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Background and Aim: Normal & skillful function of hand is an essential part of activity of daily living. Analysis of the function of hand shows the major contribution of fine movements.  Fine movement is also important in motor development. In this regard, any deficiency in fine movement may cause various problems for children. Hence, assessment of fine movement in children, particularly in mental retardation disorders is a prerequisite of any rehabilitation protocol. 

Material & Methods: 27 mental retarded children were participated in this cross sectional study.  Children were in the range of 7-10 Yrs (Mean & SD, 8/11 &1/09 yrs, respectively). Parents were asked to sign the informed consent. Purdue Peg board test was used for the assessment of hand skill. After fifteen sessions of intervention including eye hand coordination activities, Purdue Peg board test were repeated.

Results: Speed of movements (rates in 30 seconds) in dominant & recessive hand, coordination of both hands and hand skills were significantly differed (pre & post intervention, P≤ 0/05).

It was also revealed that hand skills are directly related with speed movement of dominant hand. ( P≤  0/05).  Furthermore, there was no difference in the eye hand coordination activities of male and female individuals. ( P≤  0/05). 

Conclusion: The results of this study showed that eye-hand coordination activities have positively affected the skill of hand movement in educable Mental retardation students in both sex.

Simple skills such as speed of hand improved in shorter time in comparison with complicated skills (e.g. coordination of tow hand).

Based on these evidences, a comprehensive rehabilitation program including eye hand coordination activities would be suggested for educable Mental retardation individual.

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Background and Aim: Balance is an essential part of motor development. Assessment of balance in children with neurological disorders is necessary before any treatment. There are various versions of balance tests for adult assessment however, little has been done with regard to a reliable test for evaluating the balance in children with spastic cerebral palsy.      

The purpose of this study was to investigate inter and intra rater reliability of Berg balance scale in children with spastic hemieplegia.

Material & Methods: 20 Spastic hemieplegia children were participated in this study (cross sectional).  Children were in the range of 6-12 Yrs (Mean & SD, 7/10 &1/58 yrs, correspondingly). Parents were asked to sign the informed consent. Berg Balance Scale tested in one session by two therapist for inter rater and repeated tests by the same therapist for intra rater reliability after a week.

Results: Intraclass correlation coefficient (ICC) test was used for inter rater (between two therapists, ICC= 0.966, p<001 and intra rater reliability (repeated test by the same therapist, ICC= 0.988 , p<001 ).

Conclusion: The result of this study suggests that inter rater and intra rater reliability of Berg balance scale is acceptable. Therefore, it could be used in clinic for the assessment of children with spastic hemieplegia as a reliable scale.

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Background and Aim: As the population of geriatrics increase, this group must be noticed from economical, vocational, therapeutic situations the majority of geriatrics has problems with their hands. These problems influence their activity of daily living, vocation and etc. The main goal of present study is to determine the relation between grip strength and dexterity in 25-45 and 65-85 years people.

Material and method: The grip strength and dexterity were administered to one hundred people aged between 25-45 and 65-85 years with a mean age of 53.61 years old (SD= 20.60). The grip strength and dexterity were evaluated 3 times, and data were analyzed with SPSS (V: 11.5).

Results: Mean of grip strength in group (25-45) year was more than group (65-85) year. In both groups the results of grip strength in men were more than women. We noticed that with increasing age the dexterity decrease and dexterity differences between group 25-45 and 65-85 years were statistically significant. Between men and women dexterity differences was not significant. The correlation between grip strength and dexterity was not statistically significant.

Conclusion: This study showed that dexterity is related with age and functional activities. Grip strength is related with age, occupation, gender. As the age increase these features of the hand decrease. But there isn't a correlation between grip strength and dexterity.

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Background and aim: Cerebral palsy (CP) is a common disorder in human society with many somatosensory problems that affects on functional capability. Dexterity affects activity of daily activity. The aim of this study was to investigate the effects of Progressive resistive exercises on strength and dexterity of cerebral palsy persons.

Materials and methods: Twelve CP persons between 8 to 16 years old (10 boys and 2 girls) with mean age of 11.9 years old participated in this study.

Progressive resistive exercises (PRE) protocols were done on upper extremity of  study group 3 times a week for 6 weeks.  Strength of shoulder abductors and extensors were evaluated by MMT NICHOLAS apparatus. Grip strength and dexterity were evaluated by Jammar Dynammometer and Purdue peg board respectively.

