Does a child with a brain injury have to be disabled?

The majority of cerebral palsy in children comes from infant brain injury. Infant brain injury is mostly caused by hypoxia before and after birth, congenital infections, infant hyperbilirubinemia or other critical illnesses, and the proportion of brain injury in low birth weight babies is higher due to various reasons. Cerebral palsy is one of the types of brain injury, and broadly speaking, it also includes congenital cerebral insufficiency. Cerebral palsy is a type of cerebral injury, which also includes congenital cerebral hypoplasia. At present, foreign countries attach great importance to the early education of normal children, such as the United States proposed that children’s education should start at the age of zero, and scientific training should be given after birth, which not only makes normal children get better development in all aspects, but also enables children with mild brain injury to get rehabilitation in early education. Many countries have adopted stronger intervention methods than early education for infants with brain injury and children at high risk of cerebral palsy, which have greatly reduced the disabilities left behind by brain injury. These intervention methods are not complicated and do not require expensive instruments, but mainly use correct information to stimulate the brain and gradual brain function training, so as long as medical personnel and parents pay attention to preventing the birth of children with brain injury and carrying out early interventions for children at high risk of cerebral palsy, children with cerebral palsy can be completely prevented from being born with cerebral palsy. As long as medical professionals and parents pay attention to preventing the birth of children with cerebral palsy and providing early intervention for children at high risk of cerebral palsy, it is possible to stop the trend of increasing number of children with cerebral palsy, and to greatly reduce the number of children with other disabilities caused by cerebral injury. Early and late intervention for children with cerebral palsy is the most important factor affecting prognosis. The earliest intervention is the treatment of neonatal hypoxia, jaundice and other critical conditions in hospitals. After the acute stage, information stimulation and functional training should be carried out immediately, and such interventions should be started from the neonatal period. If we miss the early stage of infancy when the brain potential is the greatest and brain plasticity is the strongest, a lot of brain-injured infants, although they can be partially recovered through functional training, are often left with disabilities of varying degrees, and if we start intervening in children with brain injuries in the first three months of life, the vast majority of them will have different degrees of disabilities. The vast majority of brain-damaged children who start intervention from the third month of life can return to the ranks of normal children. In addition to the above mentioned factors of brain injury in infants, there are some other factors that are not easy to detect, therefore, we should carefully observe some of the newborn’s performance and often compare it with the normal developmental pattern, so that abnormalities can be found as early as possible. China’s folk summary of the “two (2 months) to raise their heads, four turn over, six sitting, eight climbing, ten standing, week walking”, basically reflects the infant’s law of motor development, plus five months should know acquaintances, one year old should be conscious of calling parents, can be roughly informed of the infant’s physical and mental development. Smaller or slower growth of head circumference than normal, small or early closure of fontanel, overlap of skull bones, strabismus, eye tremor, poor visual tracking, poor auditory orientation response, 2 months – 3 months of hands still often hold the palm of the hand, 6 months – 7 months to support the station of the lower limbs cross the tightness or only toes of the feet on the ground, 9 months – 10 months can not pinch with the fingers and so on, may be the manifestation of brain injury, cerebral palsy, should be timely consultation, such as Infants with abnormal cranial CT or MRI, abnormal visual, auditory, and somatosensory evoked potentials should be examined regularly for developmental status and timely intervention. Intervention for infants with brain injury is mainly to provide appropriate information stimulation through the three main input channels of the brain, namely vision, hearing and skin sensation, and to provide functional training for the three main outputs, namely gross motor, fine motor and language, at an earlier stage than the normal motor development pattern. In the neonatal period, we can use brightly colored toys and the smiling face of parents talking to the infant when he/she wakes up to guide him/her to gaze in all directions, and we should strengthen the training in this aspect for those who are not good at visual tracking, and the sound of parents’ talking is the best auditory stimulus, so we should talk to the infant several times a day, and for those who have poor response to auditory orientation, we can add the sound stimulus of sound toys with rattles or plastic bottles with beans. Touching the baby’s skin all over the body with warm hands, together with gentle massage, can promote the recovery of brain injury. Crawling training is an important method for brain injury rehabilitation. American doctors have pointed out through research that, during the process of motor development of infants from crawling to kneeling up to crawling, and then to standing and walking, the corresponding development of the brain is perfected from the brain