Background: Torsional disorders and flexed knee gait are frequently pronounced in spastic diplegic cerebral palsy (CP) children. Identification of these anomalies is essential as they affect postural control and balance reactions. Purpose: The purpose of this study was to investigate the relation between femoral anteversion(FA) angle, knee angle and balance in spastic diplegic CP children. Methods: Cross-sectional correlational design utilizing a sample of 40 spastic diplegic children (21 girls and 19 boys). Their ages ranged from 5 to7 years with mean±standard deviation 6.04±0.47 years. FA, knee flexion angles and balance were measured by3-D axial CT scan, two digital cameras with the resultant captured video processed using Tracker Video Analysis and Pediatric Balance Scale, respectively. Results: Data analysis revealed that there were statistically significant moderate negative correlations between FA angles for both sides and balance scores. Strong statistically significant negative association was found between knee flexion angles and balance scores for both sides. The correlations between FA angles and knee flexion angles were found to be statistically significant strong positive association (p<0.05). Conclusion: Increased femoral anteversion has positive correlation with knee flexion angle and negative correlation with balance in diplegic CP children. These results provide objective information in formulation of rehabilitation strategies to select appropriate treatments for functional abnormalities.

Background: Cerebral palsy (CP) is the common movement disorder in children associated with life-long disability and multiple impairments. Their clinical manifestations vary among children and have a broad spectrum. Numerous physical therapy techniques are currently used for treatment as kinesio taping (KT) and electrical stimulation (ES) program training for anterior tibial group muscles. Purpose: This study aimed to evaluate and compare the outcomes of using those techniques on balance in cerebral palsy children. Methods: Sixty spastic CP children, their age ranged from four to six years were randomized and split equally between the diplegic CP group (15 received KT; eight boys, seven girls with mean±standard deviation 4.9±0.60 years and 15 received ES; six boys, nine girls with mean± standard deviation 4.92±0.78 years), and hemiparetic CP group (15 received KT; eight boys, seven girls with mean±standard deviation 4.83±0.49 years and 15 received ES; six boys, nine girls with mean age 4.49±0.37 years).Participants were evaluated with the Biodex system before and after six months of treatment. Results: Significant improvement was observed in the measured variables of the two groups when comparing their pre and post treatment mean values, significant improvement in comparing post treatment results in favor of KT in diplegic children and in favor of ES in hemiparetic children. Conclusion: Kinesio taping and electrical stimulation can be useful options to promote balance of children with CP with more pronounced effect of KT in diplegic type and ES in hemiparetic type.

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