Certified Neuroscience Registered Nurse (CNRN) Practice Exam

What is the primary/first line treatment for spasticity in patients with cerebral palsy?

1. Medication

2. Surgery

3. Physical therapy

4. Occupational therapy

The correct answer is: Physical therapy

The first-line treatment for spasticity in patients with cerebral palsy is physical therapy. This approach is foundational in managing spasticity as it focuses on improving mobility, flexibility, and muscle control through targeted exercises and activities. Physical therapy is designed to enhance functional abilities and can significantly reduce muscle stiffness, promote better movement patterns, and address any deformities developing due to spasticity. Engaging in regular physical therapy can also lead to improved strength and coordination, which help patients maintain independence and participate more fully in daily activities. While other treatments like medication or surgery may be appropriate in certain cases, especially for severe spasticity or when physical therapy alone is insufficient, they are typically considered after establishing a baseline through conservative measures. Therefore, physical therapy plays a crucial, primary role in the management of spasticity for individuals with cerebral palsy.