Effect of Action Observation Training and Bimanual Arm Training on Hand Function for Children with Hemiparetic Cerebral Palsy

Abstract

Background: The background of the study focuses on addressing the challenges in hand function that these
children face due to their condition. Action observation training aims to leverage the brain’s mirror neuron
system to improve motor skills by observing and imitating actions. Bimanual arm training involves coordinated
movement of both arms to enhance functional abilities.
Purpose: The study compared the effects of action observation training and bimanual arm training on hand
function in children with hemiparetic cerebral palsy.
Materials and Methods: A total of 30 children were chosen according to the inclusion and exclusion criteria. The
subjects were separated into two groups: action observation training (AOT) and bimanual arm training (BAT). The
Fugl Meyer assessment scale (FMA) and the Box and Block test (BBT) were used for evaluating the result.
Results: Both groups were homogenous at baseline, with a p value of 0.7866 in FMA and 0.6002 in BBT. The
result of this study demonstrated that the action observation training group showed a better improvement than
bimanual arm training with a p value of < 0.0001.
Conclusion: This study concluded that AOT improved hand function in cerebral palsy children.