CHAMP T 2 Pilot of CIMT by Tele-Video

Inclusion Criteria: * Children who have hemiplegic cerebral palsy, ages 4-10; * hemiparesis ranging from Manual Ability Classification System (MACS) I to MACS IV; * live within a 1.5 hour distance from therapists' worksites at the Ohio State University Wexner Medical Center in Columbus, Ohio, or the Fralin Biomedical Research Institute in Roanoke, Virginia; * are willing to travel to these sites for two in-person assessments. Exclusion Criteria: * Previous high dose CIMT (defined as CIMT given 2 hrs per day for 10 days) in the 6 months preceding baseline assessment; * Treatment with botulinum toxin for spasticity in the 3 months preceding baseline assessment; * Surgery for spasticity in the 6 months preceding baseline assessment; * Medically unstable and unable to participate in the treatment intervention; * Child is behaviorally or cognitively impaired so unable to participate in the treatment intervention; * Family unable to participate in tele-delivery of CIMT 5 days a week for 4 weeks; * the caregiver available at child's treatment site during treatment times is unable to communicate with the treating therapist.