ABSTRACT Cerebral palsy (CP) is a common cause of disability during childhood. It is a neuromuscular development disorder that is caused by a non-progressive impairment to the fetal brain. There are many neuromuscular, musculoskeletal and developmental impairments associated with CP, including spasticity, dystonia, contractures, abnormal bone marrow development, balance disturbances, selective loss of motor control, and weakness. Recently. There has been increased focus on participation in physical activity in children with CP. Exercises that help people with spasticity include cycling, strengthening exercises and treadmill training. The cycle ergometer can be used in cases with CP to improve cardiovascular fitness, balance, gait and upper limbs function. The goal of this review was to present cycling as rehabilitation tool and its effect in children with CP.