Skilled Hands Research Articles

A Combinatory Package for Diamond Anvil Cell Experiments

In this work, we introduce the Architecture Tech for High-Pressure Experiments Net Assembly (ATHENA) package based on diamond anvil cells, combining both the deposition of specimens as well as the detection of probes on anvils layer by layer. The specimens are typically ~1 μm in thickness and very hard to manipulate with traditional hand skills. ATHENA represents an all-in-one package by accurately synergizing chip-like networks prepared using magnetic sputtering methods and guaranteeing well-designed dimensions, positions and perfect electric contacts. We apply ATHENA successfully to the study of lanthanum metal above 60 GPa, showing very sharp pressure-enhanced superconductivity and parabolic critical temperature (Tc) evolution as a function of pressure with pressure-enhanced itinerant behavior at normal state.

Laparoscopic Cholecystectomy in Patients with Empyema of Gall Bladder

Empyema of gallbladder is a potential fatal complication of gallstone. It is characterized by suppuration superimposed on acute cholecystitis. It is considered as a common factor of difficult laparoscopic cholecystectomy. Aim of the study: to determine the safety and feasibility of laparoscopic cholecystectomy in patients with empyema of gallbladder. Patient and method:A prospective study of 800 patients suffering from gallstone diseases from 2011 to December 2014 in Azadi teaching hospital in Kirkuk-Iraq. The procedure was performed by standard three – ports technique with a few modifications made to facilitate dissection subjected to situation. Results: 800 patients with male to female ratio 1:5.25 undergone laparoscopic cholecystectomy. Among these, 50 patients (6.25%) were identified having empyema of gallbladder and were included in the study population. Laparoscopic cholecystectomy was successfully completed for 49 (98%) patients while only one (2%) patient was converted to open cholecystectomy due to uncontrolled bleeding. Conclusion: In well-trained and skillful hands of an expert, laparoscopic cholecystectomy surgery is a safe and acceptable option for patients with empyema of gallbladder.

Формирование учебной мотивации на уроках физики с использованием инновационных технологий

Education around the world is constantly developing and improving, teaching standards are changing, the content of education is changing, and the requirements for a modern teacher are increasing. The Federal State Educational Standard puts at the forefront new approaches and requirements for the educational system as a whole and for each individual subject in particular. The introduction of extracurricular activities, design technologies, an innovative approach poses new challenges for the entire education system and for the modern teacher, the school and the education system itself is becoming more and more innovative in development. The development of hardware and software, the increasing introduction of network communications into the educational process leads to the introduction of innovative technologies. The implementation of which is now the most optimal on the basis of actively developing and widespread information technologies. The teacher receives an excellent tool and teaching tool, which, in skillful hands, allows you to change the approaches to the transfer of the studied material, test instruments and change the emotional and psychological climate in the lesson. The article examines various innovative technologies and the possibilities of their adaptation to the use of modern teaching aids, highlights the main options for the digital configuration of the information educational environment for organizing the use of innovative technologies in physics lessons, offers methodological recommendations for conducting physics lessons and using innovative technologies to increase the motivation of learning. The greatest attention is paid to the technologies that were revealed in the results of the questionnaire survey of physics teachers and the use of which helps to increase the motivation of students to study physics, such as game technologies; portfolio technology; method of projects. Examples of innovative developments for physics lessons have been developed, aimed at increasing the motivation of teaching physics by means of innovative technologies and using information technologies.

Cross-cultural adaptation and psychometric properties of the Turkish version of the Manual Ability Measure-36 (MAM-36) in people with multiple sclerosis.

The Manual Ability Measure-36 (MAM-36) has been used to assess subjective upper limb function in people with several neurological and non-neurological diseases. Besides, the MAM-36 is one of the most commonly used patient-reported outcome measures (PROMs) in people with multiple sclerosis (pwMS). The aim was to translate and conduct cross-cultural adaptation of the MAM-36 into Turkish and investigate its psychometric properties in pwMS. The MAM-36 was translated and culturally adapted into Turkish. Two hundred pwMS were recruited for the psychometric study. Hand skills, handgrip strength, upper limb spasticity, disability level, and quality of life were evaluated by the validated performance-based tests and questionnaires including the Arm Function in Multiple Sclerosis Questionnaire (AMSQ) which is a validated MS-specific PROM to assess upper limb function. MAM-36 was significantly correlated with the performance-based tests and questionnaires, EDSS, age, and disease duration (p < 0.05). MAM-36 and AMSQ were strongly correlated (rs = - 0.90, p < 0.01). PwMS with spasticity had significantly lower MAM-36 scores compared to those without spasticity (p < 0.01). Internal consistency (Cronbach's alpha = 0.97) and test-retest reliability (ICC = 0.97) was high. The Turkish version of MAM-36 has been found as a valid and reliable method for measuring upper limb function in pwMS.

