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Abstract
The purpose of this study was to determine the effect of combining different visual feedback on hand control in hemiparetic children. Methodology: thirty hemiparetic children divided into two groups (A and B) of equal number, fifteen patients each. Eligibility criteria to our study were age ranged from 4 to 8 years, quality of upper extremity skills test and manual ability classification system, assessment done by baseline hand held dynamometer for hand palmar grasp and pinch grasp strength, Tardieu scale and geniometer for elbow flexors and wrist extensors spasticity before starting the treatment protocol, reassessed at 4 weeks and 8 weeks of the treatment program. The treatment protocol used for the two groups include: Children in study group (A) received an occupational therapy program with modified mirror apparatus while children in control group (B) without modified mirror apparatus. The treatment protocol was conducted for two successive months at frequency of three sessions per week (1.5 hours/session) for the two groups