S-26 Egypt Suppl.: Climate Change and the need for One World One Health Vol. 73, No. 4 (Suppl. 4) April 2023 Introduction Children with cerebral palsy (CP) have impairment to the motor system during neonatal or infantile phase. As a result, the child has poor balance, poor coordination, aberrant movement patterns, or a combination of these traits. 1 Hemiplegic CP is found in >39% of CP children. 2 Children with hemiplegic CP have central deficiencies in their ability to integrate several skills. They have significant debilitated in visual-motor integration (VMI) which rebound the interaction of main items motor, visual perceptual, and visual skills. 3 The degree of coordination between visual recognition and finger-hand development is what defines visual-motor integration. 4 Since it is linked to the execution of many practical skills, VMI is crucial for children’s development. 5 Effective eye-hand coordination is essential for the productive execution of visual and spatial activities of everyday living. 6 The most widely recognised issue in hemiplegic children is visual perception. 7 Visual perception, eye-hand coordination, fine motor skills, speed, and VMI are just a few of the many elements that make up the visual-motor function. 8 As a result, assessing visual-motor performance can be challenging because poor visual-motor execution might be caused by deficiencies in one or more of these areas. Hand affliction in hemiplegic CP is distinguished by excessive thumb adduction and flexion, and minimal active wrist extension. Hand function problems are exacerbated by somatosensory, visual and developmental disorders. Progressive soft tissue and bone alterations may occur as a result of a lack of practice, culminating in contracture, which further impairs the hand function. Early intervention can delay or stop this process, but the quality of intervention has to be carefully examined. 9 Rehacom incorporates 3 basic treatment strategies: psycho-education and awareness of cognitive functions, enhancement of motivational functions, and training of compensatory and adaption skills. It is designed to improve attention, concentration, learning and executive functions. This results in better control of adaptive abilities. 10 The current study was planned to determine how cognitive treatment combined with the rehacom visual-motor module affects the hand function of children with hemiplegic CP. Materials and Methods The randomised case-control study was conducted at Kafrelsheikh University, Egypt, from September 2021 to Original article Influence of rehacom system programme on hand function in spastic hemiplegic children Sara Yousef. Elsebahy 1 , Yomna Farag Ahmed 2 , Abdelaziz Ali Sherief 3 Abstract Objectives: To assess the impact of cognitive therapy with the rehacom visual-motor module on the hand function in hemiplegic cerebral palsy children. Method: The randomised case-control study was conducted at Kafrelsheikh University, Egypt, from September 2021 to February 2022, and comprised children aged 6-8 years with spastic hemiplegic cerebral palsy. They were randomised into control group A and intervention group B. Subjects in group A received designed physical therapy and hand function training, while those in group B additionally received visual-motor coordination training with the help of rehacom system. The groups were evaluated for both visual-motor coordination and fine motor skills at baseline and after 6-month training. SPSS version 26 was used to analyse the raw data of the current study. Results: Of the 40 subjects, 20(50%) were in each of the two groups. There were 13(65%) boys and 7(35%) girls with mean age 66±4.01 months in group A, and 9(45%) boys and 11(55%) girls with mean age 67±4.06 months in group B (p>0.05). Both groups showed improvement related to grasping, visual-motor integration and fine motor quotient post-intervention, but improvement in group B was significantly higher on each count(p<0.05). Conclusion: The addition of visual-motor integration programme by rehacom system was found to be more effective than the effect of routine physiotherapy training alone. Keywords: Cerebral palsy, Hemiplegia, Motor skills, Muscle spasticity, Psychomotor performance. DOI: 10.47391/JPMA.EGY-S4-9 1,3 Department of Paediatric Physical Therapy, Kafrelsheikh University, Egypt. 2 Department of Physical Therapy for Basic science, Modern University for Technology and information, Cairo, Egypt. Corrospondience: Sara Yousef. Elsebahy email: drsaraelsebahy@gmail