Spinal Cord Stimulation for Children With Cerebral Palsy

Inclusion Criteria: A. Patient-Participant Group (Children with Cerebral Palsy) * Children aged 5 to 17 years with a confirmed diagnosis of cerebral palsy. * Gross Motor Function Classification System (GMFCS) Levels I to IV, able to walk with or without assistance (walker or cane). This classification will have been completed by Dr. Martin Piazza and his Movement Disorders clinic team. * Stable medical condition without recent surgeries or interventions that could affect motor function. * Must be able to communicate basic needs and follow simple instructions. * Provision of informed consent by a parent or legal guardian, with assent from the child as appropriate. B. Control Group (Children without Neurological Diagnoses) * Children aged 5 to 17 years with no history of neurological diagnoses. * Must be fully ambulatory without assistance. * Must be able to communicate basic needs and follow simple instructions. * Provision of informed consent by a parent or legal guardian, with assent from the child as appropriate. Exclusion Criteria: * Presence of implanted medical devices (e.g., baclofen pumps, deep brain stimulators) that may interfere with TSCS. * Severe scoliosis or spinal deformities that could affect the delivery of tSCS. * Uncontrolled epilepsy or a history of frequent seizures. * Severe cognitive impairments limiting the ability to comply with study procedures. * Skin conditions or open wounds at the site of stimulation. * Participation in other interventional studies that may confound results. * Any serious disease or disorder (e.g. cancer, severe cardiac or respiratory disease, etc.) that could affect ability to participate in this study.