To investigate the Effect of Multisensory environment stimulation therapy on postural control in spastic hemiplegic cerebral palsy.

Fortypatients with spastic hemiplegic cerebral palsy will participate in this study.

The patients will randomly be divided into two equal groups; the control group which received the selected exercise program and the study group received the same exercise training program in addition to Multisensory environment stimulation therapy, three times per week for three months. The evaluation methods are BIODEX, The Pediatric Balance Scale, and multidirection reach test

Inclusion Criteria:

• - Forty children with cerebral palsy,
• Age will range as (9:12) years old
• spastic hemiplegic cerebral palsy
• Normal body mass index standardmore than 50th and less than 85th for age and sex compared to standard Egyptian growth charts adopted by the Faculty of Medicine, Cairo University and National Research Centre.
• Gross motor function classification system: level I&II

Exclusion Criteria:

• • difficulty to communicate or to understand program instructions

  • any other neurological deficits or orthopaedic abnormalities,
  • secondary musculoskeletal complication
  • vestibular problems