How to choose from so many treatments for cerebral palsy?

  Treatment for cerebral palsy includes rehabilitation, surgery, medication, etc. So what conditions require surgery? Is surgical treatment or functional movement training better?  Currently, common surgical treatments include selective spinal nerve heel resection to deal with spasticity, and Achilles tendon lengthening for contracture management. Generally, because surgery is so physically devastating to the patient, it is recommended that alternative therapies (such as Botox injections and exercise therapy) be used early in the course of the disease, unless the child has developed joint deformities and fixed contractures that can be treated surgically in adulthood.  Children with cerebral palsy generally require lifelong motor therapy, but this therapy does not have to be in the hospital every day. Instead, a good hospital-family rehabilitation model is established, with hospital intervention being the main focus in the early stages when the child is younger, supplemented by family rehabilitation, and slowly shifting to family rehabilitation, supplemented by hospital intervention, in the later stages when the child is older. At different stages of the child’s development and disease, treatment is provided for different conditions. For example, regular rehabilitation assessment can be done to modify the treatment plan, Botox injection can be used to manage spasticity, and appropriate brace can be used according to the situation.  Children with cerebral palsy can be classified into I-V according to the GMFCS classification. Children with I-II grade are lighter and can have more hope to lead a normal life; parents can do relevant motor training at home according to the treatment plan, for example, children who can walk can walk on complex surfaces, walk training, core muscle group strength training, etc.