Kinesiotherapy is a vital part of the rehabilitation process for children with spinal muscular atrophy SMA type 1, a disease that leads to the loss of motor neurons and subsequent muscle weakness. In the treatment of SMA, kinesiotherapy plays a critical role in preserving functional mobility, preventing complications such as contractures and deformities, and improving the overall quality of life. Despite its benefits, there are significant challenges in applying this therapy. Given the progressive nature of the disease, the potential for improvement is limited, with the main goal of therapy being the maintenance of the current condition and the mitigation of negative outcomes. Additionally, due to severe muscle impairment, exercises must be carefully tailored to each child´s individual needs to avoid overexertion and further damage. Kinesiotherapy treatments often involve passive movements designed to preserve joint mobility and maintain muscle tone. These exercises can improve circulation, reduce the risk of developing scoliosis, and help prevent contractures that may result from inactivity or improper positioning. Passive exercises are especially crucial for children unable to perform movements independently, while actively assisted movements stimulate any remaining muscle function. The role of parents in the application of kinesiotherapy is of paramount importance, as they frequently collaborate with therapists to ensure daily exercises are conducted at home. Regular communication between parents and professionals allows for the adjustment of therapy according to the child´s progress or changes in their condition. Kinesiotherapy also positively impacts the emotional and psychological well-being of children, as it helps maintain at least a minimal level of mobility, boosting self-confidence and facilitating social interaction. Although SMA remains a progressive disease, these therapeutic approaches help slow the decline and improve quality of life, reducing pain and discomfort. An individualized approach and multidisciplinary collaboration between therapists, doctors and families are key to achieve the best possible outcomes.