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AimTo evaluate the effectiveness of magic‐themed interventions in improving daily bimanual task performance in children with unilateral spastic cerebral palsy (CP) to and elucidate the variability in outcomes.MethodThis 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.ResultsAnalyses 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).InterpretationMagic‐themed training, especially through group sessions and extended durations, enhances bimanual skills in children with unilateral spastic CP.
AimTo evaluate the effectiveness of magic‐themed interventions in improving daily bimanual task performance in children with unilateral spastic cerebral palsy (CP) to and elucidate the variability in outcomes.MethodThis 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.ResultsAnalyses 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).InterpretationMagic‐themed training, especially through group sessions and extended durations, enhances bimanual skills in children with unilateral spastic CP.
Within the context of neoliberal healthcare, nurses and other health professionals face working conditions that leave them perpetually feeling inadequate, as though they are not enough. They are consistently expected to achieve more with less resources. In such an environment, mere professionalism proves wholly insufficient, enforcing norms of altruism and kindness. Professionals must transcend this disciplinary tool and embody a ‘more‐than‐professional’ approach. This study, informed by critical posthumanism, employs three mythical archetypes—the Medusa, the Witch and the Siren—to illuminate potential avenues for resistance against prevailing trends in healthcare. Drawing on the perspectives of Hélène Cixous, Silvia Federici and Jacques Rancière, we introduce a process of resistance for healthcare professionals pushing back against the challenges of crumbling healthcare systems. Cixous' feminist reimagining of Medusa symbolizes intensified embodied sensory experiences, emphasizing the power of irony, laughter and writing in highlighting the daily struggles faced by healthcare workers. Federici's depiction of the Witch exposes clandestine alliances among healthcare workers and patients, akin to a pact with the devil, countering the individualistic, alienating approach to care provision and resisting neoliberal pressures. The Witch archetype embodies resistance grounded in creativity against the commodification of public healthcare. Finally, Rancière's ‘politics of the Siren' offers a strategy for disrupting entrenched hierarchies from the underworld. Like Sirens, healthcare workers and patients can subversively transform their silence into songs of resistance, simultaneously operating from beneath the surface of accountability measures. Our intention is to showcase the emergence of posthuman ‘professionals’ who adapt by forging new modes of social relations in response to neoliberal constraints, straying from conventional, apolitical notions of ‘professionalism’. Drawing lessons from mythical figures of resistance offers a fresh understanding of subversion as a catalyst for social and political transformation within the healthcare sector.
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