What are some therapy options?

Children may receive specialized evaluations or assessments to help determine prognosis or need for
treatment. These assessments may be performed by therapists in a clinic or hospital and include
measurement of range of motion, strength, motor control, balance, coordination, functional skills,
endurance and mobility, including walking (gait). Following medical or surgical treatment, therapy can
enhance motor function and speed recovery. This may include instruction in methods to transfer in and out
of bed, use of equipment such as braces, splints, wheelchairs, walkers, and exercises for stretching,
strengthening and improving function.
Children with cerebral palsy are delayed in acquisition of motor skills to varying degrees, but usually reach
their maximum potential for independent mobility by age 6. The focus of therapy changes from
development of motor skills to promotion of health and achievement of independence with adaptations as
needed. Short term intensive therapy is often used to address specific issues such as self care and use of
technology. As children grow and develop, the need for individual therapy is reduced. They become more
responsible for performing individual exercises and recreational activities to increase strength and
endurance. PTs and OTs can design a home exercise program and help to adapt recreational and sport
programs. Activities should be enjoyable and lay the foundation for lifelong practice to promote heart and
lung fitness, protect and strengthen muscles, bones, and joints and promote overall health and well-being.
It is important to realize that the therapist should be considered a ‘coach;’ continued work at home will lead
to the best result.
Options that may be considered for treating cerebral palsy include physical therapy, occupational therapy
and speech therapy.