Results: Shoulder abductors and extensors strength increased %29.4 (p=0.0001) and %30.1 (p=0.014). Grip strength and dexterity improved %9.8 (p=0.048) and dexterity %23 (p= 0.016) respectively.

Conclusion: PRE increase muscle strength of upper extremity and may improve dexterity in children with cerebral palsy.

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Background and aim: Spasticity cause abnormal patterns in upper limbs of cerebral palsy children .It restricts hand function in grasp and release movement. In occupational therapy, neurophysiologic approaches include motor techniques, training and treatment for decreasing hypertonicity and biomechanical approach includes use of splint. In present study the effects of volar and dorsal splint were determined in decreasing of spasticity in upper limbs of quadriplegia cerebral palsy children with four up to six years old

Materials and methods: Twenty quadriplegia spastic children (4-6 years old) were participated in this study. They were classified in two groups. One group wears volar splint and the other group wears dorsal splint for two hours per days and four hours at night up to twelve weeks. Spasticity and passive range of motion were measured by modified  Ashworth scale and goniometry respectively

Results: The mean of wrist spasticity was 2.5 in volar splint group before intervention and 1.9 after intervention. The mean of wrist passive range of motion was 93.50 before intervention and 123.50 after intervention. Elbow passive range of motion was 113 in pre intervention and 135.50 in post intervention. The mean of wrist spasticity was 2.6 in dorsal splint group before intervention and 2.00 after intervention. The mean of wrist passive range of motion was 89.5 before intervention and 118.50 after intervention. Elbow passive range of motion was 110.50 in pre intervention and 135.50 in post intervention. Statistical Analysis of t-student and paired t-tests showed significant differences between the pre and post intervention in all parameters (p<0.05)

Conclusion:  The result of present study showed that both of the splints affected to decrease spasticity of wrist and increase wrist and elbow passive range of motion of hand. Based on this evidence, both of the splints would be suggested for spastic`s hand treatment. Due to major problem in making dorsal splint, we suggest volar splint for  reducing  spasticity in cerebral palsy children.

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Background and aim: Stroke is one of the main reasons that would cause disability in adult population. The patient prefers to use his non-involved limb for self-care activities that called disuse learning of involved upper extremity.Constraint-induced therapy is one of the rehabilitative intervention that seems to improve motor ability and functional use of involved upper extremity in some of patients with hemiparesis after stroke. The aim of this study was to investigate the time effects of constraint-induced therapy on functions, coordination and movements of upper extremity of adult patients with hemiplegia.

Materials and methods: In present study, 15 patients with stroke participated in structured therapy sessions (CIT) emphasizing more affected upper extremity in different activities five times a week for 12 weeks and 2 hours a day and non-involved upper extremity were also restrained five times a week for 12 weeks and 5 hours a day

Results: The data was analyzed with paired t-test. The scores  of different  subtests of Fugl-Meyer test  such as shoulder and forearm, wrist and hand movements, coordination and speed of involved upper extremities showed significant differences between pre and post interventions in different time periods (p>0.05). Test scores increased up to 8 weeks but no significant increase was seen after 8^th week .Dexterity measurements by Minnesota Manual Dexterity test  showed significant differences between pre and post intervention in different time periods ( p  < 0.05) with maximum increase up to 10 weeks

Conclusion: The present data showed that constraint-induced therapy could be an effective approach to improve function and overcome disuse learning. The results of this study revealed that scores of Fugl-Meyer and Minnesota Manual Dexterity test  would reflect functional skills improvement.

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Background and aim: Down's syndrome is the most common chrosomal disorder in which the fine and gross motor skills due to lack of proper sensory experience are disturbed. the role of dexterity in Activity of daily living, interaction with environment and independency is quiet crucial in Down's syndrome. Therefore, the aim of this study was to investigate the effects of simultaneous application of exteroceptive and proprioceptive stimuli on the dexterity of 6-7 year old educable children with Down's syndrome.  

Materials and methods: 33 Educable children with Down's syndrome were assigned in three groups (i.e. extercoceptive, proprioceptive, simultaneous application respectively) and participated in this study. In the first group, children received only exteroceptive stimulation for 30 minutes, 3 times a week. Children in the second group received only proprioceptive stimulation in the same period. Children in the third group received both stimulations simultaneously. Dexterity was evaluated through purdue peg bourd test after 5^th, 10^th, 15^th, 20^th, 25^th, and at 30^th sessions.

