Upper Limb Hypertonicity in Children with Cerebral Palsy: A review study on Medical and Rehabilitative Management

Hypertonicity is the most common type of cerebral palsy consists of 85% of the affected children. it has avery complex nature making intervention and management very difficult. this article tries to make readerfamiliar with various types of intervention and introduce a new intervention process to help cliniciansdecide better. literature was reviewed with two criteria including: identifying various interventions andtheir effects on upper limb hypertonicity and level of invasiveness of each intervention. this papersuggested a new way of looking at hypertonicity based on its two components (i.e., neural andbiomechanical) and effectiveness of each intervention on these components. in the treatment andmanagement of hypertonicity, clinicians are required to look at all aspects of hypertonicity and then basedon the provided decision tree, decide which kind of treatment to be used for the child.