Evaluation procedures:~History of the patients was carefully taken to collect data about their general conditions, physical activity and current medication. The procedures of this study were divided in the following main parts:~-Preparatory Procedures:~All medical and demographic data of subjects will be collected~The role of physical therapy importance in improving their life will be explained.~The basic vital signs of all patients will be monitored (BP, temperature, respiratory rate, and HR).~The patients will be instructed to report any side effects during the treatment sessions .~explained to the children and to their parents, before conducting the study. All the participants were screened (examined) according to inclusion and exclusion criteria. then met the parents of the participants, told them about the study, and received a written approval from them .~All the children were firstly screened for balance deficit (static and dynamic balance) by using one method of evaluating the balance, the assessment and the treatment program, were conducted for each child individually, before and after the treatment period.~assessment :~Balance-check 636 DR WOLFF - Training and Testing of body Stability~Paediatric Balance Scale (PBS)~TTT :~Group A will receive brain gym exercises and physiotherapy, while Group (B) will receive physiotherapy alone.~brain gym exercises will be applied for 12 weeks , 3 per week .~Therapist Will ask the child to drink a cup of water ,then we apply these exercises :~Cross Crawl - Elephant - Brain Buttons -Hook Up Sitting position - Thinking Caps- Lazy Eights - The Rocker-Calf pump - The gravity glider exercise.
This study will be conducted to detect the effect of brain gym exercises on postural stability in children with down syndrome .