Cerebral palsy is a motor disability which is non-progressive and is caused by damage to CNS at or around birth. The CPQOL child is a condition specific QOL Questionnaire designed for children with CP. Primary Caregiver questionnaire evaluating seven domains appears to have very good reliability and validity. We are using a primary caregiver proxy report for children aged 4–12 years is parent reported version of CPQOL in this study. The Manual Ability Classification System (MACS) describes how children with cerebral Palsy (CP) use their hands to handle objects in daily activities. MACS describes five Levels .MACS can be used for children aged 4–18 years. For MACS the Interrater reliability between the parent and therapist was excellent (ICC between parents and therapists was 0.96) and Interrater reliability between therapists was excellent (ICC was 0.97). This Study is Correlation and Observational study and  study duration will be 1 year. Study population will be children with CP who will visits at pediatric neuro physiotherapy opd between period of July 2024 to February 2025.  

This  study will be conducted during routine treatment session of the child. Written consent will be explained to parents and signed by the parents, guardians of the subjects explaining purpose of the study. CPQOL hard copies will be given to the parents of cerebral palsy children , parents should answer the questionnaire and return it back to the investigator in 15-20 minutes. MACS assessment  will be done in routine OPD in this therapist should observed how child with cerebral palsy use their hand to handle objects and according to that  grading will be recorded .The levels are based on the children’s ability to handle objects and their need for assistance to perform manual activities. For assessment colorful, different size toys used to find out MACS score. Data will be collected and statistically analyzed.