To conduct a visualized analysis of research hotspots and development trends in rehabilitation for spastic cerebral palsy (SCP) over the past decade, both domestically and internationally. Methods: CiteSpace 6.2.R6 was employed to perform keyword co-occurrence, clustering, and burst detection analyses on rehabilitation-related literature on spastic cerebral palsy from the past 10 years, sourced from the China National Knowledge Infrastructure (CNKI) and Web of Science (WOS). Results: A total of 674 Chinese-language articles and 284 English-language articles were included. Keyword analysis of the CNKI dataset revealed 12 clusters and 25 burst terms, indicating that domestic rehabilitation research primarily focuses on motor dysfunction and abnormal muscle tone in patients with spastic cerebral palsy. Commonly utilized rehabilitation methods include acupuncture, tuina (Chinese therapeutic massage), and suspension training. In contrast, keyword analysis of the WOS dataset identified 11 clusters and 24 burst terms, revealing that international rehabilitation research hotspots center on improving walking function and correcting gait abnormalities in SCP patients, with an increasingly widespread application of rehabilitation robot-assisted technology. Conclusion: Domestically, a distinctive traditional Chinese medicine (TCM) rehabilitation system has been established for the treatment of spastic cerebral palsy. However, there remains a lack of research on the underlying mechanisms of acupuncture and tuina in treating this condition. Robot-assisted rehabilitation for SCP patients represents a major international research hotspot, with China still lagging significantly behind foreign counterparts in this field.