1. Rehabilitation treatment of cerebral palsy.
Cerebral palsy treatment is a comprehensive rehabilitation treatment centered on motor rehabilitation. Adopting comprehensive treatment is the only effective way, and any single rehabilitation treatment method cannot solve all the problems of children with cerebral palsy. Parents should not believe in drug advertisements and put their children’s rehabilitation expectation on some special drugs, so as to avoid spending money and delaying their children’s condition. The best way to cure cerebral palsy is to combine hospital rehabilitation training with home rehabilitation training. As children’s conditions vary greatly and their sensitivity to treatment varies greatly, the effectiveness of the treatment varies greatly and not every patient can achieve quick results.
The rehabilitation program is based on a detailed rehabilitation assessment by the rehabilitation physician, and adjustments need to be made at different stages of treatment. Therefore, the rehabilitation therapist must communicate with the rehabilitation doctor frequently to understand the child’s condition accurately in order to develop a targeted rehabilitation treatment plan.
2. Home rehabilitation training and care for children with cerebral palsy.
Rehabilitation of children with cerebral palsy is a long-term process, so it is very important to strengthen family rehabilitation training and home care. First of all, parents should face the reality, build up confidence and communicate with doctors, therapists and nurses, and carry out home rehabilitation training for the child under the guidance of doctors, therapists and nurses.
More communication with the child, more encouragement for the child to actively participate in rehabilitation training, maintaining good body posture is important for the child’s recovery.
Holding position.
With the child facing the caregiver, separate the child’s legs and then bend them up, hands apart, head slightly drooping or resting on the caregiver’s shoulder, or let the child’s hands reach over the caregiver’s shoulder around the neck, if the child’s body is heavy, move the child to the hip side, this position not only saves effort but also corrects the child’s legs stiffness and strengthens the child’s ability to control the head.
Sleeping position.
Children with cerebral palsy should not lie on their backs for long periods of time, because long-term supine lying can lead to asymmetrical movements and aggravate muscle spasms. However, a small soft pillow should be placed between the legs to avoid hypertonicity of the adductor muscles caused by the tightness of the lower limbs. If a child with hypertonia often has coracoelasticity and asymmetrical posture of various parts of the body, the upper and lower parts of the mattress can be padded, and both sides can be padded to form a concave nest, so that the child lies in the middle, to ensure that the supine position, the head in the midline position, hands to the chest.
Dressing training guidance.
Dressing and undressing should be done with clothes that are easy to put on and take off and with gentle movements. The prone and supine positions are commonly used. If the position is not appropriate, it will aggravate the whole body stiffness reaction. The child is lying on his back or on the parent’s lap, the child’s legs are separated, the knees are flexed, the parent grasps the part near the elbow joint on the affected side with his hand, slowly straightens the child’s arm, then slowly puts the sleeve on the child’s arm and then wears the healthy side. When putting on and taking off the pants, the child’s legs should be flexed and the toes turned to the outside, after putting on one side, then the other side. Try to keep the child’s posture symmetrical and avoid forced pulling and tugging.
Guidance on bowel movements: The bowel movement should be regular and regular, and parents should supervise the child and choose a suitable toilet and the child’s posture. For smaller children, the toilet can be placed on the caregiver’s lap, and the back can be supported and leaned forward slightly, with the legs bent and separated; for larger children, choose a suitable toilet and place it in a wooden box with a wooden cross in front for the child’s support, or place the bench upside down and put the potty in it.
3. Dietary care for children with cerebral palsy.
The diet for children with cerebral palsy should have four main characteristics: rotten, fine, fresh, soft and easy to digest. It should be fine, soft, tender, rotten and fresh. Fine:Squeeze raisins, tomatoes and apples into juice for drinking. Soft:Make meat and fish into meat floss, fish floss, etc. to keep food fluffy. Tender:Steam eggs and water in half each and mix well to make egg custard. Rotten:Boil vegetable hearts, spinach and celery, then mash and grind them to cook with rice. Fresh: Keep all kinds of food fresh and do not eat overnight food. It is not advisable to use stimulating and overly greasy food; food should also be cooked to achieve delicious seasoning, beautiful appearance, aroma, in order to excite the food center, cause gastric secretion, enhance appetite.
According to the cause of the disease, we can also use foods that are good for the kidney and brain, liver and spleen, heart and blood, tendons and bones, such as longan meat, peanuts, sesame, black beans, structured sacrifice, chestnuts, walnuts, pig kidney, cow spinal cord, etc., and a small number of meals are recommended. According to the severity of the child’s condition and age, choose a reasonable and correct holding or sitting posture to keep the meal comfortable. Use a plastic round spoon when eating. In addition, keep the eating environment fresh, quiet and pleasant so that the child can concentrate. Avoid doing treatment before mealtime to reduce the pain and tension of the child, especially for children with spasticity and hand-foot-movement cerebral palsy.
4. Hospital care.
Communicate with the child with patience, care, soft tone of voice, slow down, use simple and clear language and listen patiently and fully, and try to answer the questions raised by the child. If the child makes some progress, the nurse should give timely praise and encouragement.
Parents should be instructed to help their children overcome the dependency mentality, not to do everything for them, but to let them do as much as they can on their own, to cultivate their sense of independence, so that they can take care of themselves and reduce the burden of parents. Assist parents to properly educate and guide their children, try to overcome psychological barriers, so that the child’s body and mind can develop in a healthy direction.
Parents should be instructed to communicate with their children and told that the rehabilitation of children with cerebral palsy is a long-term or even lifelong process, relying on the training staff alone is far from enough, and the help of parents plays a very important role in the rehabilitation of children with cerebral palsy. The effect is twice as effective. Psychological care for parents If parents have psychological problems, they should be given psychological care in time.
5. Social publicity:
Publicize the basic knowledge of cerebral palsy to the public and eliminate the fear, misunderstanding and even discrimination against cerebral palsy patients in the society.
6.Some vaccinations cannot be given to children with cerebral palsy because they are neurological diseases:
It is important to talk to the doctor before taking the vaccination so that the doctor can make reasonable arrangements. First of all, it is important to understand that polio, measles, influenza and cerebral B vaccines are contraindicated and require special attention. After vaccination, observe the child at the vaccination site for half an hour, give the child plenty of water and let the child rest. After the child has recovered, the vaccine can be given retroactively.