bridge to the midbrain, and then to the cerebral cortex. Crawling helps the brain to recover. It has been clinically proved that for children with brain injury who can not crawl, passive mode movement that simulates crawling can effectively promote the emergence of crawling movement, correct the wrong motor posture, regulate muscle tone, improve sensory perception, and carry out timely training of sitting, standing, walking, fine hand movement and chewing, language and balance ability according to the developmental law, which is also an important content of brain injury intervention and cerebral palsy treatment. In order to correctly intervene at an early stage, several wrong views must be corrected: First, most of the brain injuries can naturally return to normal and be observed for a period of time before diagnosis and treatment. It is true that there is a considerable proportion of brain-injured children who don’t develop cerebral palsy in the family child-rearing environment, but recent studies have confirmed that the children who have learning disabilities, hyperactivity, sensory integration disorder and other manifestations in the school-age period have mostly been at high risk for the risk of September 11th cerebral injury or cerebral palsy. Brain injury. Although China’s statistics asphyxiated children have intelligence axe on only 7%, but the remaining 93% of the average intelligence is also lower than normal children, therefore, at present, many inside and outside the scholars advocate for and brain damage as high-risk factors and developmental delays in pediatrics should be intervened, so that in the evaluation of a certain kind of rehabilitation treatment, should be considered a number of factors affecting. Secondly, if the brain injury in infancy is serious, it will surely leave disability. Clinical practice at home and abroad confirms that to what extent the brain injury is rehabilitated, whether it starts early or late, and whether the method is right or not, it is more important than the severity of the injury, and the United States reports that congenital cerebral developmental dysplasia children who are born with this intervention may eventually achieve self-care and engage in simple work. Germany reported that 96% of infants diagnosed with cerebral palsy less than 8 months after birth could be restored to normal through treatment. Therefore, it is important to have confidence in the intervention of brain injury and the rehabilitation of cerebral palsy beads, as infant brain damage can be prevented and cured. Thirdly, parents of infants with cerebral palsy do not know enough about the importance of information stimulation and functional training, and they believe too much in the importance of injections and medication, and medication has a certain auxiliary effect on the rehabilitation in some periods, but a lot of clinical practices at home and abroad have confirmed that the appropriate information stimulation and correct functional training are the main methods of rehabilitation. Reasonable cooperation can significantly improve the therapeutic effect. It is important to note that no matter what passive training is, it still cannot replace active movement. Doing everything possible to induce children to move and talk more is the essence of brain injury rehabilitation. Most of the cerebral palsy in children comes from infant brain injury, which is caused by hypoxia before and after birth, congenital infections, infant hyperbilirubinemia or other critical illnesses, and the proportion of brain injury in low birth weight babies due to various reasons is relatively high, cerebral palsy is only one of the types of brain injury, and broadly speaking, it includes congenital cerebral developmental dysfunction, which may be manifested as developmental backwardness, central movement disorder, mental retardation, epilepsy, visual and hearing impairment, etc. Brain injury can be manifested as developmental delay, central motor disorder, mental retardation, epilepsy, audio-visual disorder and so on. At present, foreign countries attach great importance to the early education of normal children, for example, the United States proposes that children’s education should start at the age of zero, and scientific training should be given after birth, which not only enables normal children to get better development in all aspects, but also enables children with mild brain injury to get rehabilitation in early education. In many countries, stronger interventions than early education for infants at risk of brain injury and cerebral palsy have led to a significant reduction in the disabilities left by brain injury. These interventions are not complicated and do not require expensive equipment, but mainly involve stimulating the brain with correct information and progressive brain function training. As long as medical personnel and parents pay attention to preventing the birth of children with brain injuries and providing early intervention for children at high risk of cerebral palsy, it is possible to stop the trend of cerebral palsy from continuing to increase, and to greatly reduce the number of disabilities left by brain injuries. The prognosis of children with cerebral palsy is influenced most by how early intervention is initiated. The earliest intervention is the treatment of neonatal hypoxia, jaundice and other critical conditions in hospitals. After the acute stage, information stimulation and functional training should be carried out immediately, and such interventions should start from the neonatal period. If the early infancy period, which has the greatest brain potential and the strongest brain plasticity, is missed, many brain-injured infants, though partially recovered through functional training, are often left with disabilities of