Taking peopleNo phase

Effects of Mirror Therapy on Lower Extremity in CP Children

Key facts

Who runs it: Riphah International University
Where: Pakistan1 site in 1 countryChoose a country to see its sites
Trial code: NCT06673823
Status: Recruiting
People taking part: 26 people, planned
Started: 29 Oct 2024
Planned end: 15 Feb 2025
Type of study: Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested: Mirror therapy
conventional therapy
Record updated: 5 November 2024

Who can take part

Age: 6 years to 12 years
Sex: Women and men
Healthy volunteers: Cannot take part

The registry criteria, word for word

Show all 6 criteriaShow less

Who can take part

Age 6-12 years
Motor tone of effected lower extremity is 1 to 2 according to modified Ashworth scale
Patient with enough cognition to understand and follow instructions

Who cannot take part

Patients with prior fractures of the lower limb (ankle or foot)
Patients with any other neurological illness affecting their lower extremities (e.g., MS, Parkinson's, peripheral neuropathy)
Patients with other forms of musculoskeletal diseases such as severe arthritis, ankle surgery, leg length difference

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

Are you between 6 and 12 years old?

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

A non-progressive condition that harms the developing brain both during and after birth is cerebral palsy (CP). It is a multifaceted syndrome marked by abnormalities in movement and posture, along with concomitant sensory-motor, cognitive, and behavioral impairments and seizures. CP can be divided into three types based on neurological classification: spastic, athetoid, and ataxic, impairments in motor skills and posture are hallmarks of cerebral palsy. Various strategies have been employed in motor skill improvement interventions. One of them, mirror-mediated treatment, works by stimulating mirror neurons in a specific region of the brain cortex. Mirror-mediated therapy involves the patient observing movement of his or her own limb reflected in a mirror, which activates mirror neurons. The application of mirror treatment improved gait capacity by elevating physical perception and balance ability. The purpose of the study will be to evaluate the effects of mirror therapy in lower limb hemiplegic cerebral palsy.

The 2 groups in the trial

Experimental groupTreatment being tested
In the Experimental Group, Mirror Therapy will be applied by covering any birthmarks or scars on the less affected lower extremity (LE) if they obstruct the child's view. The therapy will take place in a distraction-free environment to help each child maintain focus and concentration. A mirror, at least 35 × 25 inches in size, will be placed between both LEs, with the more affected LE concealed behind a black curtain, allowing a clear reflection of the less affected LE. The child will be instructed to observe the mirror image of their more affected LE for one to two minutes. To begin, the therapist will visually demonstrate the technique.
Treatment: Mirror therapy
Control groupExisting treatment, for comparison
In the Control Group, conventional therapy will include exercises such as stride standing to allow weight shifting between extremities, single leg standing, stooping and recovering from a standing position, standing on a balance board, and various balance training exercises. Additionally, the program will incorporate stretching exercises for the hip flexors, adductors, hamstrings, and calf muscles, along with gait training exercises conducted in an open environment.
Treatment: conventional therapy