BACKGROUND: Cerebral palsy (CP) is a disorder of movement and posture which is non-progressive in nature, originates from the neural lesions (with static nature of brain injury) during perinatal period occurred during fetal or developing brain and associated with activity limitation and wide range of comorbidities which makes the childs life difficult even when performing his ADL . In other words, as nervous system is structurally disordered, the normal flexibility and plasticity is impaired resulting in restriction of range of motor patterns, finally resulting in weaker motor performance and stereotyped and impaired functionality. The motor disorders of CP are often associated with sensory, perceptual, cognitive, feeding, communication, epilepsy, behavioral issues and also with secondary musculoskeletal impairments. It is the common disability of childhood (during which brain has got maximum potential for reorganization and plasticity) with the prevalence of 2.1 per 1000 in high income countries and prevalence can go up to 8-40 % in high risk population like EP babies, whereas data from countries with low to mid socio-economic status is not available. OBJECTIVE: The objective of the study is to investigate the efficacy of combining Augmented biofeedback with customary physical therapy for improving visual-motor integration skills in children with spastic cerebral palsy METHOD: Participants were 20 subjects, 7-13 years of age, with spastic CP were selected according to the inclusion criteria. They received both augmented biofeedback training andcustomary physical therapy for a treatment duration of 10 weeks and undergone pre and post test of Developmental Test of Visual Perception-2(DTVP) Scale and Bruininks-oseretsky Test (BOT-2) Scale. andManual Ability Classification System (MACS)Scale. RESULT: The statistical analysis revealed thatthe subjects have showed significant changes in visual motor integration skills after the intervention applied. CONCLUSION: Results of the study provide useful evidence supporting the possibility of combined effects of augmented biofeedback training with customary physical therapy for subjects with spastic cerebral palsy.