For spastic muscles with mild-to-moderate impairment, exercise should be the mainstay of management, and is likely needed to be prescribed by a Physiatrist (Doctor specialized in Rehabilitation medicine), occupational therapist, physical therapist, accredited exercise physiologist (AEP) or other health professional skilled in neurological rehabilitation.Muscles with severe spasticity are likely to be more limited in their ability to exercise, and may require help to do this. In spastic cerebral palsy children the main treatment modality of spasticity is conservative in the form of botulinum toxin A injection and various physical therapy modalities such as serial casting, sustained stretching and medical pharmacologic treatment. Spasticity in cerebral palsy children is usually generalized although with varying degrees of severity across the affected extremities and trunk musculature. Neglected or inappropriately treated spasticity can eventually lead to joint contractures. Both spasticity and contractures can cause joint subluxations or dislocations and severe gait difficulties. In the event of contracture there is no role for conservative treatment. Hip dislocation and ankle equinus deformity are known to arise from muscle spasticity primarily. Orthopedic surgical reconstruction of the hip is commonly practiced to improve sitting balance, nursing care and relief hip pain. Treatment should be done with firm and constant manual contact positioned over nonspastic areas to avoid stimulating the spastic muscle(s).
Susto (Spanish pronunciation: [ˈsusto], Portuguese pronunciation: [ˈsuʃtu]) is a cultural illness primarily among Latin American cultures. It is described as a condition of "chronic somatic suffering stemming from emotional trauma or from witnessing traumatic experiences lived by others". Symptoms
Among the indigenous peoples of Latin America, in which this illness is most common, susto may be conceptualized as a case of spirit attack. Symptoms of susto are thought to include nervousness, anorexia, insomnia, listlessness, fever, depression, and diarrhea. Treatment
Treatments among indigenous people are natural. Some natural treatments to susto consist of using plants as medicine; sweating out the toxins; and massaging to encourage blood flow. Prayer is a big part of the treatment of susto. In addition to prayer, healing rituals are also used, some of which include sweeping and giving gifts. Classification
Susto may be a culturally dependent variation of the symptoms of a panic attack, which is distinct from anxiety and depressive disorders. See also
Psychological trauma

References
Further reading
Rubel, Arthur J (July 1964). "The Epidemiology of a Folk Illness: Susto in Hispanic America". Ethnology. 3 (3): 268–283. doi:10.2307/3772883. JSTOR 3772883. Also published as Chapter 12 in Landy, David, ed. (1977). Culture, Disease, and Healing: Studies in Medical Anthropology. New York: Macmillan Press. ISBN 0-02-367390-7. Susto: The context of community morbidity patterns
Rubel, Arthur J; ONell, Carl W; Collado-Ardon, Rolando (1991). Susto A Folk Illness. University of California Press. ISBN 9780520076341. ONeil, Dennis. "Explanations of Illness". Medical Anthropology. ONeil. Retrieved 6 March 2013.