Grace E. Toth-Fejel, OTR, is Staff Occupational Therapist, Hand Therapy Clinic, Henry Mayo Newhall Memorial Hospital, ACC Building, Suite 301, 25727 West McBean Parkway, Valencia, California 91355

George F. Toth-Fejel, MA, OTR, is Staff Occupational Therapist, California Children Services, Lancaster Medical Therapy Unit, Lancaster, California. At the time of this study, he was a graduate student in the Department of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California

Cynthia A. Hedricks, PhD, is Assistant Professor, Department of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California