Empirical Assessment of Public Sector Reform in Nigeria: A Trend Analysis between 2000 and 2015

This study assessed the impact of public sector reforms programmes on the human resources management and civil service of the Nigerian public service. Data for the study were mainly secondary data complemented with primary data collected from stakeholders in the public service that have experienced various reforms in their career. Findings suggest that the impact of reforms on HRM and CSR were largely marginal. The positives of the reforms are mainly in the areas of improvement in salaries and functionality of pension and retirement benefits by making it contributory. These improvements in emoluments narrowed the incentives between public and private sectors and tend to attract skilled hands to the public sector that otherwise would not have been the case. However, all other policy initiatives that were aimed at ensuring effective and efficient use of scarce resources, transparency and accountability by civil servants, incentives and promotion by merit and value for money were at various stages of policy reversal, delayed implementation, and outright abandonment by compromising civil servants that selectively implement only those reforms that suits and benefits their interests. Further, successive regimes after that of former President Olusegun Obasanjo (1999-2007) who initiated most of the reforms, did not have or could not provide enough political will to sustain the benefits and the tempo of these reforms.

Effects of sense and functionality changes in the hands on activity and participation in patients with juvenile scleroderma

Objectives The purpose of the study was to examine the effects of sense and functionality changes in the hands on activity and participation in patients with juvenile scleroderma (JS). Methods Sixteen patients with juvenile localized scleroderma (JLS), 14 patients with Juvenile Systemic Sclerosis (JSS), and 30 healthy controls were included. Light touch-deep pressure sensation was assessed by Semmes-Weinstein monofilament test (SWMT). Localization sensation testing was performed by lightly stroking the patient’s skin. The hand joint range of motion was measured with a goniometer, hand grip strength with Dynomometer, the pinch gripping force with pinch meter, and the hand mobility with modified Hand Mobility in Scleroderma (mHAMIS). Children completed their activity and participant performance status with ‘Childhood Health Assessment Questionnaire (CHAQ)’ and ‘Jebson Taylor Hand Function Test (JTHFT)’ questionnaire tests. The quality of life was evaluated using the ‘Scleroderma Health Assessment Questionnaire (SHAQ)’. Results There were significantly differences among evaluated three groups in light of touch-deep pressure sensation, sense of touch localization, range of motion, mHAMIS scores, JTHFT scores, all CHAQ scores, and almost all SHAQ score (p < .05). Over than half of patients with JSS (57.1%) and almost half of patients with JLS stated that their diseases obstructed them from doing any activity (p < .001). A significant percent of JSS patients (64.3%) had hand and wrist joint involvement. Conclusion Sensory and functional disorders caused by hand involvement in JS patients result in limitation of daily living activities and affect negatively the effective usage of the hand. Approximately half of the JS patients had disabilities in performing pinch motor skills of hands. The assessment of sensory symptoms that affect the functionality, activity level and participation of JSS and JLS patients should be considered during the routine clinical examination. We suggest the sensory therapies as an important factor in increasing the effectiveness of rehabilitation.

Skilled movement and posture deficits in rat string-pulling behavior following low dose space radiation (28Si) exposure

Deep space flight missions beyond the Van Allen belt have the potential to expose astronauts to space radiation which may damage the central nervous system and impair function. The proposed mission to Mars will be the longest mission-to-date and identifying mission critical tasks that are sensitive to space radiation is important for developing and evaluating the efficacy of counter measures. Fine motor control has been assessed in humans, rats, and many other species using string-pulling behavior. For example, focal cortical damage has been previously shown to disrupt the topographic (i.e., path circuity) and kinematic (i.e., moment-to-moment speed) organization of rat string-pulling behavior count to compromise task accuracy. In the current study, rats were exposed to a ground-based model of simulated space radiation (5 cGy 28Silicon), and string-pulling behavior was used to assess fine motor control. Irradiated rats initially took longer to pull an unweighted string into a cage, exhibited impaired accuracy in grasping the string, and displayed postural deficits. Once rats were switched to a weighted string, some deficits lessened but postural instability remained. These results demonstrate that a single exposure to a low dose of space radiation disrupts skilled hand movements and posture, suggestive of neural impairment. This work establishes a foundation for future studies to investigate the neural structures and circuits involved in fine motor control and to examine the effectiveness of counter measures to attenuate the effects of space radiation on fine motor control.

