Therapy, while Group B received Mirror Therapy. Both groups received treatment for 30 minutes per session, five sessions per week, for six consecutive weeks. Grip strength was assessed using the Hand-Held Dynamometer, manual dexterity using the Box and Block Test, and spasticity using the Modified Ashworth Scale. The findings of this study provide evidence regarding the comparative effectiveness of these two rehabilitation approaches and may assist clinicians in selecting the most appropriate intervention for improving upper limb function in children with spastic hemiplegic cerebral palsy.
Official title: A Randomized Controlled Trial to Compare the Effectiveness of Modified Constraint-Induced Movement Therapy Versus Mirror Therapy on Grip Strength, Manual Dexterity, and Spasticity in Children With Spastic Hemiplegic Cerebral Palsy
Key Details
Gender
All
Age Range
5 Years - 9 Years
Study Type
INTERVENTIONAL
Enrollment
42
Start Date
2026-03-03
Completion Date
2026-09-30
Last Updated
2026-08-05
Healthy Volunteers
No
Conditions
Interventions
Experimental
Participants received MCIMT for 30 minutes per session, five sessions per week for six weeks, together with conventional physiotherapy.
Control
Participants received Mirror Therapy for 30 minutes per session, five sessions per week for six weeks, together with conventional physiotherapy.
Locations (1)
Ibadat International University
Islamabad, Pakistan