Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Disorders in Pediatrics

In children with hemiplegic cerebral palsy, the upper limb is more affected than the lower limb, and the impairments affect the child{u2019}s ability to reach, grasp, release and manipulate objects. To investigate the effect of serial casting on hand grasping skills, hand grip strength and the participation of the children in the self care activities. Twenty children with hemiplegic cerebral palsy with age ranged from 4 to 8 years participated in this study. All children were evaluated before and after one month of treatment using the dissociated movement and grasp domains of Quality of Upper Extremity Skills Test, Pneumatic, bulb hand dynamometer and the self care domain in Pediatric Evaluation of Disability Inventory. They were classified into two groups of equal number. Group (A): Serial casting was applied for children in this group for three successive weeks with its removal in the last two days in each week, at those two days occupational therapy sessions were given to the children. In the fourth week static night hand splint in addition to occupational therapy sessions were given to the children. Group (B): This group received the same occupational therapy program that was given to group A, three times per week for four successive weeks

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