Effects of Multimodal Neuro Rehabilitation on Cortical Activity and Muscle Syenergy in Spastic Cerebral Palsy

Inclusion Criteria: * Children aged 6-18 years. * Neurologist-confirmed spastic cerebral palsy. * GMFCS Levels I-III (mild to moderate motor impairment). * Ability to understand and follow simple instructions. * Medically stable (no planned major surgery; no recent adjustment of medications affecting cortical excitability). * Parental/guardian written informed consent and child assent. Exclusion Criteria: * Active uncontrolled epilepsy or history of seizure in the last year. * Metal implants in the head or implanted medical/electrical devices (e.g., cochlear implants, ventriculoperitoneal shunts, pacemakers). * Significant visual or auditory impairments that would interfere with task performance. * Severe behavioral or cognitive difficulties that would prevent safe application of tDCS or training tasks. * Currently taking medications known to significantly alter cortical excitability (e.g., benzodiazepines, antiepileptics) if dosage is unstable. * Participation in other experimental neurorehabilitation or brain stimulation interventions within the last 6 months.