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The purpose of the study was to estimate the functional state of the central nervous system of the children with spastic hemiplegia in physiotherapy and functional training. The subjects were 18 children with spastic hemiplegia and 32 nondisabled pupils, age 8-13 years old. In our study we used following methods – romberg test, electronic balance board, tapping test, mathematic statistics. The obtained results showed that the evaluations of the balance of the children with spastic hemiplegia were significantly better in sagittal plane than frontal. The functional state of central nervous system of the children with spastic hemiplegia and nondisabled pupils showed high changes in freqeuncy of movements during tapping test. The used physiotherapy improved the functional state of the central nervous system of the children with spastic hemiplegia. The functional training programm were more effective than the used physiotherapy programm.