Cerebrovascular disease muscle spasm for decades can do rehabilitation, but the rehabilitation effect is often not ideal. Cerebrovascular disease muscle spasm for decades belongs to the sequelae period, the patient often not only exists muscle spasm, but also may be combined with joint contracture, muscle atrophy, muscle fibrosis, heterotopic ossification, osteoporosis, and other complications, damage to the brain function is also difficult to have recovery. If the above complications have already appeared, the effect of rehabilitation is not good and the treatment is not meaningful. If the degree of spasticity is not high and muscle function is relatively well preserved, the patient can be treated with anti-spasticity manipulative therapy, rehabilitation-assisted robotics, and oral anti-spasticity medications such as baclofen and tizanidine. Local injection of botulinum toxin can also be considered to relieve spasticity and improve symptoms. Prompt and standardized treatment and rehabilitation are needed after the onset of cerebrovascular disease to avoid or reduce sequelae such as hemiparesis, muscle spasm, and sensory impairment.