Virtual Reality Versus Balance Beam on Spastic Hemiplegic Cerebral Palsy

Virtual Reality Versus Balance Beam on Walking Performance in Children With Spastic Hemiplegic Cerebral Palsy

Is there any difference between the use of Virtual reality and Balance beam on walking performance in children with Spastic Hemiplegic Children?

To compare the effect of Virtual reality and the traditional physical therapy program based on Neurodevelopmental technique with Spastic Hemiplegic Children.

To compare the effect of Balance beam and the traditional physical therapy program based on Neurodevelopmental technique with Spastic Hemiplegic Children.

To compare the effect of Virtual reality and Balance beam on walking performance in children with Spastic Hemiplegic Children.

Inclusion Criteria:

• Age ranges from 7 to 11 years old, from both genders.
• Modified Ashworth scale adopted from, (Bohannon and Smith,1987) was used to select the patients with grade 1 and 1+ of Spasticity.
• They were able to stand and walk.
• Gross motor function measure scale GMFM (level I &II). (Russell et al. ,2013).
• Children with good mentality to understand the evaluation steps.

Exclusion Criteria:

• Children who have orthopedic surgery or Botulinum Toxin-A injection in the last 6 months.
• Children who have any spinal deformities.
• Children with severe muscle contracture.