Repetitive Transcranial Magnetic Stimulation on Motor Function and Meta-Plasticity in Cerebral Palsy: TMS-EEG Study

Inclusion Criteria (CP): * Aged 6 - 20 years, * A confirmed diagnosis of CP by a specialized professional (pediatric neurologist, PM\&R physician, neonatal developmental specialist, or neonatologist) is a prerequisite for participation, * Classified as high functioning (Level I, II, or III) according to the Gross Motor Function Classification System (GMFCS), * Age-appropriate ability to understand and comply with study procedure throughout the entire duration of the study, * Preserved vision and hearing (with or without correction). Inclusion Criteria (TD): * Aged 6 - 20 years * Age-appropriate ability to understand and comply with study procedure throughout the entire duration of the study, * Preserved vision and hearing (with or without correction). Exclusion Criteria (CP): * Syndromic or genetic brain-related associations, * History of major trauma or brain surgery, * Inability to remain still, * History of Epilepsy, * Severe coexisting sickness or illness unrelated to CP or unstable medical conditions such as pneumonia, * Modified Ashworth Scale: Shoulder, elbow, and wrist scores more than 3, * Limb contractures caused by any other injury except CP, * Severe movement disorders that prevent intentional limb movements, such as choreoathetosis, or ballismus, * Contraindications for rTMS include non-removable metallic objects close to a coil and implanted electronic devices, such as cochlear implants and pacemakers. Exclusion Criteria (TD): * Syndromic or genetic brain-related associations, * History of major trauma or brain surgery, * Inability to remain still, * History of Epilepsy, * Severe coexisting sickness or illness unrelated to CP or unstable medical conditions such as pneumonia, * Limb contractures caused by injury, * Severe movement disorders that prevent intentional limb movements, such as choreoathetosis, or ballismus, * Contraindications for rTMS include non-removable metallic objects close to a coil and implanted electronic devices, such as cochlear implants and pacemakers.