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FARGO, North Dakota, USA—Researchers have created and customized a prosthetic hand for a young girl with a passion for gymnastics whose progress had been held back by her lack of functioning fingers on one hand. Brittany Anderson PhD talks about the research, explaining what can be done with the aid of 3D printing, and discussing the promise this technology offers for pediatric physical therapy. The research is published in the January 2021 edition of Pediatric Physical Therapy journal (Pediatr Phys Ther 2020;00:1–7). LEAD AUTHOR: Brittany Anderson PT DPT Associate Professor in Physical Therapy, University of Jamestown, Fargo, ND TITLE Using a 3D-Printed Prosthetic to Improve Participation in a Young Gymnast AUTHORS: Brittany Anderson, PT, DPT; James Schanandore, PhD Physical Therapy Program, University of Jamestown, Fargo, North Dakota. BACKGROUND AND PURPOSE: The purpose of this case report was to investigate the application of a 3-dimensional (3D)-printed prosthetic hand to improve a child’s participation, confidence, and satisfaction in gymnastic classes, specifically, horizontal bar-related skills. SUMMARY OF KEY POINTS: A 9-year-old child was unable to participate in horizontal bar-related gymnastic skills due to a congenital hand deficiency. A prosthetic hand was designed, 3D printed, modified repeatedly, and incorporated into a program, which resulted in improvements in the child’s ability to participate in gymnastics. CONCLUSIONS: Using a 3D-printed upper limb prosthetic hand improved the child’s participation, confidence, and satisfaction in her gymnastic classes permitting use of horizontal bar. To progress to higher-intensity activities, further safety measures and testing of the prosthetic hand are needed. WHAT THIS CASE ADDS TO EVIDENCE-BASED PRACTICE: A 3D-printed prosthetic hand was manufactured and customized allowing closely monitored, gradually increased, participation in horizontal bar gymnastics. REFERENCE: (Pediatr Phys Ther 2020;00:1–7) KEY WORDS: 3D printing, congenital upper limb deficiency, gymnastics, ICF-CY, participation, prosthetics 0898-5669/110/0000-0001 Pediatric Physical Therapy Copyright © 2020 Academy of Pediatric Physical Therapy of the American Physical Therapy Association Correspondence: Brittany Anderson, PT, DPT, University of Jamestown, 4190 26th Ave South, Fargo, ND 58104 (brittany.anderson@uj.edu). The authors declare no conflicts of interest. DOI: 10.1097/PEP.0000000000000768