**4. Summary**

A rehabilitation multidisciplinary team could be a good connection with management. Traditional treatments for spasticity include physical therapy, occupational therapy, and rehabilitation treatments, which complete a number of crucial tasks and specific goals in the treatment of patient with CP, this will promote their sensorimotor development, improve their overall posture and position, and enhance their control of movements in all their daily activities; a lot of physical therapy approaches were based on different theoretical principles though the main target is the management of abnormal muscle tone and improving the range of motion through neurodevelopment therapy, conductive education, constraint-induced movement therapy, etc.

Occupational therapy is a client-centered health profession concerned with promoting health and well-being through occupation, in which the patient is stretched anywhere from once daily to several times per day, but it has only a limited effect on the patient's spasticity. Rehabilitation treatment options include casting, orthotics or splints, strengthening, electrical stimulation, practice of functional tasks, sensory integration, muscle stretching, and targeted muscle training.

Oral medications can be used to decrease spasticity; however, many have unwanted side effects such as drowsiness, sedation, confusion, and fatigue. Benzodiazepines, such as diazepam, are rarely used because of their strong sedating effects. Other oral medications, such as anticholinergics, anti-seizures, address different issues related to CP children.

Speech therapy is recommended if the child has communication, swallowing, and breathing issues. It offers a wide variety of exercises aimed to help children communicate better, and it also addresses and helps in associated disorders that make speech more difficult.

Massage therapy has proven to offer mental, emotional, and physical benefits. It is a supportive therapy treatment in which the body's connective tissues and muscles are massaged and stimulated through direct contact by a massage therapist to promote healing and well-being in the patient.

Hippotherapy is another form of therapy that uses horses and equine equipment to help CP children to develop better physical functioning, as well as assistance with emotional and neurological functioning. Those therapies help strengthen muscles, improve balance and flexibility, and help your child with everyday living tasks.

#### *Management of Spasticity and Cerebral Palsy Update DOI: http://dx.doi.org/10.5772/intechopen.106351*

Aqua therapy or aquatic therapy is a sequence of water-based exercises that help improve a person's physical abilities and functions. It is very useful for CP children because it allows the children to move freely without putting stress or much weight on their bodies. Several goals are to be achieved, including helping kids to develop more muscle control, increase self-confidence, improve strength and physical function, and gain more life independence.

Osteopathic manipulation therapy or OMT is a gentle manipulation of the musculoskeletal system that is supposed to relieve symptoms and improve overall wellness in patients practiced by a trained doctor in osteopathic medicine (DO). Studies results on how OMT can help CP children are mixed, and most of them are small or limited in some way, but there is some evidence that OMT can help CP children move better and feel better.

Chiropractic care for CP children is considered a natural type of treatment that can help with several musculoskeletal and nervous system conditions. Chiropractic intervention is done under a licensed chiropractor who will perform different techniques to help reduce pain and spasms and help to restore proper nervous system function.

Homeopathy is an example of modern alternative medicine such as traditional Chinese medicine, which has evolved over thousands of years. There are a lot of critics of homeopathy, but many people claim it has helped them get relief from symptoms. There are few, if any, risks of working with a trained homeopath.

Pet therapy, or animal-assisted therapy, is another way for CP children to get greater benefits from physical therapy sessions as well as other types of treatment. Working with animals is proven to be beneficial in many ways and, when added to standard therapies, can help children meet their goals. Pet therapy is the use of specially trained animals to promote wellness, boost mood, aid therapy, and other broad uses in mental and physical health care.

Pilates is a system of exercises using special apparatus, designed to improve physical strength, flexibility, posture, endurance, and mental awareness. It is easily adapted to all ability levels and can provide a strenuous strength workout for advanced athletes or a gentler workout for beginners, people recovering from injury, or those with physical disabilities.

Yoga is an ancient practice of mixing physical and spiritual elements. Many people around the world get benefits such as stress relief, flexibility, strength, and other health improvements. Yoga is also being used to help specific populations, like CP children and adults.

Functional electrical stimulation is developed originally to help people with paralysis, using electrical pulses to stimulate muscles, and it is now being used to treat a lot of medical conditions, including cerebral palsy. In CP children, it is proven to improve range of motion, muscle mass, muscle strength, walking speed, spasticity, gait, and foot and ankle positioning.

Chemo-denervation such as using botulinum toxin type A has proved easier, more effective, and less painful for patients. Botulinum toxin is a potent neurotoxin derived from the anaerobic bacteria *C. botulinum*, but when used in treatment, no serious systemic toxin effects have been reported.

Rhizotomy is used to decrease tone, increased mobility, and facilitation of care for the patient. However, the reduction in spasticity cannot be predicted and sometimes results in excessive hypotonia. Other neurosurgical approaches include peripheral neurectomy, myelotomy, and dorsal column electrical stimulation. Intrathecal baclofen pump therapy is a very effective treatment option for CP children.

Orthopedic procedures are the most frequently performed operations for spasticity. The targets of these operations are muscles, tendons, or bones. Muscles may be denervated and tendons and muscles may be released, lengthened, or transferred. The goals of surgery may include reducing spasticity, increasing range of motion, improving access to hygiene, improving the ability to tolerate braces, or reducing pain.

Intensive suit therapy is a new experimental therapy designed to help CP children by improving muscle tone, posture, and movement. Although more studies are needed to confirm its effectiveness in the long run. The intensive suit therapy consists of an orthotic suit that includes a hat, knee pads, and specially designed therapeutic shoes. It also has rings that allow bungee cord-like ropes to be inserted and adjusted according to the child's height.

Hyperbaric oxygen therapy is not recognized as a treatment option for cerebral palsy. Hyperbaric oxygen therapy (HBOT) is a chamber that provides pure oxygen into the bloodstream, while the patient lies in a pressurized chamber. While the patient is inside the chamber, the air pressure is increased three times higher than the normal air pressure, making it possible for the lungs to grab more oxygen.

The Anat Baniel Method and NeuroMovement is a type of movement and brainbased therapy that triggers changes in the brain. The ABM uses movement to change the brain and trigger its learning process and ability to adapt. Baniel and her team work with special needs children and adults with limitations, such as those caused by injuries and strokes. They also work with athletes, musicians, and others to help improve performance.

Acupuncture is one of the oldest medical practices. It is an alternative form of treatment in the United States and additional studies are needed to determine its overall effectiveness. Acupuncture may be used to lessen the child's symptoms and many associated disorders.

Medical Marijuana, cerebral palsy is a life-long disorder, with variety of symptoms ranging from mild spastic movements to the inability to control the limbs and severe seizures. Research on the use of medical marijuana in CP is still limited, but previous studies suggest that it offers a host of benefits, including pain control, reduction of spastic movements, reduction of seizures, and more.

Stem cell therapy is an emerging treatment for different conditions, including cerebral palsy. The umbilical cord blood of newborns is the optimal stem cell to be used. The results are very promising, showing that this emerging treatment is safe and that it may be effective in improving symptoms of cerebral palsy.
