group I

group II

These 3 sets were the following:

Set 1: warming up exercise as floating exercise 24 Set 2: Standing education/training Set 3: Walking education/training

The exercises will be conducted taking in consideration safety measures as:

1. Each participant will use Noodles to ensure safety.
2. Each participant will train individually to ensure safety and avoid distraction.
3. Each participant will use special swimming suit in case of lack of bowel and/or bladder control.

Gilliam autism rating scale:

Items on the developmental subscale address behaviors and milestones in the first 36 months of life. Items on the first three behavioral subscales are rated on a four point like scale ranging from Never Observed (0) to Frequently Observed (3). After completing it, the examiner calculated the total raw scores then converted into scaled scores and percentile ranks according to the examiner's manual. Higher scaled scores on a subscale represent severe autistic behavior. Finally, the total scaled scores were calculated to measure the autism index according to the examiner's manual. The higher the autism index, the higher the probability the individual has autism and the more severe the autistic behavior

The Peabody Developmental Motor Scales-Second Edition:

The gross motor function domain will be assessed in the current study. The gross motor function domains contain four subtests. Reflexes, Stationary ,Locomotion and Object Manipulation .

Grading and Scoring of the PDMS-2 The therapist will ask the child to do a specific item and observes how the child is doing the task. Items are scored as 2, 1 or 0.

0 = child cannot or will not attempt an item or the attempt does not indicate that the specific skill is emerging

1. = child's performance shows a clear resemblance to item mastery criteria but does not fully meet the criteria or there are signs of an emerging skill
2. = child performs item according to the criteria specified for mastering the skill

Pediatric Quality of life Inventory Scale:

The Arabic version will be used to assess quality of life. It contains questions about child's physical, emotional, social, and school functioning in the past 7 days. Parents/ child self-administered the quality of life after introductory instructions from the administrator. On the quality of life Generic Core Scales, for ease of interpretability, items are 22 reversed scored and linearly transformed to a 0-100 scale, so that higher scores indicate better Health-Related quality of Life. To reverse score, transform the 0-4 scale items to 0-100 as follows: 0-100, 1=75, 2= 50, 3= 25 and 4= 0. Finally, the Scale Score for each dimension and Total Scale Score were calculated