Sensory-Motor Integration Versus Virtual Reality-Based Exercise in Children With Cerebral Palsy

This study aims to compare the clinical effects of a sensory-motor integration-based exercise program and a virtual reality-based exercise program on gross motor function, balance, and functional mobility in children with cerebral palsy. Participants will be randomly assigned to one of two groups. Both groups will continue to receive standard conventional physiotherapy. In addition, one group will receive a structured sensory-motor integration-based exercise program, while the other group will receive a Nintendo Wii Sports-based virtual reality exercise program. The intervention period will last 16 weeks, with two sessions per week. Outcomes will be assessed before and after the intervention using standardized clinical measures.

Inclusion Criteria: * Diagnosed with cerebral palsy, including diplegic, hemiplegic, or dyskinetic types * Gross Motor Function Classification System level I, II, or III * Aged between 6 and 12 years * Having sufficient cognitive ability to understand and follow simple verbal instructions * Voluntary participation in the study with legal guardian consent Exclusion Criteria: * Gross Motor Function Classification System level IV or V * Spasticity level of 2 or higher in target muscle groups according to the Modified Ashworth Scale * Botulinum toxin injection within the last 6 months * Orthopedic or neurological surgery affecting motor function within the last 6 months * History of uncontrolled epilepsy or neurological conditions contraindicating virtual reality applications * Severe visual or hearing impairment that may prevent participation in the study * Concurrent participation in another rehabilitation program during the study period