Training Upper Limbs of Neurodiverse Children by Connecting Brain Activities to a Virtual Reality Based Game

This study is testing ways to help children with cerebral palsy (CP) improve how their hands work. Investigators want to see if brain activity using a virtual reality (VR) program can make their hands work better. The program is called Hand and Bimanual Intensive Therapy Virtual Reality (HABIT-VR). Investigators will compare how well HABIT-VR works to a simple VR program. In the study a VR game will be played and participants in the treatment group, will have hand muscles gently stimulated to help the joints move.

Inclusion Criteria * Children with cerebral palsy * Aged 6 to 17 * Unilateral and bilateral cerebral palsy (Hemiplegic or Diplegic cerebral palsy) * Manual Ability Classification System Score (MACS) between I-IV. * Gross Motor Function Classification System (GMFCS) levels ranging from I to III. * Ability to follow verbal instructions * Typically developing children * Aged 6 to 17 * Good physical health * Ability to follow verbal instructions Exclusion Criteria * Children with cerebral palsy * Other conditions leading to the inability to move the upper extremity or handle objects * Visual impairments preventing the performance of intervention and testing tasks * Received an intensive therapeutic intervention involving upper extremities, botulinum toxin in an upper extremity within the past 6 months, or any upper extremity surgery in the past year * Typically developing children * Chronic illnesses or medical conditions that could impact their development * Significant behavioral or emotional issues that could indicate developmental disorders or psychological conditions * Diagnosed developmental disorders \[e.g., autism, Attention-deficit/hyperactivity disorder (ADHD), learning disabilities\]