Children who walk late with scissor steps should be aware of cerebral palsy

  Parents should pay extra attention to the growth and development of their children who were born prematurely, in difficult birth, asphyxiated, jaundiced, or underweight. Once they find that their children are later in motor development than others, that their situation has not improved after calcium supplementation, that they sometimes stand and walk with their toes on the ground, that their knees are not straight, that their legs sometimes cross like scissors, and that their hands are not flexible, they should be alert to pediatric cerebral palsy.  The causes of cerebral palsy are complex, but the incidence can be significantly reduced through active prevention. Prevention before birth: actively carry out eugenics education, improve pregnancy health care, and carry out early prenatal diagnosis. Pregnant women should pay attention to avoid viral infections, such as influenza, rubella, etc., especially in the 10-18 weeks of gestation; do not abuse drugs, prohibit smoking, drinking alcohol; avoid exposure to toxic and harmful substances and radiation exposure, but not too many ultrasound examinations, less television; 2, the perinatal period should avoid the birth of premature and low birth weight babies, prevent asphyxia and intracranial hemorrhage, prevention and control of hyperbilirubinemia; 3, after birth should prevent infectious 3, after birth should prevent infectious diseases and high fever convulsions.  The main manifestations of pediatric disorders are movement disorders and postural abnormalities, which can be divided into several types according to specific manifestations. For example, the “spastic type” is often characterized by muscle tension, joint flexion, and crossed legs; the “torsional spastic type” is often characterized by involuntary twisting of the head and limbs, slurred pronunciation, drooling, and swallowing difficulties, and these two types can be treated surgically; there are also These two types of children can be treated with surgery, while others have muscle weakness or difficulty in balancing, for which there is no good solution.  The treatment of pediatric cerebral palsy is mainly based on a combination of rehabilitation exercises and surgery, and neurotrophic drugs are often unable to help.  The most suitable surgery for spastic cerebral palsy is functional selective posterior spinal nerve root dissection (FSPR), which has good effect on relieving muscle spasm. In the case of hand-foot cerebral palsy, carotid artery dissection (CCA) can be used to relieve symptoms.  Of course, long-term rehabilitation training after cerebral palsy surgery must be adhered to. Some parents of children with cerebral palsy expect surgery to achieve rapid results in the short term because their child’s limb tone does not drop for a long time, ignoring the importance of rehabilitation training. In fact, the better the child’s rehabilitation, the better the conditions for surgery, and the better the results of surgery. Therefore, parents should keep in mind that rehabilitation is indispensable regardless of whether the child has undergone surgery or not, and that post-operative rehabilitation should be carried out in cooperation with surgeons, rehabilitation physicians, physical therapists and occupational therapists.