A Single Session of Mirror‐based Tactile and Motor Training Improves Tactile Dysfunction in Children with Unilateral Cerebral Palsy: A Replicated Randomized Controlled Case Series

摘要

Abstract Introduction This replicated randomized controlled crossover case series investigated the effect of mirror‐based tactile and motor training on tactile registration and perception in children with unilateral cerebral palsy (UCP). Methods Six children with UCP (6–18?years; median 10?years, five male, three‐left hemiplegia, four‐manual ability classification system (MACS) I, one MACS II and one MACS III) participated. They attended two 90‐minute sessions — one of mirror‐based training and one of standard practice, bimanual therapy — in alternated order. Tactile registration (Semmes Weinstein Monofilaments) and perception (double simultaneous or single‐point localization) were assessed before and after each session. Change was estimated using reliable change index (RCI). Results Tactile perception improved in four participants (RCI??1.75), with mirror‐based training, but was unchanged with bimanual therapy (RCI??1.0 for all participants). Neither intervention affected tactile registration. Discussion Mirror‐based training demonstrates potential to improve tactile perception in children with UCP. Copyright ? 2016 John Wiley & Sons, Ltd.