Effect of mechanical vestibular rehabilitation on kinematics of lower limb in diplegic cerebral palsy children

Background: Children with cerebral palsy frequently have gait abnormalities, which severely limit their movement and ability to participate in everyday activities. This underscores the necessity of exploring innovative rehabilitation strategies beyond conventional physiotherapy approaches. Vestibular rehabilitation emerges as a promising intervention to enhance gait efficiency, thereby promoting greater functional independence. Purpose: To assess the impact of mechanical vestibular rehabilitation on gait in children with diplegic cerebral palsy. Subjects and Methods: Forty children with spastic cerebral palsy participated in this study, separated into two equal groups: control and experimental. Two dimensions gait analysis by kinovia software program used before and after treatment to measure hip , knee and ankle joint angles during gait cycle. The control group received a designed physical therapy program; and the study group received mechanical vestibular program in addition to the designed physical therapy program for 12 weeks 4 times /week for both groups. Results: All mean variables of the right and left hip, knee, and ankle joint angles increased significantly in favor of the study group. (p>0.05). Conclusion: This study concluded that mechanical vestibular rehabilitation program is beneficial in improving gait in children with diplegic cerebral palsy.