Results: Dexterity changes were significantly differed in all 3 groups (p<0.05) using repeated measurement test. In order to assess the improvement process of dexterity, every group was evaluated separately with dexterity test ( purdue peg board). Third group showed significant improvement in comparison with other groups (p<0.05). There was no significant improvement in dexterity in first and second groups (p>0.05).  

Conclusion: The findings of current study suggest that simultaneous application of exteroceptive and proprioceptive senses could be used for improvement of dexterity in children with Down's syndrome and perhaps in children with motor control problems.  

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Background and Aim: Internal Evaluation is an appraisal of abilitieshttp://mrj.tums.ac.ir/files/0allsites/wysiwyg_en.gif and potentials. The Internal Evaluation process, especially in an Educational Department, is an effective mechanism of the Departments quality process. The Aim of this research was to determine level of factors in the Occupational therapy Department and determining points of the strength, weaknesses, opportunities and threats of the Occupational therapy department in order to improve the programs and activities after this research.

 Material and Methods: This research was descriptive and analytical study. In this evaluation, nine important factors were taken into account. These include:  1- missions statement and goals 2- managerial and organization structure 3- faculty members 4- students 5- educational course and curriculum 6- graduate students 7- educational and research facilities and equipment 8- research 9- quality of treatment. Data were collected by questioner. Results were analyzed descriptively and were expressed as raw data and percentage. Scores of 49.9% was undesirable, between 49.9% and 74.9%, and more than 75% were desirable and very desirable, respectively.

 Results: The nine above factors were scored as follows: 1- missions statement and goals (very desirable 4.06, 81.2%) 2- managerial and organization structure(very desirable 3.95, 79%) 3- faculty members (desirable 3.63, 72.6%) 4- students(desirable 3.1, 62%) 5- educational course and curriculum (desirable 3.56 , 71.2%) 6- graduate student (undesirable 2.25 , 45%) s 7- educational and research facilities and equipment (desirable 3.18, 63.6%) 8- research (desirable 3.11, 62.2%)  9- quality of treatment(very desirable 4.22, 84.4%) The score of the Occupational therapy department, as the main factor is 3.44 out of 5 that is 68.1%.

 Conclusion: An analysis of the findings of this research study led to the understanding that the Department of Occupational therapy was desirable.

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Background and aim: Most of the rehabilitation treatments for hemiplegic patients focus on compensatory strategies to promote independence in ADL by any means for restoration of upper exterimity (UE) function . Patients were taught to use the unaffected UE and various assistive device for ADL. In contrast, Constraint-Induced Therapy (CIT) treatments discourage the use of unaffected UE and encourage the use of the hemiplegic arm . The aim of this study was to investigate the effect of constraint-induced therapy on ADL of adult hemiplegic patients.

 Materials and methods: This study is an interventional study. In present study, 15 patients who had hemiplegic arm following stroke, participated in constraint-induced therapy sessions emphasizing on more affected UE in different activities five times a week for 8 weeks and 2 hours a day. Noninvolved UE was restricted with a special sling for 8 weeks and 5 hours a day.

 Result: The measurements of self care activities, mobility and total score of stroke patients were evaluated with Barthel-Index. The date showed significant differences between mean score of pre and post interventions (p<0.001).

Functional measurements of upper extremity in ADL by using Arm Function Test showed significant differences between mean score of pre and post interventions (p<0.0001).

Conclusion: Presents data showed that constraint-induced therapy could be an effective approach to improve Activities of Daily Living of stroke patients and emphasis on more use of involved UE and overcome disuse learning. 

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Background and aim: The elderly people are one of the most vulnerable people in any society. Falling in this group is accompanied with decrease of daily living activities. With regard of improvement of balance in perevention of falling, the aim of this study is survey about the effect of Cawthorne and Cooksey exercises on improvement of balance.
Material and Methods:36 elder men with age above 60 years old put in two groups (control group= 19 and exercise group= 17) who lived in the elderly center in city of Mashhad. The subjects in exercise group participated in the Cawthorne and Cooksey exercises during three months, three times a week, during sixty minutes. Balance status of subjects evaluated with Berg Balance Scale(BBS) in 4 stages ( befor exercise and one month, two months and three months) after exercises.
Result: Results showed that improvement of the balance in the different evaluation stages of BBS was significantly increased particularly in the first and second months (p< 0.05). The effects of exercise group were significantly different from control group(p=0.000).
Conclusion: Cawthorne and Cooksey exercises were effective on the balance improvement of elderly men in center of Mashhad and two months of these exercises were enough to improve balance in this group.

