{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:21:55Z","timestamp":1790666515679,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,3,5]],"date-time":"2013-03-05T00:00:00Z","timestamp":1362441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>This study investigated the effects of a theme\u2010based (\u2018magic\u2019) variation of the hand\u2013arm bimanual intensive therapy programme, in two different countries, in improving activity performance for children with hemiplegia, including those with severe movement restrictions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Twenty\u2010three children with spastic hemiplegia (13 males, 10 females; mean age 10y 7mo, range 7\u201315y; Manual Ability Classification System level I, two; level<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>, 13; level<jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>, eight), participated in one of three, 2\u2010week, summer camps. A within\u2010participant experimental design was used with the Assisting Hand Assessment and Children's Hand Experience Questionnaire as primary outcome measures. Evaluations occurred immediately before the first day, on the last day, and 3\u00a0months after intervention. Two groups underwent additional assessments 2\u00a0weeks before the camp.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant intervention effects were seen on the Assisting Hand Assessment (<jats:italic>p<\/jats:italic>=0.002) and on the Children's Hand Experience Questionnaire (<jats:italic>p<\/jats:italic>&lt;0.001), the latter maintained at follow\u2010up. The affected hand was reported to be used in 25% of bimanual activities before the camp, progressing to 93% after camp, and decreasing to 86% at follow\u2010up. Severity of impairment did not influence progress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>This themed approach to intensive intervention showed positive results in bimanual use, with improvements in independence sustained at follow\u2010up. Although children across camps and motor severity made progress, some questions remain about intensity and duration of intervention to optimize longer\u2010term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.12113","type":"journal-article","created":{"date-parts":[[2013,3,5]],"date-time":"2013-03-05T11:32:58Z","timestamp":1362483178000},"page":"527-533","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":76,"title":["A multi\u2010site study of functional outcomes following a themed approach to hand\u2013arm bimanual intensive therapy for children with hemiplegia"],"prefix":"10.1111","volume":"55","author":[{"given":"Dido","family":"Green","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy, Faculty of Medicine Tel Aviv University Tel Aviv Israel"},{"name":"Evelina Children's Hospital Guy's &amp; St Thomas' NHS Foundation Trust London UK"},{"name":"Centre for Rehabilitation, Health and Life Sciences Oxford Brookes University Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell","family":"Schertz","sequence":"additional","affiliation":[{"name":"Paediatric Neurology Unit Tel Aviv Sourasky Medical Centre Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M","family":"Gordon","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Sciences Teachers College, Columbia University New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amarlie","family":"Moore","sequence":"additional","affiliation":[{"name":"Evelina Children's Hospital Guy's &amp; St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Schejter Margalit","sequence":"additional","affiliation":[{"name":"Occupational Therapy Tel Aviv Sourasky Medical Centre Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Farquharson","sequence":"additional","affiliation":[{"name":"Performing Arts Department Guy's &amp; St Thomas' Charity London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dafna","family":"Ben Bashat","sequence":"additional","affiliation":[{"name":"The Wohl Institute for Advanced Imaging, The Functional Brain Centre Tel Aviv Sourasky Medical Centre Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Weinstein","sequence":"additional","affiliation":[{"name":"The Wohl Institute for Advanced Imaging, The Functional Brain Centre Tel Aviv Sourasky Medical Centre Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Pierre","family":"Lin","sequence":"additional","affiliation":[{"name":"Evelina Children's Hospital Guy's &amp; 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