Effect of Designed Physical Training After Selective Dorsal Rhizotomy on Motor Function of Ambulant Children With Spastic Diplegia

Inclusion Criteria: * CP, spastic diplegia * 4-8 years of age * The ability to walk with or without assistive devices typically on Level II-III on Gross Motor Function Classification System * At least six months after the last Botulinum toxin A injection in the lower extremities * Average intelligent quotient according to medical records for active participation * Good trunk control with good antigravity strength of lower extremity on clinical examination. Exclusionary criteria * Ankle clonus; exaggerated deep tendon reflex in the legs * Babinski sign * Structural non-reducible deformities or musculoskeletal surgery in the lower extremities in the past 12 months * Moderate to severe signs of dystonia, athetosis or ataxia.