[Effectiveness of mirror therapy and action observation therapy in infantile cerebral palsy: a systematic review]

Area of Science:

• Rehabilitation Medicine
• Pediatric Neurology
• Neuroscience

Background:

• Infantile cerebral palsy (ICP) significantly impacts motor function, particularly in the upper limbs.
• Effective therapeutic interventions are crucial for improving outcomes in children with ICP.
• Mirror therapy (MT) and action observation therapy (AOT) are emerging as potential treatments.

Purpose of the Study:

• To systematically review the effectiveness of MT and AOT for upper limb impairments in ICP.
• To compare MT and AOT against other ICP interventions.
• To evaluate impacts on body structures, functions, activity, and participation.

Main Methods:

• Systematic review of randomized controlled trials.
• Included studies published within the last 10 years.
• Assessed methodological quality using the PEDro scale.
• Included nine studies meeting predefined criteria.

Main Results:

• MT and AOT demonstrated significant improvements in upper limb body structures and functions.
• Both therapies positively affected activity and participation levels in ICP patients.
• Overall quality of life was enhanced, with reduced disability and improved functioning.

Conclusions:

• MT and AOT appear effective in improving upper limb outcomes for infantile cerebral palsy.
• Further high-quality research is needed to confirm long-term effectiveness.
• These therapies offer promising adjunctive treatment options for ICP management.