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Background and aim: Cerebral palsy is the most common motor disorder in childhood that affects on motor performance and functional activity. Impaired hand function is the secondary problem in children with spastic diplegia.

Individuals with hand dysfunction encounter with difficulties in self care, educational and recreational activities. The goal of this study is to investigate the effect of task oriented training on upper extremity function in children with spastic diplegia (8-12 years old).

Material and methods: Fifteen spastic diplegic children were participated in task oriented training three days weekly up to 8 weeks. The outcomes were measured with Jebsen-Ttaylor hand function test for upper extremity function, Purdue peg board test for hand dexterity, goniometer for range of motion and Ashworth scale for spasticity.

 Results: The data showed significant improvement in upper extremity function (P≤0.0001) , hand dexterity (P≤0.001) , wrist and elbow range of motion (P≤0.0001) and wrist and elbow spasticity (P≤0.05) after interventions.

Conclusion: Our findings suggest that task oriented training can improve upper extremity function in children with spastic diplegia.

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Background and aim: Rehabilitation treatments have significant role in reducing the disabilities of Cerebro Vascular Accident (CVA). Due to great role of upper limb in the function of individuals particularly in Activity of Daily Living and the effect of stability of shoulder girdle on hand function, the aim of this study was to study the effects of Progressive Resistive Exercise on shoulder extensor and abductor muscles isometric strengths in adult hemiplegic.                                                                                  

Material and methods: 17 adult hemiplegics patients (50-70yrs., mean =60.52, SD=7.22) with RT side dominancy and 6 months after stroke, participated in this study. All procedures were approved by ethical committee of TUMS and written consents were also taken. Patients were familiarized with the procedure and shoulder extensor and abductor muscles isometric strengths were measured by dynamometer.                                            

Results: According to results of our study, shoulder extensor and abductor muscles isometric strengths showed significant differences between mean scores of pre and post intervention (P<0.05). Progressive Resistive Exercise improved 34% in shoulder extensor muscles isometric strength and 27% shoulder abductor muscle isometric strength.                                 

Conclusion: Results of our research showed that progressive resistive exercise approach is a useful method for increasing the isometric strength of shoulder extensor and abductor muscles. Therefore, it might be concluded that improvement of strength of shoulder muscles could result in stability in shoulder girdle and consequently might affect on hand function in hemiplegic patients.                                                             

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Background and aim: Swallowing disorder is one of the most important complaints of patients with upper motor neuron lesions.The rate of disphagia increases due to elderly subjects and brain injuries in our society Majority of these patients have hidden aspiration. Electromyographic assessment of swallowing can produce indicators of recovery and treatment effectiveness. This study tries to indicate pattern and recruitment of muscle activity in swallowing by surface electromyography.
Methods and Materials: Twenty healthy subjects (20-50) and ten subjects with swallowing dysfunction contribute at this study. Activities of bilateral orbicularis oris, buccinator, sternocleidomastoid and anterior region of throat muscles recorded during three stage of liquid swallowing include water, juice and honey by surface electrodes. Value of activity (RMS), duration of activity (Dur) , median (Mdf) and band (Banf) frequency of above muscles were measured.
Results: Healthy subjects indicated increase of RMS, Dur, Mdf and Banf of muscles, following increase of sweeten and viscose of liquid (P<0.05). Patients had more increase of this findings at oral muscles markedly, whereas Dur of throat muscle showed more increase in time (P<0.05). Comparison of between two groups indicated patients have more Dur time especially at throat muscles (P<0.05) and in contras reduce of activities and frequency parameters than healthy subjects (P<0.05).
Conclusion: Patients lean to keep liquid in oral phase and during throat swallow have more limitation. Patients may catch early fatigue and dysfunction for maintenance and keep of liquid particularly in throat region and it redound to change of trajectory of liquid to the respiratory tube. Therefore, rehabilitation protocols must enforce on coordination of oropharengeal muscles and recovery by movement therapy patterns.

