PURPOSE: Cerebral palsy (CP) is described as a group of disorders with uneven posture and movement; spastic diplegia is the most prevalent type. The intent of this study was to ascertain the efficacy of spider cage therapy for static and dynamic standing balance in children with spastic diplegic cerebral palsy using the Pediatric Balance Scale (PBS) and the Gross Motor Function Measure (GMFM). METHOD: This study was a randomized controlled trial that used random sampling and blinded evaluators. Children with diplegic CP aged between 5 and 10 years, with GMFCS levels II-IV were assigned to either the spider cage therapy group or the conventional therapy group. The treatment duration was 1 hour and 10 minutes, 5 days a week, for 12 weeks. Normality was tested, and baseline assessments were conducted. RESULTS: The post-test mean values for GMFM in the spider cage group and conventional group were 74.8 (SD 3.59) and 70.5 (SD 2.92) respectively. The post-test mean values for PBS in the spider cage group and conventional group were 47.2 (SD 2.33) and 43.5 (SD 2.96) respectively. The post-test p-value was < 0.05. CONCLUSION: The spider cage group showed statistically significant improvements compared to the conventional group. Based on the results from a 12-week study period, it is concluded that advanced spider cage therapy with a task-oriented approach works better than conventional therapy for improving both static and dynamic standing balance, thereby reducing the functional dependency of spastic diplegic cerebral palsy children.

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