This study aims to evaluate the effects of three different physiotherapy approaches-robot-assisted gait training, hydrotherapy, and conventional physiotherapy-on muscle strength, balance, functional mobility, and psychological adjustment in children diagnosed with spastic hemiparetic cerebral palsy. A total of 45 ambulatory children aged 5 to 15 years will be randomly assigned to one of the three intervention groups. All participants will receive therapy twice a week for six weeks.
Muscle strength will be assessed using a handheld dynamometer, balance with the Pediatric Balance Scale, mobility with the Timed Up and Go test, and psychological adjustment with a standardized behavioral checklist. The study will help determine which therapeutic approach provides the most benefit in improving physical function and emotional well-being. Results may guide healthcare providers and families in selecting the most effective rehabilitation method for children with cerebral palsy.
Children aged between 5 and 15 years
Diagnosed with spastic hemiparetic cerebral palsy
Classified as Level I or II on the Gross Motor Function Classification System (GMFCS)
Able to follow simple instructions and participate in therapy sessions
Severe cognitive or mental impairment that interferes with communication
Lower extremity joint contractures preventing use of robotic gait device
Uncontrolled cardiac disease
Active infection at the time of intervention
Istanbul Arel University
Lead sponsor
Kayseri University
Collaborator