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Background and Aim: Aging is a natural phenomenon that affects on different systems of our body. This process is not due to diseases and accidents. Activity of Daily Living (ADL) is important for elderly persons. The aims of this study are to investigate the effects of progressive resistive exercises on Activities of Daily Living of elderly persons.
Material and Methods: Fifty elder men with age above 61 years old participated in this study. Twenty five elder men in exercise group with mean age of 69.45 and 25 elder men in control group whit mean age of 72.24. Strength of shoulder and knee extensors were evaluated by Tekdyne Incentive Dynamometers (TID). Activities of Daily Living were evaluated by Barthel - Index
Results: The measurements of shoulder and knee extensors of elder men were evaluated with TID. The data showed significant differences between mean score of pre and post interventions (p ≤ 0/0001). The measurements of self care activities, mobility and total score of elder men were evaluated with Barthel-Index. The data showed significant differences between mean score of pre and post interventions (p ≤ 0.0001).
Conclusion: Presents data showed that progressive resistive exercises could be an effective approach to increase strength upper and lower body and improve Activities of Daily Living of elder men.

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Background and Aim: in hemiplegic children Postural tone of the two sides of body is different. Once, asymmetric stance is a typical state in individuals' with unilateral pain and/or paresis and standing is with weight bearing on the stronger side. Obviously, an asymmetric stance with majority of weight bearing on the affected side can counter faces individual with the falling risk and causes instability. It seems coordinating of the two sides of body is the most vitally important therapeutic exercises in hemiplegic patients. Although stable stance is a simple postural task but it's controlled semi-automatically by cortical and spinal centers. It is established that stable standing, also demands cognition resources. So, postural control demands the interaction between musculoskeletal and nervous systems.
Material and method: In this clinical trial (before-after) 17 children 5-12 years old with spastic hemiplegia were participated. The subjects stayed in the center of force plate with the most stable standing position while using /not-using lateral wedge and in each state with/without doing cognition task. Short- memory test of digit span used as dual task condition. The mean range of fore-after and mediolateral sway and velocity and area as postural control independent variables and error measures in recalling of randomized digit chain as cognition task independent variables were registered.
Results: The wedge affected Rsw (P=0.015), Area (P=0.007) and Vm (P=0.005) significantly. Dual task also had significant effect on Rfa (P=0.014), Rsw (P=0.014), Area (P=0.002) and Vm (P=0.002). But the wedge declines its effect properly.
Conclusion: The results represent that a 5º lateral wedge applied to the unaffected limb, can improve factors of postural control even in Dual tasking thus The wedge can be used with a good effect on the posture of hemiplegic children.

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Background and Aim: Cerebral palsy is a non progressive disorder and the most common movement problem in children. Many children with cerebral palsy are of hemiplegic type. One of the important problems of this children is unilateral upper limb dysfunction, that not using the affected side causes forgetfulness and more problems on this side. In this study, effectiveness of Constraint-Induced Therapy(CIT) and the maintainance of this technique on spasticity and performance of upper extremity in hemiplegic cerebral palsy children 6 to 12 years old have been investigated. 

Materials & Methods: In this pretest - posttest quasi experimental study, 20 cerebral palsy hemiplegic children 6 to 12 years old (15 boys and 5 girls) with  8.7   years mean age were selected. Interventions were performed about 8 weeks and patients were followed for 4 weeks. Spasticity on the affected side in wrist and elbow were tested by Modified Ashworth Scale and upper extremity function by the Box & Block test. The data were analyzed with the Wilcoxon and paired t- tests.

Results: Constraint-Induced Therapy in the affected limb decreases significantly the spasticity of wrist (p = 0.00) and elbow (p = 0.005) and significantly increases performance score (p = 0.00), and the recovery significantly maintained one month after the interventions.

 conclusion: Constraint-Induced Therapy of affected upper extremity could possibly decrease limb spasticity and increase function with two mechanisms: Fierstly, The reduction of not using the plegic side and secondly, neuroplasticity in CNS. This improvement may remain viable in the affected limb. 

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Background and Aim: Upper limb dysfunction is a common and disabling consequence of cerebral palsy. Any functional disorder in the hand can cause a person's independence to be disrupted and therefore his or her social independence is threatened. The purpose of this study was to determine the effects of volar static splint on hand function, spasticity and wrist and elbow range of motion of 8 to 12 years old spastic children.
Materials and methods: The design of this study was clinical trial and before_ after. Fourteen 8 to 12 spastic cerebral palsy children that have the inclusion criteria of study were selected from rehabilitation clinics of Tehran. The patient used a volar static splint (10 degree of wrist extension, full extension of fingers and abduction and opposition of thumb) for 2 mounts (2 hours during day and 4 to 6 hours at night). In this study Jebsen Taylor Hand Function Test was used to evaluate hand function. Modified Ashworth Scale was used to evaluate spasticity. A Goniometer was used to measure range of motion.
Results: The results of this study showed significant improvement in hand function  ,significant reduction in wrist spasticity  and elbow spasticity  and significant increase in wrist range of motion The data did not show any significance in elbow range of motion .
Conclusion: Our findings suggested that 2 months using of volar static splint in children with spastic cerebral palsy can improve hand function, wrist and elbow spasticity and wrist range of motion.

