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Abstract
Background: This study aims to investigate the effect of the virtual reality on the balance (static and dynamic) in spastic hemiparetic children. Subjects and methods: Thirty spastic hemiparetic school aged cerebral palsy children of both sexes were randomly selected from Elraml children hospital -Alexandria, and divided into two groups a control group and a study one, both groups received same duration of a physical therapy program for three successive months, while only the study group received as a plus X-box kinect sessions (as a virtual reality modality). Evaluation was done before and after three months of treatment using the pediatric balance scale. Results: The results showed that percentage of improvement in the Control group is approximately 4.54%, While in the Study group there is approximately 7.32% which indicating that both groups had a significant improvement with a higher significance in favor of the study group. Conclusion: from the obtained results of this study supported by the relevant literature it may be concluded that the use of virtual reality can be helpful as an additional modality for improving the balance in spastic hemiparetic children