en گزارش موردي Case Reports <p style="text-align: justify;"><strong>Objectives:</strong> This study describes a single subject design (ABA) that shows the effective use of constraint induced movement therapy in improvement of quality and performance of in-hand manipulation skills for a 10 year old boy and a 9 years old girl with hemiplegic cerebral palsy, as Dickerson (2007) showed it in arm movement and function.</p> <p style="text-align: justify;"><strong>Methods:</strong> To determine the effectiveness of CIMT by the use of C-statistic analysis and visual analysis. Approach: The first step was to design a child friendly group activity and home based intervention program through occupation. The possible effectiveness of CIMT was evaluated by daily measurements and video recording of 6 sub skills of in-hand manipulation according to Pont category (2009) in defined activity.</p> <p style="text-align: justify;"><strong>Results:</strong> For making the treatment more cost effective, families can produce a simple clinical setting at home and participate in their child treatment plan actively.</p> <p style="text-align: justify;"><strong>Discussion:</strong> A client center intervention will facilitate the use and quality of fingers and hand motion. Also a group activity can motivate participants to participate more and better.</p> Constraint induced movement therapy, In hand manipulation skills, Hemiplegia, Upper limb 75 85 http://irj.uswr.ac.ir/browse.php?a_code=A-10-135-1&slc_lang=en&sid=1 Somaye Kavousipor kavousipor@sums.ac.ir No Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. Sahar Ghanbari sahar_gh57@hotmail.com Yes Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Abbas Alipour alipour_abbass@yahoo.com No Department of Epidemiology, School if Health, Shiraz University of Medical Sciences, Shiraz, Iran.