Sensory Walkway and Gait in Children With Diplegic Cerebral Palsy

Participants in the control group will receive a conventional physical therapy program including stretching exercises for lower limb muscles, strengthening exercises, balance training, and gait training. The program includes quadruped exercises, kneeling and half-kneeling positions, standing balance exercises using balance boards and beams, stepping exercises, and walking training using parallel bars and assistive devices. Each session lasts 60 minutes and will be conducted three times per week for three consecutive months.

Participants in the study group will receive conventional physical therapy in addition to gait training on a sensory walkway. The sensory walkway consists of a sequence of wooden foot boxes filled with different textured materials to provide tactile stimulation of the feet during walking. Corresponding hand sensory boxes are placed along parallel bars to provide simultaneous upper limb sensory input. This setup enables reciprocal sensory stimulation of upper and lower limbs during gait training. Children will walk through the walkway in a controlled manner while immersing their feet and hands in the textured materials and are encouraged to identify and describe the textures to enhance sensory awareness. The intervention aims to improve sensory-motor integration, postural control, balance, and gait parameters in children with spastic diplegic cerebral palsy. Each session lasts 60 minutes and is performed three times per week for three months.