{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:34:34Z","timestamp":1782398074034,"version":"3.54.5"},"reference-count":48,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T00:00:00Z","timestamp":1676592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Stichting Vooruit"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>(1) Background: Next to motor impairments, children with unilateral spastic cerebral palsy (CP) often experience sensory impairments. Intensive bimanual training is well known for improving motor abilities, though its effect on sensory impairments is less known. (2) Objective: To investigate whether bimanual intensive functional therapy without using enriched sensory materials improves somatosensory hand function. (3) Methods: A total of twenty-four participants with CP (12\u201317 years of age) received 80\u201390 h of intensive functional training aimed at improving bimanual performance in daily life. Somatosensory hand function was measured before training, directly after training, and at six months follow-up. Outcome measures were: proprioception, measured by thumb and wrist position tasks and thumb localization tasks; vibration sensation; tactile perception; and stereognosis. (4) Results: Next to improving on their individual treatment goals, after training, participants also showed significant improvements in the perception of thumb and wrist position, vibration sensation, tactile perception, and stereognosis of the more affected hand. Improvements were retained at six months follow-up. Conversely, proprioception measured by the thumb localization tasks did not improve after training. (5) Conclusions: Intensive functional bimanual training without environmental tactile enrichment may improve the somatosensory function of the more affected hand in children with unilateral spastic CP.<\/jats:p>","DOI":"10.3390\/jcm12041595","type":"journal-article","created":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T01:32:56Z","timestamp":1676597576000},"page":"1595","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Effect of Bimanual Intensive Functional Training on Somatosensory Hand Function in Children with Unilateral Spastic Cerebral Palsy: An Observational Study"],"prefix":"10.3390","volume":"12","author":[{"given":"Catherine V. M.","family":"Steinbusch","sequence":"first","affiliation":[{"name":"Adelante Rehabilitation Centre, 6301 KA Valkenburg, The Netherlands"},{"name":"Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, 6229 ER Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke","family":"Defesche","sequence":"additional","affiliation":[{"name":"Adelante Rehabilitation Centre, 6301 KA Valkenburg, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertie","family":"van der Leij","sequence":"additional","affiliation":[{"name":"Adelante Rehabilitation Centre, 6301 KA Valkenburg, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene A. A.","family":"Rameckers","sequence":"additional","affiliation":[{"name":"Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, 6229 ER Maastricht, The Netherlands"},{"name":"Adelante Centre of Expertise in Rehabilitation and Audiology, 6432 CC Hoensbroek, The Netherlands"},{"name":"Paediatric Rehabilitation, Biomed, Faculty of Medicine & Health Science, Hasselt University, 3500 Hasselt, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annemarie C. S.","family":"Knijnenburg","sequence":"additional","affiliation":[{"name":"Department of Neurology, Maastricht University Medical Centre+, 6229 ER Maastricht, The Netherlands"},{"name":"Research School Mental Health and NeuroScience, Maastricht University Medical Centre+, 6229 ER Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3503-3625","authenticated-orcid":false,"given":"Jeroen R. J.","family":"Vermeulen","sequence":"additional","affiliation":[{"name":"Department of Neurology, Maastricht University Medical Centre+, 6229 ER Maastricht, The Netherlands"},{"name":"Research School Mental Health and NeuroScience, Maastricht University Medical Centre+, 6229 ER Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne J. M.","family":"Janssen-Potten","sequence":"additional","affiliation":[{"name":"Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, 6229 ER Maastricht, The Netherlands"},{"name":"Adelante Centre of Expertise in Rehabilitation and Audiology, 6432 CC Hoensbroek, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1080\/01942638.2017.1280873","article-title":"Hand Function in a Population-Based Sample of Young Children with Unilateral or Bilateral Cerebral Palsy","volume":"37","author":"Klevberg","year":"2017","journal-title":"Phys. Occup. Ther. 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