The effects of touch-screen technology usage on hand skills among preschool children: a case-control study.

Background: Little is known on how time spent on touch-screen technology affects the hand skills development of preschool children. This study aimed to investigate the effects of touch-screen technology usage on hand skills among preschool children. Methods: Case-control design was employed to compare the hand skills of children who were engaged in touch-screen technology. A total of 128 participants aged between five and six years old who attended preschool were recruited and divided into two groups: high usage touch-screen technology (HUTSTG) and, low usage touch-screen technology (LUTSTG). Children's Hand Skills ability Questionnaire (CHSQ) and Assessment of Children's Hand Skills (ACHS) were used to evaluate the children's hand skills. Results: There were significant differences in the hand skills of preschool children between HUTSTG and LUTSTG. Results showed that preschool children in LUTSTG had better hand skills in all domains of CHSQ (p≤0.001) and ACHS (p<0.001) as compared to HUTSTG. Conclusion: Frequent use of touch-screen technology might cause disadvantages to the development of hand skills among preschool children.

Can a trainee perform endovascular aortic repair as effectively and safely as an experienced specialist?

Endovascular aortic repair (EVAR) is a technically demanding procedure usually carried out by highly experienced surgeons. However, in this era of modern endovascular surgery with growing numbers of patients qualifying for the procedure, the need to enhance surgical training has emerged. Our aim was to compare the technical results of EVAR in patients operated on by trainees to that of those operated on by an endovascular expert. Between 2016 and 2018, a total of 119 patients diagnosed with an abdominal aorta disease requiring EVAR were admitted to our clinic. Overall, we included 96 patients who underwent preoperative and postoperative computed tomography angiography and EVAR performed either by an endovascular expert (N = 51) or a trainee (N = 45). We detected no difference in the baseline characteristics, indication for EVAR and preoperative anatomy between patients operated on by trainees and our endovascular expert. We noted the same incidence of endoleak type Ia occurrence (n = 2 vs n = 2, P = 1.00), reintervention rate (n = 0 vs n = 0, P = 1.00) and in-hospital mortality (n = 0 vs n = 1, P = 1.00) for operations done by trainees and the expert, respectively. There was no difference in X-ray doses or time between the 2 groups. Despite longer median operation times [112 (first quartile: 84; third quartile: 129) vs 89 (75-104) min; P = 0.03] and in-hospital stays [10 (8-13) vs 8 (7-10) days, P = 0.007] of the patients operated on by trainees, the overall clinical success of EVAR was satisfactory in both groups. An EVAR planned and performed by a trainee need not raise the cumulative risk of the procedure. Trainees who have undergone both mind and hand skills training can therefore carry out EVAR under the supervision of an experienced specialist as effectively and safely as experts do.

Rehabilitation in primary lateral sclerosis mimicking parkinsonism: A case report

Primary lateral sclerosis (PLS) is an upper motor neurons disease that on rare occasions may determine bradykinesia and motor fatigue. To date, no rehabilitative treatment has been described as useful for these patients. A 68-year-old male developed dysarthria, spastic laugh, impairments of handwriting and fine motor, gait and dysphagia disorders for both solids and liquids over the period from 2015 to December 2018, with normal DaT scans and no clinical benefits from therapy with levodopa, pramipexole and baclofen. The patient underwent exercises for gait training and balance control with sensory treadmill and stabilometric platform and kinesiotherapy to improve fine motor skills of both hands and postural changes, five days a week for two weeks. Based on our data, the patient showed an improvement in balance and gait parameters in T2 compared to T1. Thanks to the synergistic action of a combined treatment of physical and instrumental therapy, despite the rare pathology and complex disability, the patient had important benefits in terms of performance and independence in daily activity.

