Effect of Virtual Reality in Spider Cage on Gross Motor Performance and Balance in Children With Spastic Diplegia

This study will detect the effect of virtual reality in spider cage on gross motor performance and balance in children with spastic diplegia.

Inclusion Criteria:Children will be included in the study if they fulfil the following criteria:A medical diagnosis of spastic diplegic CP made by pediatricians or pediatric neurologists.Children with spasticity grades ranged from 1 to 2+ according to Modified Ashworth scale (MAS).Their age range from 6 to 12 years.Children who can sit on the chair with good balance and recognize and follow verbal orders and commands included in both testing and training techniques.Exclusion Criteria:Children with a permanent spastic diplegia, who might have one or more of the following, will be excluded:They had a permanent deformity (bony or soft tissue contractures).Children having visual or auditory defects.Current hospitalization for urgent medical reasons.Severe mental retardation.Children who will undergo fewer than twelve regular sessions of physical therapy at their place will not be included in the survey.Children with history of epileptic seizure or any diagnosed cardiac or orthopedic disability that may hinder assessment methods and treatment.