A New Multimodal Treatment Approach for Children With Spastic Diplegic Cerebral Palsy

Inclusion Criteria: * The children will have grade 2 or 3 on Modified Ashworth Scale. * The children will have Level II, or III according to the Gross Motor Function Classification System. * The children walk with equinus or jump gait patterns with spasticity of the hamstrings and hip flexors in addition to calf muscles spasticity. * Children take their Antispastic drug use such as baclofen, diazepam or tizanidine. * All children will be able to follow instructions. Exclusion Criteria: * children will be excluded from the study if they have any problems of the following: * Cognitive dysfunction. * Poor skin integrity. * History of or recent nonunion fracture. * Fixed contractures and deformities. * Previous surgery (tendon lengthening). * Received Botulinum toxin A injections in the last six months. * Impaired circulation.