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

Authors

  • M. Oliva-Sierra Departamento de Radiología, Rehabilitación y Fisioterapia. Facultad de Enfermería, Fisioterapia y Podología. Universidad Complutense de Madrid. Madrid. España.
  • M. Ríos-León Grupo de Función Sensitivo-Motora. Hospital Nacional de Parapléjicos. SESCAM. Toledo. España.
  • V. Abuín-Porras Faculty of Sport Sciences. Universidad Europea de Madrid. Madrid. España.
  • P. Martín-Casas Departamento de Radiología, Rehabilitación y Fisioterapia. Facultad de Enfermería, Fisioterapia y Podología. Universidad Complutense de Madrid. Madrid. España.

DOI:

https://doi.org/10.23938/ASSN.1003

Keywords:

Cerebral palsy, International Classification of Functioning, Disability and Health, Physical therapy modalities, Systematic Review

Abstract

The aim of this review was to assess the effectiveness of mirror therapy (MT) and action observation therapy (AOT) on upper limb-related body structures, body functions, activity, and involvement in patients with infantile cerebral palsy (ICP). We carried out a systematic review of randomized controlled trials published over the past 10 years, in which MT or AOT was compared to other ICP-directed interventions. Nine studies met the inclusion criteria and we measured their methodological quality using the PEDro scale. MT or AOT seem to significantly improve upper limb-related body structures, body function, activity, and participation in comparison to other interventions for ICP. Both seem to improve overall quality of life, reduce their disability, and promote its functioning. Further studies with higher methodological quality need to be developed to confirm the long-term effectiveness of MT and AOT.

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Author Biography

V. Abuín-Porras, Faculty of Sport Sciences. Universidad Europea de Madrid. Madrid. España.

Fundación DACER, Área de I+D+I. San Sebastián de los Reyes. Madrid. España.

References

NOVAK I, MORGAN C, ADDE L, BLACKMAN J, BOYD RN, BRUNSTROM-HERNANDEZ J et al. Early, accurate diagnosis and early intervention in cerebral palsy: advances in diagnosis and treatment. JAMA Pediatr 2017; 171: 897-907. https://doi.org/10.1001/jamapediatrics.2017.1689

WIMALASUNDERA N, STEVENSON VL. Cerebral palsy. Pract Neurol 2016; 16: 184-194. https://doi.org/10.1136/practneurol-2015-001184

KOMAN LA, SMITH BP, SHILT JS. Cerebral palsy. Lancet 2004; 363: 1619-1631. https://doi.org/10.1016/s0140-6736(04)16207-7

GULATI S, SONDHI V. Cerebral palsy: an overview. Indian J Pediatr 2018; 85: 1006-1016. https://doi.org/10.1007/s12098-017-2475-1

VITRIKAS K, DALTON H, BREISH D. Cerebral palsy: an overview. Am Fam Physician 2020; 101: 213-220.

NOVAK I, MORGAN C, FAHEY M, FINCH-EDMONDSON M, GALEA C, HINES A et al. State of the evidence traffic lights 2019: systematic review of interventions for preventing and treating children with cerebral palsy. Curr Neurol Neurosci Rep 2020; 20: 3. https://doi.org/10.1007/s11910-020-1022-z

OSKOUI M, COUTINHO F, DYKEMAN J, JETTÉ N, PRINGSHEIM T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol 2013; 55: 509-519. https://doi.org/10.1111/dmcn.12080

MCINTYRE S, TAITZ D, KEOGH J, GOLDSMITH S, BADAWI N, BLAIR E. A systematic review of risk factors for cerebral palsy in children born at term in developed countries. Dev Med Child Neurol 2013; 55: 499-508. https://doi.org/10.1111/dmcn.12017

GRAHAM HK, ROSENBAUM P, PANETH N, DAN B, LIN JP, DAMIANO DL et al. Cerebral palsy. Nat Rev Dis Primers 2016; 2: 15082. https://doi.org/10.1038/nrdp.2015.82

ROSENBAUM P, PANETH N, LEVITON A, GOLDSTEIN M, BAX M, DAMIANO D et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 2007; 109: 8-14.

