The study aims to investigate the effect of blood flow restriction (BFR) training exercises on the hand grip strength of children with hemiparetic cerebral palsy. Hand grip strength is a vital component of motor function and is often severely compromised in children with hemiparetic CP, which can significantly impact their daily activities and quality of life. Blood flow restriction (BFR) training is a novel exercise technique where a cuff or band is used to partially occlude blood flow during low-intensity resistance exercises. This method has been shown to stimulate muscle growth and strength gains similar to those achieved through high-intensity strength training, without the need for high loads. Given the unique physiological challenges faced by children with hemiparetic CP, BFR training could provide an effective alternative to traditional strength training methods.

Inclusion Criteria:

Age will range from 6-12 years

• Diagnosed with hemiparetic cerebral palsy (right or left side).
• According to Modified Ashwer scale, has grade 1 or 1+ grade
• Children with the ability to understand and follow verbal commands and instructions used during training and tests

Exclusion Criteria:

• Any contraindications to exercise, such as moderate or severe spasticity, orthopedic deformities, or other serious health conditions.