Children with hemiparesis show characteristic walking pattern resulting from weakness and spasticity on one side of the body. Nordic walking (NW) engages both the upper and lower body, which can help improve coordination and balance.
Their age will range from 6-10 years, from both sexes.
Level I, II and III of gross motor functional classification system
Grade 1 and 1+ spasticity according to the Modified Ashworth Scale
Uncontrolled epilepsy.
Mental retardation or autistic features.
Significant visual or auditory problems according to medical reports (audio-vestibular and ophthalmic examination),
Parallel
Conventional physcial therapy program
Other interventionboth groups will recive 60 minuts physical therapy training
Nordic walking trining
Other interventionthe NW-group will recive gait training for 15 minutes using walking poles
treadmill trianing
Other interventionthe TM-group will recive gait training for 15 minutes using treadmill device
Spatio-temporal parameters of gait
Step and stride length in centimeters and cadence (number of steps in one minute)
Kinematic gait analysis
Measure the hip and knee flexion as well as ankle planter flexion angles
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