Spastik Hemiplejik Serebral Palsili Çocuklarda Ayma Terapisinin Etkisinin Araştırılması

Abstract

Investigation of the Effectiveness of Mirror Therapy in Children with Spastic Hemiplegic Cerebral Palsy. Hacettepe University, Institute of Health Sciences, Physical Treatment and Rehabilitation Program, Ph.D. Thesis, Ankara, 2017. The aim of this study was to investigate the effectiveness of mirror therapy in children with spastic hemiplegic cerebral palsy (CP) on 10 spastic hemiplegic SP patients aged 4 to 18 years. The children were randomly selected among the patients followed up at our PTR Department. The design was a self-controlled study with an internal control group. Children were administered mirror therapy by the same physiotherapist 30 minutes a day, 3 days a week for 8 weeks in addition to traditional physiotherapy. The Gross Motor Function Classification System (GMFCS), gross motor function measurement (GMFM-88), Upper Extremity Manual Ability Classification System (MACS), Quality of Upper Extremity Skills Test (QUEST), Modified Ashworth Scale (MAS), joint range of motion evaluation, Goal Achievement Scale (GAS), Functional Independence Measurement (WeeFIM), cerebral re-organization evaluation (fMRG) and Child Health Questionnaire (CHQ_PF50) were used at the 1st, 8th and 16th weeks. Week 1-8 was the control period with physiotherapy and rehabilitation only while week 9-16 was the study period with added mirror therapy. No statistically significant difference was found in the evaluation parameters before and after the control period (p>0.05). Statistically significant improvements were found in the children’s gross motor function levels, upper extremity skill levels, normal joint motions, body influence states, functional independence levels, cerebral re-organization and life quality levels after the study period (p<0.05). In conclusion, administering mirror therapy in addition to physiotherapy could be useful for treating children with spastic hemiplegic CP.