Functional Progressive Resistive Training and Cerebral Palsy

Functional Progressive Resistive Exercise (FPRE) is a strengthening approach that combines functional movement activities with progressively increased resistance. It involves performing task-oriented exercises, such as sit-to-stand, stair climbing, and walking-related activities, while gradually increasing the load to enhance muscle strength, endurance, and functional performance. FPRE is widely used in rehabilitation programs to improve mobility and the ability to perform activities of daily living in various populations, including children with neurological and musculoskeletal disorders.

Inclusion Criteria: 1. A diagnosis of spastic diplegic CP 2. Degree of spasticity ranges from 1+ and 2, according to modified Ashworth scale (MAS) 3. The age of the selected children will range from 6 to 10 years old. 4. Children are levels II and III according to GMFCS Exclusion Criteria: 1 - Children with visual or auditory problems. 2. Children with severe intellectual disability (IQ less than 65 according to Stanford Binet intelligence scale).