Reciprocal Electrical Stimulation Versus Kinesio Taping

A. Patients preparation All the children demographic and outcome measures data will be collected in specially well-designed sheets1. Evaluation of fine motor skills using PDMS-2 Evaluation of hand function using Besta scale . The traditional exercise program (given to both groups): 1. Treatment protocol in Group A, Reciprocal electrical stimulation protocol * The device has two channels that can stimulate two opposing groups of muscles alternatively (reciprocate). * During ES, the child sits in a chair with his treated forearm resting on a pillow placed on the bed in front of him. * The electrodes will be placed as follows: * Channel 1 (stimulates wrist and hand extensors) electrodes placed over the dorsum of the forearm as follows: the active electrode is placed over the common extensor origin, while in different over the motor point of extensor pollicis longus, abductor pollicis longus, and extensor indices. * Channel 2 (stimulates wrist and hand flexors) electrodes placed on the palmar side of the forearm are as follows: the negative electrode is placed between the finger flexors and wrist flexors. The positive electrode is placed over the tendonportion of the forearm, * The treatment duration will be 20 minutes. * The treatment protocol will be repeated 3 times per week for 12 weeks. 2. Treatment protocol in Group B, Kinesio taping protocol: * Kinesio taping will be applied on both sides of the upper limb. * The applied area will be from the proximal one-third of the forearm to the wrist and then will be split into 5 straps into the distal interphalangeal joint of fingers. * On the dorsal side, KT will be applied on the forearm, wrist, and fingers extensors for improvement of wrist and fingers extension. * On the plantar side, KT will be applied on the forearm, wrist, and fingers flexors for inhibition of wrist and fingers flexion. * Taping will be applied for 6 days, 24 h a day, on the affected upper limb, and it will be removed for only one day per week.