Effect of Whirlpool Therapy Combined With Botulinum Toxin in Children With Cerebral Palsy

This study aims to investigate the effects of adding whirlpool therapy to standard rehabilitation in children with cerebral palsy who recently received botulinum toxin-A injections. Participants will be divided into two groups: one group will receive standard physiotherapy, while the other group will receive physiotherapy combined with whirlpool therapy. The effects of these interventions on spasticity, gait function, and motivation will be evaluated over a 12-week follow-up period.

Inclusion Criteria: * Diagnosis of hemiplegic cerebral palsy * Age between 3 and 10 years * Gross Motor Function Classification System (GMFCS) levels I-II * Sufficient cognitive level to follow instructions * Ability to walk at least 10 meters with an orthosis and/or walking aid * Receipt of botulinum toxin injection to the lower extremity within the past week * Ability to walk independently for 1 minute without orthosis or assistive device Exclusion Criteria: * Uncontrolled epilepsy * Urinary incontinence * Presence of lower extremity contractures * History of previous orthopedic surgery * Presence of hip subluxation * Ataxic or dyskinetic cerebral palsy * History of any botulinum toxin injection within the 6 months prior to the current 1-week post-injection period * Inability to cooperate during clinical assessments