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Learning to cope with mirror movements in unilateral spastic cerebral palsy: a brief report

Caroline Adler1,2, Melanie Hessenauer1, Johanna Lipp1

  • 1a Clinic for Neuropediatrics and Neurorehabilitation , Epilepsy Centre for Children and Adolescents , Vogtareuth , Germany.

Developmental Neurorehabilitation
|May 23, 2018
PubMed

Insights

This study found that bimanual therapy improved daily bimanual activities for children with unilateral spastic cerebral palsy (USCP) but did not reduce mirror movements (MM). Children may benefit more from coping strategies than direct MM reduction.

Area of Science:

  • Neurology
  • Pediatrics
  • Rehabilitation Science

Background:

  • Mirror movements (MM) significantly impair bimanual function in children with unilateral spastic cerebral palsy (USCP).
  • Effective therapeutic strategies for improving bimanual performance in USCP are crucial for daily living.

Purpose of the Study:

  • To investigate the efficacy of a novel bimanual therapeutic regimen targeting asymmetric simultaneous movements in children with USCP and MM.
  • To assess the impact of this therapy on bimanual performance and the severity of mirror movements.

Main Methods:

  • A specific bimanual therapeutic regimen focusing on asymmetric simultaneous movements was developed.
  • Ten children (aged 6-17) with USCP and MM participated in a three-week inpatient rehabilitation program.

Main Results:

  • Significant improvements were observed in self-defined bimanual goal activities and general bimanual performance post-therapy.
  • These functional gains were sustained at a 6-month follow-up.
  • The severity of mirror movements did not change immediately after therapy.

Conclusions:

  • Targeted bimanual therapy enhances bimanual performance in children with USCP but does not reduce mirror movements.
  • Children with MM might benefit more from learning coping strategies than from interventions aimed at reducing MM.
Abstract

Keywords:
Activities of daily livingUSCPbimanual intensive therapycoping strategiesmirror movementsperformance

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