PAKULA AT, VAN NAARDEN BRAUN K, YEARGIN-ALLSOPP M. Cerebral palsy: classification and epidemiology. Phys Med Rehabil Clin N Am 2009; 20: 425-452. https://doi.org/10.1016/j.pmr.2009.06.001

COLVER A, FAIRHURST C, PHAROAH PO. Cerebral palsy. Lancet 2014; 383: 1240-1249. https://doi.org/10.1016/s0140-6736(13)61835-8

CANS C. Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Dev Med Child Neurol 2000; 42: 816-824. https://doi.org/10.1111/j.1469-8749.2000.tb00695.x

REID SM, MEEHAN E, MCINTYRE S, GOLDSMITH S, BADAWI N, REDDIHOUGH DS et al. Temporal trends in cerebral palsy by impairment severity and birth gestation. Dev Med Child Neurol 2016; 58 (Suppl 2): 25-35. https://doi.org/10.1111/dmcn.13001

CHIU HC, ADA L. Constraint-induced movement therapy improves upper limb activity and participation in hemiplegic cerebral palsy: a systematic review. J Physiother 2016; 62: 130-137. https://doi.org/10.1016/j.jphys.2016.05.013

SHEPHERD E, SALAM RA, MIDDLETON P, MAKRIDES M, MCINTYRE S, BADAWI N et al. Antenatal and intrapartum interventions for preventing cerebral palsy: an overview of Cochrane systematic reviews. Cochrane Database Syst Rev 2017; 8: CD012077. https://doi.org/10.1002/14651858.cd012077.pub2

PLASSCHAERT VFP, VRIEZEKOLK JE, AARTS PBM, GEURTS ACH, VAN DEN ENDE CHM. Interventions to improve upper limb function for children with bilateral cerebral palsy: a systematic review. Dev Med Child Neurol 2019; 61: 899-907. https://doi.org/10.1111/dmcn.14141

TSOI WS, ZHANG LA, WANG WY, TSANG KL, LO SK. Improving quality of life of children with cerebral palsy: a systematic review of clinical trials. Child Care Health Dev 2012; 38: 21-31. https://doi.org/10.1111/j.1365-2214.2011.01255.x

KIM HJ, PARK JW, NAM K. Effect of extracorporeal shockwave therapy on muscle spasticity in patients with cerebral palsy: meta-analysis and systematic review. Eur J Phys Rehabil Med 2019; 55: 761-771. https://doi.org/10.23736/s1973-9087.19.05888-x

REN Z, WU J. The effect of virtual reality games on the gross motor skills of children with cerebral palsy: a meta-analysis of randomized controlled trials. Int J Environ Res Public Health 2019; 16: 3885. https://doi.org/10.3390/ijerph16203885

RATHINAM C, MOHAN V, PEIRSON J, SKINNER J, NETHAJI KS, KUHN I. Effectiveness of virtual reality in the treatment of hand function in children with cerebral palsy: A systematic review. J Hand Ther 2019; 32: 426-434.e1. https://doi.org/10.1016/j.jht.2018.01.006

DEWAR R, LOVE S, JOHNSTON LM. Exercise interventions improve postural control in children with cerebral palsy: a systematic review. Dev Med Child Neurol 2015; 57: 504-520. https://doi.org/10.1111/dmcn.12660

AULD ML, RUSSO R, MOSELEY GL, JOHNSTON LM. Determination of interventions for upper extremity tactile impairment in children with cerebral palsy: a systematic review. Dev Med Child Neurol 2014; 56: 815-832. https://doi.org/10.1111/dmcn.12439

TAGIN MA, WOOLCOTT CG, VINCER MJ, WHYTE RK, STINSON DA. Hypothermia for neonatal hypoxic ischemic encephalopathy: an updated systematic review and meta-analysis. Arch Pediatr Adolesc Med 2012; 166: 558-566. https://doi.org/10.1001/archpediatrics.2011.1772

MORGAN C, DARRAH J, GORDON AM, HARBOURNE R, SPITTLE A, JOHNSON R et al. Effectiveness of motor interventions in infants with cerebral palsy: a systematic review. Dev Med Child Neurol 2016; 58: 900-909. https://doi.org/10.1111/dmcn.13105

MCKINNON CT, MEEHAN EM, HARVEY AR, ANTOLOVICH GC, MORGAN PE. Prevalence and characteristics of pain in children and young adults with cerebral palsy: a systematic review. Dev Med Child Neurol 2019; 61: 305-314. https://doi.org/10.1111/dmcn.14111

LOETERS MJ, MAATHUIS CG, HADDERS-ALGRA M. Risk factors for emergence and progression of scoliosis in children with severe cerebral palsy: a systematic review. Dev Med Child Neurol 2010; 52: 605-611. https://doi.org/10.1111/j.1469-8749.2010.03617.x

ANTTILA H, AUTTI-RÄMÖ I, SUORANTA J, MÄKELÄ M, MALMIVAARA A. Effectiveness of physical therapy interventions for children with cerebral palsy: a systematic review. BMC Pediatr 2008; 8: 14. https://doi.org/10.1186/1471-2431-8-14

