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Abstract Background: Hemiplegic cerebral palsy childerns had disabilities of the upper extremities such as reaching, grasping, and object manipulation resulting in dependency in daily activities and a lack of successful social integration. Purpose of this study was to investigate the correlation between muscle thickness, spasticity and functional ability in spastic hemiplegic cerebral palsy children. Subjects and Procedures: Thirty five (20 spastic hemiplegic and 15 normal) children of both sexes with age ranged from 2-5 years participated in this study. The spastic children were able to sit alone, stand holding on momentarily and their grading of spasticity was from 1-1+ according to Modified Ashworth Scale (MAS). Muscle thickness of biceps brachii muscle was measured by ultrasonography, spasticity was measured by MAS and functional abilities were measured by growth motor function measurement-88. Results: The results of this study revealed that there is correlation between functional abilities and muscle thickness of biceps brachii in the spastic group. In comparison between normal and spastic groups there is a significant differencein biceps brachii muscle thickness in normal group |