Inclusion Criteria:  Age ranges from six to ten years. Grade of spasticity 1 to 2 according to Modified Ashworth scale. Level II and III according to gross motor functional classification system. Level I-III according to manual ability classification system. Able to follow verbal commands and instructions included in both test and training.  Exclusion Criteria:  Significant visual or auditory problems according to medical reports (audio-vestibular and ophthalmic examination). Structural or fixed soft tissue deformities of the upper extremities. Neurological or orthopedic surgery in the past 12 months in the upper extremities. Botox injection in the upper extremities in the past 6 months.