NOVAK I, HONAN I. Effectiveness of paediatric occupational therapy for children with disabilities: a systematic review. Aust Occup Ther J 2019; 66: 258-273. https://doi.org/10.1111/1440-1630.12573

SAKZEWSKI L, ZIVIANI J, BOYD R. Systematic review and meta-analysis of therapeutic management of upper-limb dysfunction in children with congenital hemiplegia. Pediatrics 2009; 123: e1111-e1122. https://doi.org/10.1542/peds.2008-3335

PARK EJ, BAEK SH, PARK S. Systematic review of the effects of mirror therapy in children with cerebral palsy. J Phys Ther Sci 2016; 28: 3227-3231. https://doi.org/10.1589/jpts.28.3227

GUINDOS-SANCHEZ L, LUCENA-ANTON D, MORAL-MUNOZ JA, SALAZAR A, CARMONA-BARRIENTOS I. The effectiveness of hippotherapy to recover gross motor function in children with cerebral palsy: a systematic review and meta-analysis. Children (Basel) 2020; 7: 106. https://doi.org/10.3390/children7090106

ZANON MA, PACHECO RL, LATORRACA COC, MARTIMBIANCO ALC, PACHITO DV, RIERA R. Neurodevelopmental treatment (bobath) for children with cerebral palsy: a systematic review. J Child Neurol 2019; 34: 679-686. https://doi.org/10.1177/0883073819852237

SAKZEWSKI L, ZIVIANI J, BOYD RN. Efficacy of upper limb therapies for unilateral cerebral palsy: a meta-analysis. Pediatrics 2014; 133: e175-e204. https://doi.org/10.1542/peds.2013-0675

HOARE BJ, WALLEN MA, THORLEY MN, JACKMAN ML, CAREY LM, IMMS C. Constraint-induced movement therapy in children with unilateral cerebral palsy. Cochrane Database Syst Rev 2019;4: CD004149. https://doi.org/10.1002/14651858.cd004149.pub3

CHRISTMAS PM, SACKLEY C, FELTHAM MG, CUMMINS C. A randomized controlled trial to compare two methods of constraint-induced movement therapy to improve functional ability in the affected upper limb in pre-school children with hemiplegic cerebral palsy: CATCH TRIAL. Clin Rehabil 2018; 32: 909-918. https://doi.org/10.1177/0269215518763512

OUYANG RG, YANG CN, QU YL, KODURI MP, CHIEN CW. Effectiveness of hand-arm bimanual intensive training on upper extremity function in children with cerebral palsy: A systematic review. Eur J Paediatr Neurol 2020; 25: 17-28. https://doi.org/10.1016/j.ejpn.2019.12.017

BLEYENHEUFT Y, ARNOULD C, BRANDAO MB, BLEYENHEUFT C, GORDON AM. Hand and arm bimanual intensive therapy including lower extremity (HABIT-ILE) in children with unilateral spastic cerebral palsy: a randomized trial. Neurorehabil Neural Repair 2015; 29: 645-657. https://doi.org/10.1177/1545968314562109

HERRADOR-COLMENERO L, PEREZ-MARMOL JM, MARTÍ-GARCÍA C, QUEROL-ZALDIVAR MLÁ, TAPIA-HARO RM, CASTRO-SÁNCHEZ AM et al. Effectiveness of mirror therapy, motor imagery, and virtual feedback on phantom limb pain following amputation: a systematic review. Prosthet Orthot Int 2018; 42: 288-298. https://doi.org/10.1177/0309364617740230

DECONINCK FJ, SMORENBURG AR, BENHAM A, LEDEBT A, FELTHAM MG, SAVELSBERGH GJ. Reflections on mirror therapy: a systematic review of the effect of mirror visual feedback on the brain. Neurorehabil Neural Repair 2015; 29: 349-361. https://doi.org/10.1177/1545968314546134

SARASSO E, GEMMA M, AGOSTA F, FILIPPI M, GATTI R. Action observation training to improve motor function recovery: a systematic review. Arch Physiother 2015; 5: 14. https://doi.org/10.1186/s40945-015-0013-x

JEONG YA, LEE BH. Effect of action observation training on spasticity, gross motor function, and balance in children with diplegia cerebral palsy. Children (Basel) 2020; 7: 64. https://doi.org/10.3390/children7060064

LUCAS BR, ELLIOTT EJ, COGGAN S, PINTO RZ, JIRIKOWIC T, MCCOY SW et al. Interventions to improve gross motor performance in children with neurodevelopmental disorders: a meta-analysis. BMC Pediatr 2016; 16: 193. https://doi.org/10.1186/s12887-016-0731-6

