Clinical Research Directory

Inclusion Criteria: * Children diagnosed with hemiplegic cerebral palsy. * Both genders will be included. * Children's age will be ranging from 5 to 8 years. * The degree of spasticity in affected upper limb ranges from grade 1, 1+ and 2 according to Modified Ashworth Scale. * Children are able to understand and respond to simple instructions. * Children in inclusion education system. * Parents are of nearly the same socioeconomic level and must have at least an average level of education. Exclusion Criteria: * Children will be excluded in the presence of the following: * Severe visual, auditory or perceptual impairment that interfere with the evaluation program. * Botulinum toxin injection in upper limb or recent orthopedic surgery within last 6 months (Alkan and Bingol,2021). * Fixed deformities in the affected upper limb. Significant mental or psychological problems that interfere with understanding instructions.