Methyl-CpG-binding protein 2 gene mutations and its association with epilepsy: a single centre study from the Indian subcontinent

Rett syndrome (RTT) is an X-linked disorder caused by mutations in MECP2 in majority of cases. It is characterized by arrested development between 6 and 18 months of age, regression of acquired hand skills and speech, stereotypic hand movements, gait abnormalities and seizures. There are a very few studies in India which illustrates mutation spectrum in RTT. None of the studies have correlated seizures with the genotype. This study describes the phenotype and genotype spectrum in children with RTT syndrome and analyses the association of epilepsy with various clinical features and molecular findings. All children with RTT in our cohort had global developmental delay. Genetic diagnosis identified mutations of the MECP2 in all 25 children where RTT was suspected. We have identified point mutations in 20 patients, one insertion and four deletions by Sanger sequencing, namely c.1164_1207 (44 bp), c.1165_1207 (43 bp), c.1157_1197 (41 bp) del and c.1157_1188 (32 bp). Clinically, none of the patients with deletion had seizures. We identified one novel insertion variant c.337_338 (p.S113Ffs*9). All the deletions were located in the C-terminal region. Majority of the mutations (22/25) were identified in exon 4 which comprised of nonsense and missense types. Screening of hotspot mutations in exon 4 should be the first line evaluation in diagnosis of RTT. Molecular testing could help in specific management of seizures in RTT.

Magnification loupes in dentistry: A qualitative study of dental students' perspectives.

The nature of the oral operating field makes it a challenge for dentists to work while maintaining musculoskeletal health. Strategies have been studied in recent years to improve visualisation of the operating field, and the use of magnification systems has been recommended for providing additional benefits. Despite the growing body of evidence suggesting that the use of magnification improves visual acuity, the dentist's posture and the quality of dental procedures, few studies have analysed users' perspectives on these devices in terms of their adaptation process. These types of studies are important because they provide insight into the reality of the adaptation process required by magnification systems so that adjustments and improvements can be made to adapt these systems to the users' reality. Thus, we sought to explore the perspectives held by second-year students in an undergraduate dental program on the use of dental loupes during pre-clinical laboratory activities. A total of 24 second-year dental students participated in semi-structured interviews exploring their perspectives of wearing dental loupes during their pre-clinical activities. Data collection and analysis were consistent with the qualitative content analysis methodology. All interview data were analysed using version 10 of the NVivo® analytical software. Participants described that magnification can lead to the improvement of their work postures, hand skills and quality of dental procedures. Nevertheless, they reported a need for an adaptation period and for adjustments to the technical features of the magnification system. The students had positive perspectives on the use of magnification in their dentistry training program, including improvements in posture, hand skills and procedure quality.

Study for analyzing world judo player's technical type and time

Purpose Based on the match data of major judo world competitions in the last five years, this study identifies differences in general characteristics and environmental factors according to scoring technique and scoring times. And by exploring the factors associated with scoring technique, I would like to present a practical strategy that can be used to establish guided tactics. Methods 50,828 points were used for analysis of the entire men and women who competed from 2016 to 2020. Differences in the characteristics of the world's leading athletes according to their types of technique were used in conjunction with the chi-square test and the one-way ANOVA with Sceffe test to produce results. Results The results of this study showed that the type of skill by foot technique was the most common, and the ratio of hand skill to female player to push and foot skill was relatively high. The higher the weight class, the lower the ratio of hand technique, the higher the press rate, and the frequency of skill types also increased. At the Olympic Games, the ratio of hardening technique was higher than that of other competitions, and as the year progressed, the ratio of hand and waist technique increased, and the number of mat-hold decreased. The ratio of hardening technology was relatively high, and the ratio of hand-to-foot technology was relatively high as the semi-final and final rounds were higher. As for technical time, the male athlete's skill time appeared to be about 12 seconds longer on average, with the lowest in the heavyweight class and the longest in the lightweight class. Athletes from the Asian continent appeared to have the longest technical time, which is believed to have resulted from the characteristics of excellent physical strength, good endurance, and strong hardening technique. The skill time leading to the score by pressing and hand skill was the longest, and the waist skill and grip skill time were relatively short. Half of them appeared about 5 seconds shorter on average compared to the first round, and the more important the game (the 4th round, semi-final, and final) the longer the skill time. Conclusion In conclusion, through this study, the characteristics of the world judo players' skill types and time were confirmed, and based on this, it is necessary to analyze and systematize the technical types of the world's best athletes, including Korean athletes, in order to improve their judo performance.

