Experimental: Active Comparator:Vojta Therapy

The intervention group received Vojta therapy. Vojta therapy was implemented by stimulating the chest zone, which is located between the 7th and 8th rib, use of additional zones was allowed to support the activation. The starting positions for Vojta therapy were supine or side-lying position with the head turned 30°toward the side being stimulated or side-lying. Patients were treated for 30 min with Vojta therapy and afterwards were mobilized with gait training, if feasible.~It is recommended that therapy be carried out 30-40 min per day, thrice week. Same types of movements were detected to emerge by applying stimulus to certain points in newborns and s down children~Vojta defined two main movements:~Reflex crawling: Stimulating key points on the shoulders and pelvis in this position can help engage the extensor and flexor muscles of the spine, encouraging spinal alignment, limb movement, and balance development.

Placebo_comparator: repetitive sensorimotor exercises

The intervention should focus on strength training i.e:Core Stability and Trunk Control Exercises:~Target Muscles: Core stability exercises focus on strengthening the muscles of the trunk, essential for postural control and balance.~Exercises: Activities like sit-to-stand exercises, balance board training, and core strengthening using resistance bands are commonly used.~Balance and Coordination Training :Dynamic Balance Exercises: Activities such as standing on one leg, heel-to-toe walking, and using a balance ball help to strengthen lower limb muscles and improve overall coordination.(30) Proprioceptive Activities: Including balance boards and foam pads for standing exercises can enhance proprioceptive feedback, essential for motor planning and gait adjustments