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Background and Aim: Cerebral palsy (CP) is the most common motor impairment in childhood and affects 2 in 1000 live births, in which postural and motor control involved. In hemiplegic type, two sides of the body have differences in postural tone that cause weight shift to the intact side. In these children postural disorders appear as postural stability disorder. The aim of this study is to assess the effect of lateral wedge insole on postural control in cerebral palsy children.
Materials and Methods:  Sixteen hemiplegic children attended in this program and stood in two conditions on the force plate with and without lateral wedge on the hard plate. Center of pressure displacement measured for medio-lateral and antro-posterio directions. Every test took 20 seconds. It was repeated 3 times.
Results: Range of sideways decreased significantly with use of 5º wedge. Also a shoe wedge of 5º provided symmetrical weight distribution.
Conclusion: The results represent that a 5º lateral wedge applied to the unaffected limb, can improve factors of postural control and gain the symmetry in hemiplegic children

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Background and Aim: Constraint-induce movement therapy is one of the treatment methods to treat those who have  stroke disorders. The aim of this study was to determine the effect of constraint-induced movement therapy(CIMT) on quality of life , function and range of motion of upper extremity of patients with stroke.

Materials and Methods: This study was conducted in 15 patients in accordance to random clinical trial during the treatment operation, the patients were asked to restrict their upper extremity movement with orthopedics sling for 3 days per week and each day for 8 hours. They were asked to practice on affected upper extremity for 2 hours
while their hands were restricted.  Additionally, the present study was conducted for 6 weeks.

Results: The statistical analysis illustrated that quality of life was significantly changed which measured by SF36 test (p=0.008). Furthermore,  the upper extremity function which was assessed by Box & Black test  was statistically analyzed by t-coupled in this regard, it showed a significant change when the treatment ended up (p=0.009). However, active range of motions in wrist extension and elbow extension did not significantly changed (p=0.227).

Conclusion: Based on the results, it can be implied that Constraint-induce movement therapy is an effective method for improvement of life quality and the upper extremity function .Three mechanisms are discussed: involvement of non used affected limbs, neural plasticity in CNS, and amelioration of mental and physical health of patients can be resulted in life quality and patients' hand improvement.

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Background and Aim: Cerebral Palsy (CP) children are the most clients referred to occupational therapy settings. Hand function is important in Activities of Daily living .There is a hand dysfunction in most cerebral palsy children. Orthosis and splints are commonly used to improve the position, range of motion, quality of movement and function of a person's arm or hand. The aim of this study was to investigate the effects of static cock up c-bar splint on strength,spasticity, range of motion, and dominant hand function in spastic diplegic children with 8 to 12 years old. 

Materials and Methods: This interventional study is in a before-after design. Thirteen spastic diplegic cerebral palsy children with 8 to 12 years old were selected through students who studied in physical disabled schools in Tehran city and had the inclusion criteria. Patients used a static cock up c-bar splint (wrist in 10 degrees of extension and thumb in palmar abduction and opposition) for two months, 2 hours daily and 4-6 hours at night. In this study the Jebsen Taylor test was used to evaluate hand function, the Modified Ashworth Scale was used to assess spasticity of thumb, wrist and elbow, ROM of thumb, wrist and elbow were tested with goniometer and power grip was evaluated with dynamometer.  

 Results : Results showed a significant improvement in hand function (p<0.001), in wrist`s spasticity (p<0.001), elbow`s spasticity(p<0.008), palmar abduction of thumb spasticity (p<0.002), wrist`s ROM (p<0.001), Palmar abduction of thumb ROM(p<0.001) and power grip(p<0.001). The data did not show significant improvement on elbow`s joint ROM. 

Conclusion: Information from present research shows that using static cock up c-bar splint for 2 months, 2 hours a day and 4 to 6 hours nightly, can be an effective method to improve power grip, hand function, thumb, wrist and elbow spasticity and range of motion of thumb and wrist of spastic diplegic CP children.