Child developmental abnormalities to warn of cerebral palsy

  Clinically, we can detect pediatric cerebral palsy in time by observing various manifestations of the infant after birth, for example, head instability is a typical symptom. If an infant cannot lift his head when lying prone at 4 months of age or cannot hold his head upright when sitting, this is often an important sign of brain damage; if an infant has strabismus and poor eye movement at 3-4 months of age, this can indicate the presence of brain damage; if an infant cannot reach out and grasp things at 4-5 months of age, this can be diagnosed as mental retardation or cerebral palsy; in addition, if an infant still has the phenomenon of looking at his hands after 6 months of age, this can be considered as mental retardation.  Of course, some children with cerebral palsy with mild brain damage often have no obvious symptoms in early infancy, but they are more obvious in the second half of infancy, which needs to be taken seriously. In addition, unresponsiveness and unresponsiveness to name calling are also early manifestations of children with cerebral palsy with mental retardation.  In addition, children with cerebral palsy often also have poor weight gain and weakness in breastfeeding. All of the above are important manifestations of pediatric cerebral palsy. We can observe carefully in the clinic and pay close attention to children at high risk of cerebral palsy who were born with difficult birth, premature birth, or asphyxia to help identify pediatric cerebral palsy patients early.  Once a child is diagnosed with cerebral palsy, a set of scientific standardized and specific targeted individualized cerebral palsy rehabilitation training program should be developed as soon as possible. When developing a rehabilitation training program, the first step should be to do a good assessment to find out which obstacles exist in the child, and then develop a reasonable training program based on the specific obstacles of the child. Cerebral palsy rehabilitation training should not be limited to any one method, because it has a variety of pathological movements, which requires the rehabilitation therapist to select the corresponding movement treatment method according to the child’s condition in response to the signs to achieve the ideal treatment effect.  In the early rehabilitation process of cerebral palsy must do to carry out the treatment for the key problems. For children with cerebral palsy, the main problems are limited active movement, abnormal muscle tone and abnormal reflexes. Many children with cerebral palsy lose the ability to move at will and control their movements. They have involuntary, non-functional tachycardia, coarse, abnormal movement patterns instead of coordinated, fine separation activities, and delayed motor development, such as not turning over, crawling, sitting and standing, and walking.  Generally speaking, there are different treatment measures for children with cerebral palsy at different stages of development, and for children with spastic cerebral palsy, we can consider FSPR surgery (functional selective spinal nerve posterior root dissection) after 2.5 years of age, which can solve the problem of the child’s inability to walk on his feet. The problem of high muscle tone is solved immediately.  The traditional SPR technique involves selecting the posterior spinal nerve root at the anatomical level (naked eye) and then selecting the proportion of the spinal nerve to be cut by positioning the spinal nerve stimulation electrodes. The FSPR technique, on the other hand, monitors and analyzes the type and number of nerves to be cut by means of a multi-conductor electrophysiological monitor on the basis of localization, overcoming the subjective factors of traditional SPR and enabling the quantification of the proportion of nerves to be cut, achieving the goal of localization and quantitative cutting of the posterior spinal nerve roots, making the surgery more precise and efficacious, while avoiding medically induced paralysis and urinary and fecal incontinence brought about by the surgery. It also avoids complications such as medical paralysis and urinary incontinence.  In addition, it should be emphasized that the treatment of all types of cerebral palsy, including spastic cerebral palsy, must adhere to the principle of combining surgery and rehabilitation, and follow a scientific treatment path of “rehabilitation training->FSPR surgery->CPMMA surgery->rehabilitation training”.