323EXPLORING THE INTERPLAY OF SPASTICITY, DEFORMITIES, AND SENSORY DEFICITS ON UPPER LIMB FUNCTION IN CEREBRAL PALSYThis study explores the impact of deformities, spasticity, sensory perception, and motor control on hand function in individuals with cerebral palsy (CP). A cohort of 60 patients with various types of CP, including diplegia, hemiplegia, triplegia, and tetraplegia, was assessed using multiple tools such as the Chopstick Manipulation Test (CMT), BruininksOseretsky Test (B.O. Test), Melbourne Assessment of Unilateral Upper Limb Function (MAULF), and Functional Hand Grip Test (FHGT). The study found that tetraplegics exhibited the greatest impairments in hand function, primarily due to a combination of motor control deficits, spasticity, and sensory deficits. While diplegics and triplegics showed relatively better functional outcomes, the degree of spasticity and bilateral involvement significantly impacted hand function and performance in daily activities. The study highlights the importance of using standardized, comprehensive assessment tools like MAULF and FHGT to evaluate hand function in CP patients. The findings suggest that current assessment methods should be refined for more accurate evaluation and monitoring of treatment outcomes. Tailored therapeutic interventions focusing on improving motor coordination, postural control, and addressing sensory deficits are recommendedDr. Durga Prasad V@gmail.comResearch1222022Cerebral Palsy, Hand Function, Spasticity, Sensory Perception, MAULF, FHGTDr. Durga Prasad VAssistant Professor, Department of Orthopedics, Sri Lakshmi Narayana Institute of Medical Science Medical College & Hospital, Puducherry, India