Pendampingan Siswa dalam Bidang Keterampilan dan Ekstrakurikuler di Panti Asuhan Kota Palangka Raya

The problem that often occurs today is the lack of skills possessed by students. During this time students are required to excel cognitively and are less aware of the importance of having hand skills and following extracurricular activities. Through the assistance of hand skills, making crafts from simple materials can improve an independent and creative person. Through extracurricular activities of mentoring in the field of religion (call to prayer) and mentoring using Microsoft word helps students prepare themselves to face the development of science and technology very quickly, train students to communicate in writing, and be able to improve religious values. The targets in this service are children/students in the Orphanage in Palangkaraya City. Community service activities are carried out from November to December 2019 at the Ayah dan Bunda Orphanage, the Trans Kalimantan Road, and Berkah Orphanage, G.Obos XXIV. The implementation of this service received positive responses from the participants with high enthusiasm. There is still a need to do similar, more innovative service activities on an ongoing basis to shape personality according to these goals. This community service still needs to be carried out similar activities continuously to get personality according to these goals.

Ebelik Öğrencilerinin Doğum Simülasyon Eğitimi Deneyimleri

Objectives: This study was conducted to evaluate the experiences of the students after simulation education in midwifery department. Patients and Methods: It is a qualitative descriptive phenomenological study based on semi-structured interviews. It was conducted at Marmara University, Health Sciences Faculty, Midwifery Department. It is aimed to evaluate the birth simulation practice that was given for 14 weeks to 65 students who took the birth course. A total of 19 midwifery students who participated to do in-depth interviews were included in the study. Results: The average age of the participants was 20.94±1.26 years Min: 20, Max: 25 and all of them were single. The experiences of the students were clustered into three categories by using thematic content analysis of the interviews: pre-simulation, simulation and limitations on the simulation. Various sub-themes were composed of these categories. Themes in every category were grouped as structural, emotional-cognitive and physical. Conclusion: Simulation education is very effective on midwifery students’ learning and has got a lot of advantages. It was determined that students’ hand skills were improved by simulation education. In simulation education, it was determined that students’ sense of professional belonging was strengthened. It was determined that students’ selfconfidence increased in simulation education. Simulators are good but they lack real straining to conformity. The simulation education feedback from our students was mostly positive. Simulation education is also taking a supportive role for professional midwife identity/self-confidence

A Simplified approach for fabrication of custom tray for Facial prosthesis

Maxillofacial defects are very common and can be due to congenital defect, trauma, infections and neoplasms of facial region. These defects can be restored using different materials and retention methods to give a life like appearance. Rehabilitation of facial defect is a very challenging task. Every good prosthesis needs a skillful hand and it all starts with making a good impression of that defect and to proceed with the same. The aim of present paper was to present a simplified approach for the fabrication of custom tray to take facial impression of the patient with maxillofacial defect.

Sensing form - finger gaiting as key totactile object exploration - a data glove analysis of a prototypical dailytask

BackgroundMotor hand skill and associated dexterity is important for meetingthe challenges of daily activity and an important resource post-stroke. In thiscontext, the present study investigated the finger movements of right-handedsubjects during tactile manipulation of a cuboid, a prototypical task underlyingtactile exploration. During one motor act, the thumb and fingers of one handsurround the cuboid in a continuous and regular manner. While the object ismoved by the guiding thumb, the opposed supporting fingers are replaced oncethey reach their joint limits by free fingers, a mechanism termed fingergaiting.MethodsFor both hands of 22 subjects, we acquired the time series ofconsecutive manipulations of a cuboid at a frequency of 1 Hz, using a digitaldata glove consisting of 29 sensors. Using principle component analysis, wedecomposed the short action into motor patterns related to successivemanipulations of the cuboid. The components purport to represent changing graspconfigurations involving the stabilizing fingers and guiding thumb. The temporalfeatures of the components permits testing whether the distinct configurationsoccur at the frequency of 1 Hz, i.e. within the time window of 1 s, and, thus,taxonomic classification of the manipulation as finger gaiting.ResultsThe fraction of variance described by the principal componentsindicated that three components described the salient features of the singlemotor acts for each hand. Striking in the finger patterns was the prominent andvarying roles of the MCP and PIP joints of the fingers, and the CMC joint of thethumb. An important aspect of the three components was their representation ofdistinct finger configurations within the same motor act. Principal componentand graph theory analysis confirmed modular, functionally synchronous action ofthe involved joints. The computation of finger trajectories in one subjectillustrated the workspace of the task, which differed for the right and lefthands.ConclusionIn this task one complex motor act of 1 s duration could bedescribed by three elementary and hierarchically ordered grasp configurationsoccurring at the prescribed frequency of 1 Hz. Therefore, these configurationsrepresent finger gaiting, described until now only in artificial systems, as theprincipal mechanism underlying this prototypical task.Trial registrationclinicaltrials.gov, NCT02865642, registered 12 August 2016.

