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Abstract
Constraint Induced Movement therapy is a rehabilitative technique used in physical rehabilitation that restrains the sound arm to improve the functional ability of the affected upper extremity. This study was conducted to explain the effect of constraint induced movement therapy on functional use of spastic arm in hemiparetic cerebral palsied children. The study was conducted on thirty children with spastic hemiparesis of both sexes (seventeen boys and thirteen girls); there age ranged between 2 to 6 years old. They were classified randomly into two equal groups (A and B). group (A): received co»nstraint induced movement therapy in addition to selected occupational therapy and selected physical therapy for 3 months, every day with session duration two hours. group (B): received only traditional occupational therapy, session duration two hours. Assessment of real world arm movement (reaching and grasping) was done by pediatric motor activity log-revised (PMAL-R) before and after 3 months of treatment. The results of the study revealed statistically significant improvement in real-world arm movement in favor to group (A), regarding to hand dominancy and weight bearing. We can conclude that constraint induced movement therapy in addition to occupational therapy and selected physical therapy improved real-world arm movement in spastic hemiparetic cerebral palsied children