title: A Single Session of Mirror-based Tactile and Motor Training Improves Tactile Dysfunction in Children with Unilateral Cerebral Palsy: A Replicated Randomized Controlled Case Series.
abstract: BACKGROUND
  This replicated randomized controlled crossover case series investigated the effect of mirror-based tactile and motor training on tactile registration and perception in children with unilateral cerebral palsy (UCP).
  
  
  METHODS
  Six children with UCP (6-18 years; median 10 years, five male, three-left hemiplegia, four-manual ability classification system (MACS) I, one MACS II and one MACS III) participated. They attended two 90-minute sessions - one of mirror-based training and one of standard practice, bimanual therapy - in alternated order. Tactile registration (Semmes Weinstein Monofilaments) and perception (double simultaneous or single-point localization) were assessed before and after each session. Change was estimated using reliable change index (RCI).
  
  
  RESULTS
  Tactile perception improved in four participants (RCI > 1.75), with mirror-based training, but was unchanged with bimanual therapy (RCI < 1.0 for all participants). Neither intervention affected tactile registration.
  
  
  CONCLUSIONS
  Mirror-based training demonstrates potential to improve tactile perception in children with UCP. Copyright © 2016 John Wiley & Sons, Ltd.
authors.affiliation: Cerebral Palsy League, Brisbane, Australia.|School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
authors.forename: Megan L
authors.initials: ML
authors.lastname: Auld
authors.affiliation: Cerebral Palsy League, Brisbane, Australia.|School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
authors.forename: Leanne M
authors.initials: LM
authors.lastname: Johnston
authors.affiliation: Paediatric Rehabilitation Department, Women's and Children's Hospital Campus, Adelaide, Australia.|The Flinders University School of Medicine, Bedford Park, Australia.
authors.forename: Remo N
authors.initials: RN
authors.lastname: Russo
authors.affiliation: Sansom Institute for Health Research, University of South Australia, Adelaide, Australia.
authors.forename: G Lorimer
authors.initials: GL
authors.lastname: Moseley
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000532:radiotherapy*; D002648:Child; D018592:Cross-Over Studies; D005260:Female; D006801:Humans; D008297:Male; D009048:Motor Skills; D026741:Physical Therapy Modalities; D014110:Touch; D055698:Touch Perception
keywords: cerebral palsy; mirror therapy; tactile; upper limb