ALAMER A, MELESE H, ADUGNA B. Effectiveness of action observation training on upper limb motor function in children with hemiplegic cerebral palsy: a systematic review of randomized controlled trials. Pediatric Health Med Ther 2020; 11: 335-346. https://doi.org/10.2147/phmt.s266720

SCHUSTER C, HILFIKER R, AMFT O, SCHEIDHAUER A, ANDREWS B, BUTLER J et al. Best practice for motor imagery: a systematic literature review on motor imagery training elements in five different disciplines. BMC Med 2011; 9: 75. https://doi.org/10.1186/1741-7015-9-75

MOHER D, LIBERATI A, TETZLAFF J, ALTMAN DG, ALTMAN D, ANTES G et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med 2009; 6: e1000097. https://doi.org/10.1371/journal.pmed.1000097

SCHULZ KF, ALTMAN DG, MOHER D. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ 2010; 340: c332. https://doi.org/10.1136/bmj.c332

MAHER CG, SHERRINGTON C, HERBERT RD, MOSELEY AM, ELKINS M. Reliability of the PEDro scale for rating quality of randomized. Phys Ther 2003; 83: 713–721. https://doi.org/10.1093/ptj/83.8.713

University of Oxford. Centre for Evidence-Based Medicine. OCEBM levels of evidence. Consultado el 7 de abril de 2021. https://www.cebm.net/2016/05/ocebm-levels-of-evidence/

KARA OK, YARDIMCI BN, SAHIN S, ORHAN C, LIVANELIOGLU A, SOYLU AR. Combined effects of mirror therapy and exercises on the upper extremities in children with unilateral cerebral palsy: a randomized controlled trial. Dev Neurorehabil 2020; 23: 253-264. https://doi.org/10.1080/17518423.2019.1662853

KIRKPATRICK E, PEARSE J, JAMES P, BASU A. Effect of parent-delivered action observation therapy on upper limb function in unilateral cerebral palsy: a randomized controlled trial. Dev Med Child Neurol 2016; 58: 1049-1056. https://doi.org/10.1111/dmcn.13109

NARIMANI A, KALANTARI M, DALVAND H, TABATABAEE SM. Effect of mirror therapy on dexterity and hand grasp in children aged 9-14 years with hemiplegic cerebral palsy. Iran J Child Neurol 2019; 13: 135-142.

SIMON-MARTINEZ C, MAILLEUX L, JASPERS E, ORTIBUS E, DESLOOVERE K, KLINGELS K et al. Effects of combining constraint-induced movement therapy and action-observation training on upper limb kinematics in children with unilateral cerebral palsy: a randomized controlled trial. Sci Rep 2020; 10: 10421. https://doi.org/10.1038/s41598-020-67427-2

SIMON-MARTINEZ C, MAILLEUX L, HOSKENS J, ORTIBUS E, JASPERS E, WENDEROTH N et al. Randomized controlled trial combining constraint-induced movement therapy and action-observation training in unilateral cerebral palsy: clinical effects and influencing factors of treatment response. Ther Adv Neurol Disord 2020; 13: 1756286419898065. https://doi.org/10.1177/1756286419898065

SGANDURRA G, FERRARI A, COSSU G, GUZZETTA A, FOGASSI L, CIONI G. Randomized trial of observation and execution of upper extremity actions versus action alone in children with unilateral cerebral palsy. Neurorehabil Neural Repair 2013; 27: 808-815. https://doi.org/10.1177/1545968313497101

BUCCINO G, MOLINARO A, AMBROSI C, ARISI D, MASCARO L, PINARDI C et al. Action observation treatment improves upper limb motor functions in children with cerebral palsy: a combined clinical and brain imaging study. Neural Plast 2018; 2018: 4843985. https://doi.org/10.1155/2018/4843985

KIM DH, AN DH, YOO WG. Effects of live and video form action observation training on upper limb function in children with hemiparetic cerebral palsy. Technol Health Care 2018; 26: 437-443. https://doi.org/10.3233/thc-181220

KIM DH. Comparison of short- and long-time action observation training (AOT) on upper limb function in children with cerebral palsy. Physiother Pract Res 2020; 41: 53–58. https://doi.org/10.3233/PPR-190145

World Health Organization. ICF: International classification of functioning, disability and health. Geneva: World Health Organization, 2001. https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health

Published

2022-08-16

How to Cite

1.
Oliva-Sierra M, Ríos-León M, Abuín-Porras V, Martín-Casas P. Effectiveness of mirror therapy and action observation therapy in infantile cerebral palsy: a systematic review. An Sist Sanit Navar [Internet]. 2022 Aug. 16 [cited 2025 Dec. 19];45(2):e1003. Available from: https://recyt.fecyt.es/index.php/ASSN/article/view/92109

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Review article

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