الفهرس 
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Abstract
This study was undertaken to evaluate the role of physical therapy in treatment of children with cerebral palsy.
Thirty children with spastic diplegic cerebral palsy were participated in this study. The children were divided into two groups according to their availability to attend the sessions, group I was fifteen children with spastic diplegic CP who received three physiotherapy session one hour per week, group II was fifteen children with spastic diplegic CP who received one physiotherapy session one hour per week and considered as a control group.
Two groups were received traditional physiotherapy, each group was enrolled in routine physiotherapy treatment program which tailorated for each child according to his condition. The duration of the study was three months.
All children were evaluated at the start and end of the study for each of the following:
1- Growth motor function classification.
2- Clinical spasticity assessement by Modified Ashowrth’s Scale.
3- Pediatric Balance Scale.
4- Activities of daily living performance by WEEFIM motor scale.
5- Range of motion by goniometric measurement of lower limbs joints.
The mean age was 72.93±15months in group I and 71.93±15.60 months in group II. Regarding to sex, male predominance was observed in both groups 60% of group I and 66% of group II. There was no statistical significant difference between the two groups as regard their age and sex. We choose one type of cerebral palsy to make our sample more homogenous, as expectation in motor function considering solely the physical disability vary by the clinical type of CP.
There was statistical significant improvement of spasticity as well as in growth motor function classification. There was marked improvement in group I compared to group II. GMFCS improvement can be relate to improvement in range of motion as decrease ROM and development of sever contracture in children with CP lead to decrease mobility and activity limitation.
As regard PBS, there was a statistical significant difference between before physiotherapy and after 3 months of physiotherapy treatment in both groups but with marked improvement in group I compared to group II.
As regard to WEEFIM instrument motor scale there was great improvement in daily activities and functional change in children who have undergone physical therapy treatment with marked increased in group I.
Joint passive Range of motion measurement were assessed by a goniometer. ROM improvement in group I was marked increased compared to group II and this improvement in ROM due to improvement of muscle tone and functional skills through physiotherapy treatment sessions.
The improvement in group I was statistically significant compared to improvement in group II in all assessment parameter this indicating that not only the importance of physiotherapy treatment session but also the frequency of physiotherapy sessions had an important role in improvement of group I.