VR Versus Task-Oriented Circuit Training on UL Sensorimotor in Children With Immature Brain Injury

To investigate and compare the effect of virtual reality and task-oriented circuit training on pinch grip and quality of life in children with with immature brain injury. BACKGROUND: Children with immature brain injury may have limited use of their hands for functional activities and for fine motor skills. The primary function of the hand is hand grip, which has a great Influence on activities and tasks of daily life

Inclusion Criteria: * Forty four children with cerebral palsy, * Age will range as (12:18) years old * spastic cerebral palsy * Gross motor function classification system: level I\&II * level I-III on the Manual Ability Classification System (MACS) Exclusion Criteria: * difficulty to communicate or to understand program instructions * surgery/Botox injection during the last 6 months in the upper extremity * uncontrolled severe seizures * fixed deformities in the affected side; * Attention deficit/hyperactivity disorders.