Rehabilitation prognosis for children with cerebral palsy

  In the past, cerebral palsy was thought to be incurable, but in recent years, scholars from various countries have shown that if early diagnosis and early treatment are provided, all but the most severe cases can be cured or normalized. 207 cases of cerebral palsy under 8 months of age treated by Vojta himself were cured in 199 cases. The cure rate was 96.1%. Early treatment is effective because the brain tissue is not yet mature in infancy, and is still in the stage of rapid growth and development, while the brain injury is also in the early stage, and the abnormal posture and movement are not yet fixed, so there is great plasticity, high compensatory ability and strong recovery ability in this period. Therefore, the plasticity of this period is high, the compensatory ability is high, and the recovery ability is strong. The best treatment effect can be obtained at this time.  Rehabilitation prognosis assessment of children with cerebral palsy: ①Most children with hemiplegia can walk at 18-21 months; ②87% of those with parachute reflex before 24 months can walk, and the walking ability reaches a plateau at 7 years of age; ③The inability to sit at 4 years of age or the inability to kneel independently at 6 years of age is a reliable indicator of the inability to walk independently in the future; ④The following 6 items are evaluated for prognosis at an age ≥12 months: a ATNR, b, cervical roll positive reflex, c, STNR, d, extensor extension reflex, e, tense vagus reflex, f, foot placement reflex. For each of the above 6 items, 1 point for each response, 2 points or more for poor prognosis, 0 points for good prognosis, and 1 point for prognosis should be considered carefully.  ⑤ If the child has not formed a dominant hand or the upper limb still cannot move beyond the midline of the trunk before the age of 3, the prognosis of upper limb function is poor, and intelligence is balanced with the index of upper limb function; ⑥ The younger the age, the better the prognosis, generally not older than nine years; ⑦ IQ>70 has a good prognosis, and if it is more than 80, the prognosis is better.