Spasticity, a frequently encountered symptom in patients with upper motor neuron (UMN) syndrome, poses a significant challenge, negatively affecting function, activity, and social engagement. Despite the acknowledged benefits of exercise in the rehabilitation of UMN syndrome, therapy sessions often trigger an unwelcome increase in muscle stretch reflex activity, resulting in considerable muscle tension despite improvements in function and activity levels. Despite the recognized benefits of exercise in UMN syndrome rehabilitation, there's often an undesirable rise in muscle stretch reflex activity during therapy, leading to considerable muscle tension despite improvements in function and activity levels. The challenge lies in identifying effective strategies that enhance function, activity, and participation while curbing excessive muscle tension caused by heightened stretch reflex activity. Spasticity significantly disrupts the daily lives of affected individuals and presents substantial challenges for caregivers. However, existing methods for measuring and evaluating spasticity have their limitations and are susceptible to errors. This article describes both established and innovative methods utilized for quantitative spasticity assessment and management of spasticity, with the overarching goal of improving the definition of spasticity and identifying assessment techniques suitable for clinical application.

Background: Cerebral palsy presents significant challenges in motor function for affected children. While conventional bottom-up approaches are common in physical therapy, there is increasing interest in the efficacy of the top-down approach. Objectives: To investigated the impact of applying the top-down approach in physical therapy for a child diagnosed with cerebral palsy, focusing on functional improvement and quality of life. Design: A single-case study. Methods: The patient was a 15-year-old boy with spastic diplegic cerebral palsy who was entering middle school. Cerebral palsy treatment approach of the top-down method (jumping rope) was used to guide and direct physical therapy. Results: The child improved in muscle strength of lower extremity, gross motor function, participation and self-esteem, but the pattern of his gait seemed to be more severe on tiptoe. When the child participated in a jumping rope class, he was able to do more than 10 jumps. Conclusion: The effectiveness of the top-down approach in enhancing functional outcomes and quality of life in children with cerebral palsy. It highlights the potential of this approach in pediatric physical therapy, warranting further research validation.

Cerebral palsy (CP) is a prevalent neurodevelopmental disorder characterized by motor and postural impairments caused by central nervous system dysfunction. It significantly impacts children’s daily functioning and quality of life. Physical therapy is a crucial intervention for children with CP that aims to improve motor skills and functional abilities. This study aimed to provide a comprehensive overview of holistic physical therapy approaches methods specifically designed for children with CP and examine recent research trends and their implications for optimizing outcomes in this population. This study employed a narrative review approach, conducting a comprehensive examination of the current literature pertaining to physical therapy methods for children with CP. The review encompassed studies exploring assessment techniques, evidence-based interventions, and innovative approaches in the field. It was discerned that encompassing physical therapy strategies, which encompass individualized treatment plans, evidence-based interventions, and the integration of innovative techniques, yield a favorable influence on the motor skills and functional capacities of children with CP. This review synthesizes the current knowledge on effective physical therapeutic strategies for children with CP. Furthermore, this review highlights the need for continued research and innovation in the field of pediatric physical therapy for CP.