Can Cerebral Palsy be cured?

Not in the traditional sense, that is, in the medical sense. It can, however, be managed. Management implies a partnership between doctor, therapist, educationalist, parent and child.

The fact that Cerebral Palsy cannot be cured has led to a number of different methods of management of the disorder evolving over the years, each method having its dedicated proponents.

While there is no panacea in the management of Cerebral Palsy , much can be done for each individual. Abilities and problems need to be clearly identified. Short-term goals must be clearly defined.


As stated there is no cure for Cerebral Palsy but there are many different approaches to the management of it, and a decision to opt for one treatment rather than another can significantly alter the life of the child and family.

If children are lifted, held and positioned well from a young age, and encouraged to play in a way that helps them to improve posture and muscle control, they can learn a lot, and lead fulfilling lives.

Most therapists favour early intervention and there is general agreement that the younger the child the greater the effect of the treatment.

The reasons for this are:

  • Massive myelination (growth) is occurring. It is no doubt easier to form correct movement habits before incorrect ones are established.
  • The majority of parents have an expectation that their time will be devoted to their baby, especially in the first two years, so it is easier to involve them in treatment.
  • Treatment does not impinge on the education and social life of the child
  • During this time parents need close contact with people who understand their problems, can help them to remain positive and can assist them in learning about their childs difficulties.

Overall it is important to remember that in order for your child to achieve some degree of independence, they must be given every opportunity and encouragement to accomplish basic tasks, especially when there is the possibility of success.

Types of Treatments

Cerebral Palsy originates from damage to cerebral tissue“ this central nervous system damage leads to a loss of control, especially in the limbs where the result of the damage appears. It is not possible, at present, to repair the damage within the brain. However, this is not to say that motor control cannot be improved with training and therapy.


The Bobath approach to the management of children with cerebral palsy was pioneered and developed by Dr Karel and Mrs Berta Bobath in the 1940s.

The main aim of treatment is to encourage and increase the child’s ability to move and function in as normal a way as possible. More normal movements cannot be obtained if the child stays in a few positions and moves in a limited or disordered way. The aim of management is to help the child to change his abnormal postures and movements so that he or she is able to comfortably adapt to the environment and develop a better quality of functional skills.

Find out more at:

For more information contact your nearest School of Physiotherapy (attached to a Technical University or Institute):


Botulinum toxin type A, or Botox, is a therapeutic muscle-relaxing agent that reduces the rigidity of muscles or unwanted spasms in a specific muscle. Botox is produced from the bacteria that causes food poisoning and provides relief for muscle stiffness at the injection site. Over the past ten years, Botox has been used to treat spastic muscles in children with cerebral palsy. The injection stops the signal between the nerve and the muscle, effectively relaxing the muscle and reducing stiffness. Once the muscles are relaxed intensive therapy is required to maximise the benefits of treatment. This is not a cure for spasticity, and to maintain the effect injections need to be repeated every three to six months.

For more information contact a Children’s Hospital.

Conductive Education

Conductive Education was developed by Professor Andras Peto, a physician, in Budapest, Hungary in the 1920s. In 1945 he established the present-day Peto Institute for people with motor disabilities which included training staff to work with children with cerebral palsy. These conductors are educators who work alongside child and parent, motivating and guiding them to solve problems in an intensive, comprehensive structured learning programme. The elements of Conductive Education are group learning, rhythmic intention and the task series that stimulates the senses and encourages self-awareness through activity. The holistic approach of Conductive Education includes pre-school learning, motor skills, cognition, social and emotional development.

Today more than 20 conductors work in the country’s 10 Conductive Education establishments. Centres can be found in Auckland, Hamilton, Wellington, Christchurch and Invercargill; they provide programmes for babies, pre-school, primary and high school aged children and adults with motor-disabilities

For more information visit the New Zealand Foundation for Conductive Education website

Cranial Osteopathy

Despite nearly 20 years of research Dr William Garner Sutherland, an osteopath from Missouri, U.S.A, had to wait until 1940 to have his ideas accepted. Cranial Osteopathy deals with the movements of the cranial bones (there are 29 bones that make up the head), the movement of the membranes that surround the brain and contain the cerebral spinal fluid, and the movement of the brain itself. These small movements of the body structure affect every part of the body and can be felt and manipulated from almost any part of the body being worked on. It is very gentle (most people don’t feel themselves being worked on), and is often the treatment of choice for the very young, the infirm and the elderly.

To find practitioners in your area look up Osteopaths in the yellow pages, then ring up to find out whether they practice cranial.


Physiotherapy is a health profession concerned with maximising mobility and quality of life by using clinical reasoning to select and apply the appropriate treatment. Physiotherapists interact with patients and families, as well as other health professionals, in order to assess movement potential and establish goals for the patient. Physiotherapy extends from health promotion to injury prevention, acute care, rehabilitation, maintenance of functional mobility, maintenance of the best achievable health in people with chronic illness, patient and carer education, and occupational health.

Surgical Intervention

It is very difficult to predict complex individual systems, they are like weather systems; it is even more difficult to predict the reliability of intervention. Orthopaedic surgery addresses several different areas: gait abnormalities, correction of hip deformity, upper limb and scoliosis surgery. Short muscles cannot be lengthened but surgery can alter the length of the tendons, redirect the tendons and, in some cases, divide the tendons to remove an abnormal force. Bones can also be divided and realigned and unstable joints fused. Lengthening tendons reduces tension in the muscle in the short term. Performing surgical correction at an early stage runs the risk of recurrence throughout growth, with the potential for repeat surgery. Perioperative and postoperative care is critical in ensuring that the treated abnormalities do not re-occur due to pain, lack of therapy and poor provision of orthotics.

Cerebral Palsy Society