* To determine the effects of tDCS in conjunction with task-oriented training (TOT) and virtual reality (VR) as compared with sham stimulation and conventional physiotherapy on cortical activity and muscle synergy. * To determine the retention effects of tDCS in conjunction with task-oriented training (TOT) and virtual reality (VR) as compared with sham stimulation and conventional physiotherapy on cortical activity and muscle synergy, one-month follow-up across the five groups.
Children aged 6-18 years.
Neurologist-confirmed spastic cerebral palsy.
GMFCS Levels I-III (mild to moderate motor impairment).
Ability to understand and follow simple instructions.
Active uncontrolled epilepsy or history of seizure in the last year.
Metal implants in the head or implanted medical/electrical devices (e.g., cochlear implants, ventriculoperitoneal shunts, pacemakers).
Significant visual or auditory impairments that would interfere with task performance.
Severe behavioral or cognitive difficulties that would prevent safe application of tDCS or training tasks.