This document discusses approaches to rehabilitating the hand function of children with hemiparesis. It notes that children naturally learn to use their unaffected side more for tasks. Factors affecting hand use include sensory issues, slow movements, weak grip, and spasticity over time. Early intervention should use a family-centered, functional approach with evidence-based protocols. Emerging therapies focus on task-oriented and bimanual training using games and virtual reality. While modified constraint-induced movement therapy and bimanual intensive therapy show improvements, studies note limited generalization and need for review of protocols. A combined approach may be most effective.