Effects of CHRIST Among Children With Spastic CP

Inclusion Criteria: * Children Diagnosed with hemiplegic spastic cerebral palsy. * Age 6-12 years. * Capable of following commands regarding hand use and testing. * Capable of communicating needs. * Parents or caregivers willing to provide informed consent and participate in the study. * No contraindications to moderate physical activity. * Able to lift the more affected arm 15 cm above a table surface and grasp light objects Exclusion Criteria: * Children with musculoskeletal system injuries, including upper limb fractures or contractures, as well as those who had received medications affecting muscle strength or spasticity, were excluded from the study. * Orthopedic surgery involving the more affected hand within the past 6 months. * Children with Cardiovascular disease. * Lack of cooperation with instructions or other behavioral challenges that prevent effective delivery of intensive therapy. * Visual impairments that may hinder active participation. * Seizure or family history of seizure disorders