VR Versus Plyometric Exercise on Lower Limb Motor Control and Balance in Spastic Hemiplegic Children

To investigate and compare the effect of Virtual reality and Polymetric exercises on balance, selectivity of the lower extremity and quality of life in children with spastic cerebral palsy. BACKGROUND: Cerebral palsy (CP) can cause a variety of musculoskeletal issues that impact everyday functioning and activities including reduced balance and selective motor control thus improving balance, selective motor control, and quality of life represents a primary goal of pediatric rehabilitation. Various therapeutic interventions have been introduced to enhance lower limb function however, evidence comparing the effectiveness of different treatment approaches remains limited.

Inclusion Criteria: * children with cerebral palsy, * Age will range as (12:18) years old * spastic cerebral palsy * level I-II on the GMFCS * The child can stand alone. * The child is over one meter tall. Exclusion Criteria: * difficulty to communicate or to understand program instructions * surgery/Botox injection during the last 6 months in the lower extremity * uncontrolled severe seizures * fixed deformities in the affected side; * Attention deficit/hyperactivity disorders.