This Quasi experimental study investigates the effects of CHRIST on In Hand Manipulation and Grip Strength amonfg children with Spastic Cerebral Palsy. The study involves 14 children from 6-12 years of age, and will be given intervention for 10 weeks period.

Key performance outcomes- In Hand Manipulation and Grip Strength will be assessed both before and after the intervention. This study aims to address this gap by evaluating the effects of the CHRIST on IHM and grip strength in children diagnosed with spastic cerebral palsy. The hypothesis is that integrating strength training with high repetition, functionally relevant tasks yields greater and more practical gains than strength training or conventional therapy alone. Data will be analyzed through SPSS version 27.0

This Quasi Experimental study investigates the effects of CHRIST on In Hand Manipulation and Grip Strength in children with Spastic Cerebral Palsy. CHRIST was designed to enhance the motor ability of children. The efficacy of this program will be investigated through a Quasi Experimental study. Data will be collected from special schools and rehabilitation centers having children with spastic cerebral palsy. The intervention CHRIST will be given thrice a week for forty minutes. The study will be completed in 10 weeks after approval of the synopsis. The study will include 14 children, male and female. Inclusion criteria for the study will include patients diagnosed with spastic CP. Data will be collected from children aged 6 to 12 years old. IHM will be measured by Melbourne Assessment 2 scale (MA2). Grip Strength will be measured by dynamometer. IHM & Grip Strength will be assessed both before and after the intervention.This study aims to address this gap by evaluating the effects of CHRIST on IHM and grip strength in children diagnosed with spastic cerebral palsy. The hypothesis is that integrating strength training with high repetition, functionally relevant tasks yields greater and more practical gains than strength training or conventional therapy alone. Data will be analyzed through SPSS version 27.0

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

Single (Participant) Participants will get separate treatment protocols and possible efforts will be put to mask the both group about the treatment.