Children with cerebral palsy caused by difficult births need timely treatment

  According to a survey, the incidence rate of cerebral palsy in China is two to three per 1,000 children, which means that there are two or three children with cerebral palsy in one thousand. Among the many factors that cause cerebral palsy, the proportion of difficult births cannot be ignored. Scientific studies have confirmed that the rate of cerebral palsy is quite high in difficult-born babies compared to normal-born babies, and clinical data show that the prevalence of cerebral palsy in difficult-born babies is more than ten times that of normal-born babies.  Difficult birth and low birth weight are the main risk factors for infant cerebral palsy, which are closely related to the origin of the disease, pathophysiological characteristics, clinical complications, postnatal care and treatment of the infant. For example, all organs of the infant are not fully developed, and the brain mechanism is not fully developed.  If care and feeding do not keep up, the brain structure and secondary organs cannot develop as continuously as in the mother’s body, and this disorder of brain development can lead to infant cerebral palsy. In addition, difficult-to-birth infants often have intrauterine distress, postnatal asphyxia, pulmonary encephalopathy, hypoxic-ischemic pneumoencephalopathy, profound apnea, hyperbilirubinemia, bilirubin encephalopathy, hypoglycemia and other concurrent conditions, all of which can cause brain damage and become another potential risk for cerebral palsy.  Many parents are unable or unwilling to accept the fact that their child is suffering from cerebral palsy, which not only causes the child to miss the best time for treatment, but also inadvertently transmits their bad feelings to their child, which affects their rehabilitation treatment. Therefore, parents of children with cerebral palsy must change their perception, adjust their mindset, and face it positively to help their children receive the right treatment as early as possible.  From current clinical research, it is found that children with cerebral palsy often recover better if they receive timely and correct treatment within one year of age. The brain tissue is not fully developed within one year of age and is still in a rapid growth period. Children with cerebral palsy at this age are still in the primary stage of brain damage, abnormal postures and movements are not yet fixed, and they are more plastic and have stronger compensatory recovery ability.  For now, the treatment of cerebral palsy should adopt a multidisciplinary approach, and active rehabilitation should be carried out early on the premise of correct diagnosis. Regardless of which rehabilitation exercise is performed, it should be gradual and persistent, not too hasty and excessive, otherwise it will also cause damage. If the child’s limbs are in a long-term curled-up state causing contractures that cannot be pulled apart, or if stubborn limb spasms prevent training, surgery must be requested from a specialist.  It has been found that about two-thirds of cerebral palsy patients can undergo various types of surgical procedures, such as spastic cerebral palsy, bradykinetic cerebral palsy, mixed cerebral palsy, and dysfunctional cerebral palsy (torsion spasms, etc.). Hand-foot-movement and dysfunctional cerebral palsy can be treated with carotid peripheral nerve net dissection to improve speech, drooling, and upper limb inflexibility.  FSPR is minimally invasive, reversible, without side effects, and can be adjusted according to individual needs. The best time for this type of surgery is between the ages of 2.5 and 6 years, and the surgery needs to be accompanied by long-term standardized rehabilitation.