Children with developmental delay often face challenges in motor skills, balance, and overall quality of life, requiring interventions that are both effective and engaging. The purpose of this study is to improving these areas and investigating comparative effects of both creative movement and play based intervention that can help identify the most effective approach for enhancing motor abilities, balance, and overall well-being in this population

This randomized clinical trial will assess the effects of Creative Movement and Play-Based Interventions on motor skills, balance, and QoL in children with developmental delays. Data will be collected from special education centers and pediatric rehabilitation clinics. Inclusion criteria will include children aged 5-8 years, both genders, with MMSE >24, Stork Stand >4 seconds, and baseline scores on Pediatric Berg Balance Scale, TGMD-2, BOT-2, and PedsQL. Exclusion criteria will cover neurological or musculoskeletal disorders, uncorrected sensory impairments, behavioral issues like ADHD or autism, and recent surgery or assistive device use. Children with chronic illnesses limiting activity, recent specialized motor training, non-compliance with testing. Participants will be randomly assigned to either a Creative Movement or Play-Based Intervention group. Outcome measures will include the Bruininks-Oseretsky Test of Motor Proficiency, Pediatric Balance Scale, Timed Up and Go Test, and Pediatric Quality of Life Inventory. The data collection procedure systematically organized for two intervention groups: Both groups began each session with a 5-minute baseline warm-up including light aerobic movements, dynamic stretching, and active-assisted ROM exercises. Group A (Creative Movement) engaged in activities such as a Hello Song for upper limb coordination, strength exercises (Grow Strong segment), locomotor games, yoga with breathing, and music-making with instruments. Each session lasted 60 minutes and was conducted twice weekly for 8 weeks. Group B (Play-Based Intervention) included obstacle courses, dual-limb coordination games, story reading, building tasks (blocks/LEGOs), and arts & crafts for fine motor development. Each session concluded with a cool-down, promoting relaxation and emotional regulation. Group A will be Creative Movement Intervention and Group B will be Play-Based Intervention, to study Effects of Creative Movement & Play Based Interventions on MotorSkills, balance and quality of life in Children with Developmental Delay.Data will be analyzed using SPSS version 27 to determine the effectiveness of both interventions in enhancing motor function, balance, and overall quality of life

inclusion Criteria

1. Children aged 5-8 years.
2. Both girls and boys .
3. Mini-Mental State Examination (MMSE) score > 24 .
4. Stork Stand Balance Test (both legs) > 4 seconds .
5. Pediatric Berg Balance Scale score ≥ 40 .
6. TGMD-2 GMQ score ≤ 79 (≤ 25th percentile) .
7. BOT-2 Total Motor Composite score ≤ 18th percentile .
8. PedsQL total score ≤ 70

Exclusion criteria:

1. Musculoskeletal Impairments affecting posture.
2. balance.
3. Uncorrected visual or auditory impairments .
4. Behavioral or Attention Disorders that may impair test compliance or affect performance reliability .
5. Recent Surgery or Injury in the past 6 months .
6. Use of Assistive Devices .
7. Chronic Illness Affecting Physical Activity .
8. Participation in specialized motor training in the past 3 months .
9. Inability to follow instructions or complete assessments (TGMD-2, BOT-2, PedsQL).