Oliva-Sierra M, Ríos-León M, Abuín-Porras V, Martín-Casas P
Departamento de Radiología, Rehabilitación y Fisioterapia. Facultad de Enfermería, Fisioterapia y Podología. Universidad Complutense de Madrid. Madrid. España..
Grupo de Función Sensitivo-Motora. Hospital Nacional de Parapléjicos. SESCAM. Toledo. España..
An Sist Sanit Navar. 2022 Aug 16;45(2):e1003. doi: 10.23938/ASSN.1003.
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.
本综述的目的是评估镜像疗法（MT）和动作观察疗法（AOT）对小儿脑性瘫痪（ICP）患者上肢相关身体结构、身体功能、活动及参与度的有效性。我们对过去10年发表的随机对照试验进行了系统综述，其中将MT或AOT与其他针对ICP的干预措施进行了比较。9项研究符合纳入标准，我们使用PEDro量表评估了它们的方法学质量。与其他针对ICP的干预措施相比，MT或AOT似乎能显著改善上肢相关身体结构、身体功能、活动及参与度。两者似乎都能改善整体生活质量，减轻残疾程度，并促进其功能。需要开展方法学质量更高的进一步研究，以证实MT和AOT的长期有效性。
