 Muscles with severe spasticity are likely to be more limited in their ability to exercise, and may require help to do this.In spastic cerebral palsy children the main treatment modality of spasticity is conservative in the form of botulinum toxin A injection and various physical therapy modalities such as serial casting, sustained stretching and medical pharmacologic treatment.Spasticity in cerebral palsy children is usually generalized although with varying degrees of severity across the affected extremities and trunk musculature.