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Abstract Background: Hemiplegic cerebral palsy results from damage to the cortico-spinal tract and other developing pathways resulting into impaired hand dexterity and affecting daily self-care and school activities. Purpose: To determine the relation between cortical sensations and fine motor skills in children with spastic hemiplegic cerebral palsy. Subjects: Forty children (17 girls and 23 boys) with spastic hemiplegic cerebral palsy, aged from 6 to 13 years. Methods: Cortical sensations (stereognosis and tactile localization) and fine motor skills (grasp and visual motor integration) were assessed by Notingham Sensory Assessment Scale and Peabody Developmental Motor Scale respectively. Results: There was statistically significant correlation between stereognosis and fine motor skills (r=0.630, p<0.05) and between tactile localization and fine motor skills (r=0.359, p<0.05) in children with spastic hemiplegic cerebral palsy. Conclusion: The findings of this study indicated that there was a positive correlation between cortical sensations and fine motor skills in children with spastic hemiplegic cerebral palsy. Thus, cortical sensations should be assessed in children with fine motor skill problems |