Balance problems are common among neuropathic patients following burns, primarily due to sensory and motor impairments.The goal of the study is to investigate the effect of a hydrotherapy program on balance in neuropathic patients following burns. It is a randomized controlled study will be conducted on fifty male patients (age range from 35 to 45 years) with polyneuropathy following lower limb burn injuries, mainly at the sole of the foot, with 3rd-degree injuries and 30% burn extent.

Balance will be assessed before and after treatment using the Biodex Balance System and the Berg Balance Scale (BBS).

Patients will be randomly assigned into two equal groups:

Group A (study group) will receive hydrotherapy sessions including stretching, resistance, and balance exercises in water.

Group B (control group) will receive traditional land-based balance exercises only.

Inclusion Criteria:

• polyneuropathy following burn injuries of the lower limb mainly at the sole of the foot.
• 3rd-degree injuries and 30% burn extent.
• Patients' ages range from 35 to 45 years,
• Ability to understand instructions and following commands.

Exclusion Criteria:

• balance disturbances due to neurological disorders other than polyneuropathy (e.g., Parkinson's disease, inner ear disorders, vestibular or cerebellar dysfunctions).
• Uncontrolled hypertension.
• Diabetes mellitus,
• Cognitive impairments
• Blindness.
• Deafness.
• Significant respiratory or cardiac conditions.