Aquatic and Land-Based Therapy for Postural Control in Children with Spastic CP v1

This single-center randomized clinical trial aims to evaluate the effectiveness of aquatic therapy and land-based therapy on postural control in children aged 5–12 years with spastic cerebral palsy (CP). Participants will undergo a 12-week program with two 45-minute sessions per week, including warm-up, therapist-guided motor activities and cool-down exercises delivered in a therapeutic pool or on land. The primary outcome is postural control, measured using the Korean-Modified Trunk Control Measurement Scale (K-TCMS). Secondary outcomes include functional mobility and coordination, assessed with the Pediatric Evaluation of Disability Inventory (PEDI). This study seeks to determine the impact of aquatic and land-based therapy on postural control and functional abilities, providing evidence to guide clinical and community-based rehabilitation strategies for children with spastic CP, particularly in resource-limited settings.