Tiptoe, a form of cerebral palsy, refers to a child’s pointed feet. Tiptoe is a form of cerebral palsy in which the baby stands with the toes on the ground and the legs crossed, which is medically known as “clipped gait”. The pointed foot, is not terrible, as long as early detection and early treatment, most children can be cured.
The pointed foot has physiological and pathological pointed foot, that is, normal and abnormal.
1, pathological pointed foot: as pathological pointed foot often suggests that the baby may have a certain degree of brain damage or abnormal brain development, parents need to pay sufficient attention.
2, physiological pointed feet: within one year of normal infants, in the growth and development stage will appear a transitory pointed feet, mainly in about 4 months to support the standing position bouncing stage and about 10 months of continuous standing stage, with the growth and development of pointed feet will disappear, this is the physiological pointed feet. Physiological pointed foot requires close follow-up observation by parents.
(1) The presence of pointed feet for a long time does not subside.
(2) acral foot with motor development backward.
(3) less than 4 months of age, that is, the appearance of pointed feet.
(4) The degree of acromegaly is obvious.
(5) acromegaly with poor audiovisual reflexes.
(6) acromegaly with other abnormal postures.
Since the pointed feet at 4 and 10 months of age may be both physiological and pathological, it is difficult for parents to distinguish them, so it is recommended to go to the pediatric department for examination and identification.
3-6 months is the developmental period of turning. The developmental process of rolling over generally includes the following four items.
1, cervical upright reflex action: mainly seen in newborns, is under the domination of Moro reflex and cervical upright reflex, caused by poor distribution of muscle tension.
2.Head dorsiflexion, coracoeles: The turning action starts from shoulder rotation to one side, and according to the spinal extension, the head is dorsiflexed in the coracoeles position, and can only be turned to the lateral position.
3, automatic turning: subcortical dominance, mostly purposeless, starting with pelvic belt elevation and trunk flexion, can complete the whole turning action.
4.Purposeful turning: purposeful turning under cortical domination, shoulder and pelvis can be simultaneously rotated to one side, and can become four crawl position or sitting position, the movement can be flexibly adjusted.
If you can’t roll over, the development mostly stays in 1 or 2 items, which means that you are under the domination of primitive reflexes, the midbrain and cortical level of uprightness and balance response are not mature.
Commonly used turning training:
1, when training, the child will take the supine position, the trainer can also use both hands to hold the child’s arms up over the head, the two arms left and right cross, so as to drive the child’s body to the two sides of the side turn.
2, the child to take the supine position, the trainer, the trainer hold its two ankles, turn to the left, the right leg twist to the left, and at the same time tease its head to the left side of the rotation, so that the body’s center of gravity with the head, leg drive over, so well trained to shift the center of gravity of the limbs, the upper and lower limbs to coordinate.
3, the child to take the supine position, the trainer hold its two ankles, so that the child to the left when turning over, so that the child’s right leg flexed, across the left leg midline, so that the left arm flexed, and tease its head slowly tilt to the left so that the child’s body with the ball rolling to complete the turning action.
4, the child lies across the wedge-shaped mat on the inclined surface, the inclined surface can assist the child’s trunk rotation.