Integrating academic skills and employability - revisiting the learning journal

Across the world, universities are more numerous today than at any other time in history, yet at the same time there is unparalleled confusion about their purpose and scepticism about their value. Based on an extensive literature review, a survey of the academic landscape and discussions with academics as well as employers, this reflective piece highlights the importance of academic skills development on student’s success at university and illustrates the link between academic skills, employability and professional success.The article was prompted by the current discussion around universities’ struggle to provide students with the necessary skills to succeed after graduation. The article argues that the differentiation between academic skills on the one hand and employability skills on the other is no longer relevant or appropriate in the 21stcentury knowledge economy and invites universities to enhance their curriculum with additional, mandatory skills development modules. It provides an innovative suggestion on how to link academic skills and employability in curriculum development based on the existing academic literature around the Scholarship of Teaching and Learning as well as research into employability skills.The importance of academic skills on students’ professional success can never be overstated. The article offers an innovative approach to linkingacademic skills, employability and professional success. It adds fuel to the discussion around employability from the perspective of industry practitioners.

Bimanual skills and symmetry of upper limb movement in a group of drummers

Introduction: Hand-eye coordination is essential to carry out daily activities or take part in sports. Developing strong visual-motor coordination is especially important for athletes or musicians who rely on it for their careers. Goal: This study aimed to evaluate visual-motor coordination in drummers’ upper limbs. Materials and methods: The study group consisted of 60 men, aged 20 to 30 years (average 24.62 ±2.48). The respondents were divided into two groups, group P consisted of 30 experienced drummers and group N of 30 non-drummers. Standardized tests were employed: Relative Hand Skill test (RHS test) and a plate tapping test. Results: The RHS test conducted on an original sample demonstrated no significant difference between the P and N group for the dominant limb (p=0.7272) or the non-dominant limb (p=0.3274). A significant difference was observed between the P and N group in the plate tapping test. The difference in the plate tapping test results between the dominant and non-dominant hands was significantly smaller in the P group than in the N group (p&lt; 0.0001).

Identifying mechanisms of change in a magic-themed hand-arm bimanual intensive therapy programme for children with unilateral spastic cerebral palsy: a qualitative study using behaviour change theory

BackgroundThere has been much research into how to promote upper-limb skills to achieve functional independence in children with unilateral spastic cerebral palsy (USCP). One researched intervention is the Breathe Magic programme, which follows the protocol of hand-arm bimanual intensive therapy (HABIT) whilst, incorporating magic tricks to develop children’s motor skills and bimanual skills. However, whilst research has found the programme to be effective, there has been little consideration of how the intervention leads to a positive outcome: what the psychological, social and physical mechanisms of action are.MethodsQualitative semi-structured interviews with 21 children with USCP who participated in the Breathe Magic HABIT intervention, and focus groups with 17 parents and/or carers were undertaken. Analysis was conducted through the lens of the COM-B behaviour change model using a combined deductive framework and inductive thematic analysis. Reliability of coding was confirmed through random extraction and double coding of a portion of responses and the calculation of inter-rater reliability.ResultsBreathe Magic brings about change and positive outcomes by increasing children’s psychological and physical capabilities, providing social opportunities, and enhancing reflective and automatic motivation. Additionally, a number of enablers to engaging in the intervention were identified, particularly under psychological capabilities, social opportunities and both reflective and automatic motivation. Very few barriers were raised; those that were raised were of relatively low frequency of reporting.ConclusionsBy conducting a theory-based qualitative process evaluation, this study demonstrated the mechanisms of change behind the Breathe Magic HABIT intervention for children with USCP. Breathe Magic was found to be a well-structured combination of intended and unintended mechanisms of change. Overall, the success of Breathe Magic was observed through not only its intended mechanisms to enhance hand skills, but also through unintended psychological improvements in children’s hand function, as well as social and motivational benefits resulting from interaction between children and parents.