1. Evaluate the effect of a structured aquatic therapy programme on static balance in children with spastic diplegic cerebral palsy. 2. Assess the effect of the same programme on dynamic balance in this patient population. 3. Compare balance outcomes between children receiving aquatic therapy and those receiving conventional land-based physiotherapy.
Confirmed diagnosis of spastic diplegic cerebral palsy by a paediatric neurologist or developmental paediatrician
Age between 5 and 12 years
Classified at GMFCS levels I-III
Bilateral lower limb spasticity with a Modified Ashworth Scale (MAS) score of ≥ 1
Athetoid, ataxic, or mixed-type cerebral palsy
GMFCS levels IV or V (non-ambulatory children)
Uncontrolled seizure disorder or epilepsy not managed by medication
Open wounds, skin infections, or active dermatological conditions contraindicating water immersion