Outcome measures
PROM, upper limb impairment
SECONDARY
Certified therapists blinded to group allocation measured all outcomes three times. The assessments covered the three domains of ICF.The primary outcome measure was Gross Motor Function Measure 66 Item Set (GMFM), which has good reliability and responsiveness in children with CP [The secondary outcome measures included the Jebsen-Taylor Hand Function Test, Box and Blocks Test, ABILHAND-Kids Questionnaire, Self-care and Mobility domain of the Pediatric Evaluation of Disability Inventory, and the ankle dorsiflexion passive range of motion.The Jebsen-Taylor Hand Function Test assesses hand function activities during the performance of activities of daily living [Box and Blocks Test is a valid and reliable diagnostic tool that evaluates the level of manual dexterity [ABILHAND-Kids measures the manual ability of children with upper limb impairment [The Pediatric Evaluation of Disability Inventory (PEDI) is an instrument that measures independence in daily living. It covers daily activities in self-care, mobility, and social functioning among children with CP [The passive range of ankle dorsiflexion (PROM) was measured with a hand-held goniometer. For each child, we measured both the left and right sides with the knees flexed. A standardized assessment protocol was followed for positioning the patient and the examiner's hand [