PURPOSE: This study examined the impact of aquatic interventions on children with spastic CP regarding their physical function and functional independence. METHODS: A randomized controlled trial was conducted from 2017 to 2018 at a rehabilitation center, involving 48 children diagnosed with spastic CP, aged between 6 and 12 years. Participants were randomly assigned into three groups: a Swimming Group (SW, n = 16), Ai Chi Stretching Group (AS, n = 16), and a Control Group (n = 16). Outcome measures included the Gross Motor Function Measure (GMFM-66), Modified Ashworth Scale (MAS), Manual Muscle Testing (MMT), hand grip dynamometer readings, Pediatric Balance Scale (PBS), and 6-Minute Walk Test (6MWT). RESULTS: The findings revealed that both the Swimming (SW) and Ai Chi Stretching (AS) Groups showed significant improvements in gross motor function (p = 0.04). Spasticity levels remained consistent (p > 0.05). However, the SW Group exhibited increased muscle power (p = 0.001) and hand grip strength (p = 0.05). Balance improved in the SW Group (p = 0.05), and endurance increased in the AS Group (p = 0.01). CONCLUSION: This study underscored the value of aquatic interventions in enhancing the physical performance of children suffering from spastic CP and revealed that this exercise improves children's well-being and quality of life.

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