Ortega-Martínez Anna, Palomo-Carrión Rocío, Carrasco-Uribarren Andoni, Amor-Barbosa Marta, Domènech-Garcia Georgina, Bagur-Calafat Mª Caritat
Physiotherapy Department, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Sant Cugat del Vallès, 08195 Barcelona, Spain.
Physiotherapy Department, Fundació Aspace Catalunya, C/Tres Pins 29, 08038 Barcelona, Spain.
Healthcare (Basel). 2025 Jun 27;13(13):1538. doi: 10.3390/healthcare13131538.
Mirror therapy (MT) creates a cerebral illusion of a normal movement in a paretic limb. Although mirror therapy has been studied as a suitable intervention for children with Unilateral Cerebral Palsy (UCP), a comprehensive understanding of its full range of benefits is still lacking. Thus, the aim of this systematic review and meta-analysis was to determine all motor and sensory effects of MT in children and adolescents with UCP. Clinical trials focused on the application of MT in the upper limb (UL) of children and adolescents with UCP were included. A search was performed in PubMed, Cochrane Library, Web of Science, and LILACS databases. Eleven studies were included in this systematic review. The PEDro scale and the MINORS scale were applied to evaluate the methodological quality of randomized and non-randomized controlled trials, respectively. The Risk of Bias tool was also employed to evaluate the potential bias. In addition, the TIDieR checklist was used to assess the quality of intervention reporting. A random-effects model was used for the meta-analysis. The studies included children with UCP from three to eighteen years, classified in Manual Ability Classification System levels I-IV. Motor effects of MT were found in nine studies. Also, two studies reported sensory effects on registration, perception, and proprioception abilities. Qualitative and quantitative analysis showed that MT improved manual dexterity and tactile registration in children and adolescents with UCP. MT is a therapy capable of inducing motor and sensory improvements in the affected UL of children with UCP.
镜像疗法（MT）可在患侧肢体产生正常运动的脑部错觉。尽管镜像疗法已被作为单侧脑瘫（UCP）患儿的一种合适干预方法进行研究，但对其全面益处仍缺乏全面了解。因此，本系统评价和荟萃分析的目的是确定镜像疗法对UCP儿童和青少年的所有运动和感觉影响。纳入了聚焦于镜像疗法在UCP儿童和青少年上肢（UL）应用的临床试验。在PubMed、Cochrane图书馆、科学网和LILACS数据库中进行了检索。本系统评价纳入了11项研究。分别应用PEDro量表和MINORS量表评估随机对照试验和非随机对照试验的方法学质量。还采用偏倚风险工具评估潜在偏倚。此外，使用TIDieR清单评估干预报告的质量。荟萃分析采用随机效应模型。这些研究纳入了3至18岁的UCP儿童，根据手动能力分类系统分为I-IV级。9项研究发现了镜像疗法的运动效应。另外，两项研究报告了对感觉登记、感知和本体感觉能力的感觉效应。定性和定量分析表明，镜像疗法可改善UCP儿童和青少年的手部灵活性和触觉登记。镜像疗法是一种能够在UCP患儿受影响的上肢诱导运动和感觉改善的疗法。
