Highlights Multiple magnet ingestion in children is challenging to diagnose if asymptomatic. Symptoms include vomiting, abdominal pain, discoloured stools or fever. Meticulous history, patient examination and investigations are necessary. Intestinal pressure necrosis and multiple fistulas can occur yet remain asymptomatic. Resection and anastomosis may be the sole management in such cases.

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Objective: The aim of this work was to show the effect of hand functiong training on improvement of hand grip in hemiplegic cerebral palsy children.Method: Thirty children were enrolled in this study and randomly assigned into two groups; group A (hand function training plus traditional physiotherapy program) and group B (traditional physiotherapy program only). Hand held dynamometer was used to detect and follow hand grip strength. This measurement was taken before initial treatment and after 12 weeks post treatment.Results: Data analysis were available on 30 spastic hemiplegic cerebral palsy (cp) children and mean value of the hand grip strength in study group pre and post treatment had highly statistically significant differences of p<0.0001 while the mean value of hand grip strength in the control group pre and post treatment had statistically significant difference of p<0.05. Conclusion:The combined effect of physiotherapy training plus the hand functioning training is recommended. Volume 2 • Issue 6 • 1000116 J Nov Physiother ISSN:2165-7025 JNP an open access journal with other hand, buttoning with both hands, tying a bow and doing craft project, fitting blocks together.