Impaired brain development caused by brain injury will inevitably lead to abnormal postural development. Therefore, the most important clinical symptom of pediatric cerebral palsy is postural abnormalities, which is also the main basis for diagnosis. The common postural abnormalities are
I. Hypotonia posture.
1.Frog position posture: prone position with limbs flexed tightly against the bed, like a frog.
2, W posture: supine position with the limbs flexed tightly against the bed, resembling the W.
3, folding knife posture: sitting head, neck, trunk, extreme forward flexion, like a folding knife.
4.Inverted U-shaped posture: when the child is lifted horizontally with the hand, the trunk is seen to be upwardly convex, and the head and limbs are naturally drooping, like an inverted U-shaped.
5.Torso up-convex posture: When the child is lifted horizontally, the trunk is seen to be forcefully up-convex and the limbs are tense and stiff.
6.Pterygoid shoulder posture: when supported by hands in prone position, the two shoulder nail bones protrude and resemble wings.
7.Head posture: When pulling up in the supine position, the head can be seen to hang back and cannot be straightened.
8.Shrunken head and raised shoulders: When the child is lifted vertically with both hands supporting the axilla, the two shoulders are seen to be raised and the head is shrunken back.
Second, hypertonic posture.
1.Head dorsiflexion posture: No matter what position, the head and neck are seen to be hyperextended and dorsiflexed.
2.Corsiflexion posture: head, neck and trunk are hyperextended and dorsiflexed, shaped like an arch.
3.Stiff extension of upper limbs and hand clenched fist.
4.The upper limbs are internally retracted, internally rotated, and extended backward.
5.Lower extremities are inwardly retracted, internally rotated, and crossed and extended.
6.After six months, stand on pointed feet.
7.The two lower limbs are inwardly retracted and the femoral angle (the angle between the two lower limbs) is less than 90 degrees.
8.Sitting often take kneeling or both lower limbs hard and straight, trunk back tilt sitting.
9. Teapot-like posture: one upper limb is fixedly extended while sitting, and the other upper limb is fixedly flexed, resembling a teapot.
Third, the original reflex residual and asymmetric posture.
1.TLR posture: in prone position, the hip and knee joints are flexed under the abdomen, the head is pressed against the bed, facing one side, in a hip-high-head-low position.
2.ATNR posture: head turned to one side in supine position, upper and lower limbs extended on the face side, upper and lower limbs flexed on the posterior head side.
3. Hand and foot tachycardia posture: odd-shaped posture of hands, feet, mouth and trunk when tense, which can be reduced or disappeared when quiet.
Fourth, step lifting posture abnormalities: 1.
1. Scissor gait: When walking, the two lower limbs are crossed with pointed feet, and the two knees are flexed and inward.
2. Hemiplegic gait: the upper limb on the hemiplegic side is inward, internally rotated, elbow flexed, wrist flexed, fingers flexed, thumb inward, lower limb externally rotated and extended, toe on the ground, hip lifting, circle gait.
3.Hand and foot tachycardia posture: strange postures of hands, feet, mouth and trunk appear when nervous, which can be reduced or disappear when quiet.