varying degrees, and those with brain injuries who have interventions starting from the third month of life are mostly left with disabilities. The vast majority of brain-damaged children who start intervention from the third month of life can return to the ranks of normal children. In addition to the above mentioned factors of brain injury in infants, there are some other factors that are not easy to detect, therefore, we should carefully observe some of the newborn’s performance and often compare it with the normal developmental pattern, so that abnormalities can be found as early as possible. China’s folk summary of the “two (2 months) to raise their heads, four turn over, six sitting, eight climbing, ten standing, week walking”, basically reflects the infant’s law of motor development, plus five months should know acquaintances, one year old should be conscious of calling parents, can be roughly informed of the infant’s physical and mental development. Smaller or slower growth of head circumference than normal, small or early closure of fontanel, overlap of skull bones, strabismus, eye tremor, poor visual tracking, poor auditory orientation response, 2 months – 3 months of hands still often hold the palm of the hand, 6 months – 7 months to support the station of the lower limbs cross the tightness or only toes of the feet on the ground, 9 months – 10 months can not pinch with the fingers and so on, may be the manifestation of brain injury, cerebral palsy, should be timely consultation, such as Infants with abnormal cranial CT or MRI, abnormal visual, auditory, and somatosensory evoked potentials should be examined regularly for developmental status and timely intervention. Intervention for infants with brain injury is mainly to provide appropriate information stimulation through the three main input channels of the brain, namely vision, hearing and skin sensation, and to provide functional training for the three main outputs, namely gross motor, fine motor and language, at an earlier stage than the normal motor development pattern. In the neonatal period, we can use brightly colored toys and the smiling face of parents talking to the infant when he/she wakes up to guide him/her to gaze in all directions, and we should strengthen the training in this aspect for those who are not good at visual tracking, and the sound of parents’ talking is the best auditory stimulus, so we should talk to the infant several times a day, and for those who have poor response to auditory orientation, we can add the sound stimulus of sound toys with rattles or plastic bottles with beans. Touching the baby’s skin all over the body with warm hands, together with gentle massage, can promote the recovery of brain injury. Crawling training is an important method for brain injury rehabilitation. American doctors have pointed out through research that, during the process of motor development of infants from crawling to kneeling up to crawling, and then to standing and walking, the corresponding development of the brain is perfected from the brain bridge to the midbrain, and then to the cerebral cortex. Crawling helps the brain to recover. It has been clinically proved that for children with brain injury who can not crawl, passive mode movement that simulates crawling can effectively promote the emergence of crawling movement, correct the wrong motor posture, regulate muscle tone, improve sensory perception, and carry out timely training of sitting, standing, walking, fine hand movement and chewing, language and balance ability according to the developmental law, which is also an important content of brain injury intervention and cerebral palsy treatment. In order to correctly intervene at an early stage, it is necessary to correct several wrong views: First, most of the brain injuries can naturally return to normal, observe for a period of time and then diagnose and treat. It is true that there is a considerable proportion of brain-injured children who do not develop into cerebral palsy or have obvious disabilities in the family child-rearing environment, but studies in recent years have confirmed that the children who have learning disabilities, hyperactivity, sensory integration disorder and other manifestations in the school-age period have high risk factors for brain injuries. Although China’s statistics asphyxiated children with mental retardation accounted for only 7%, but the remaining 93% of the average intelligence is also lower than normal children, so many internal and external scholars advocate and have brain injury risk factors and developmental delays in children should be intervened in the evaluation of a certain kind of rehabilitation therapy, should take into account the impact of many factors. Secondly, if the brain injury in infancy is serious, the disability will be left. Clinical practice at home and abroad confirms that, to what extent the brain injury is rehabilitated, whether it starts early or late, and whether the method is right or not, it is more important than the severity of the injury, and the United States reports that, congenital cerebral developmental insufficiency children intervene at birth, and they may eventually reach the point that they can take care of their own lives and engage in simple work. Germany reported that 96% of infants diagnosed with cerebral palsy less than 8 months after birth could be restored to normal through treatment. Therefore, it is important to have confidence in the intervention of brain injury and the rehabilitation of cerebral palsy, and that brain injury in infants can be prevented and treated. Thirdly, parents of infants with cerebral palsy do not know enough about the importance of information stimulation and functional training, and they believe too much in injections and medication, and medication has a certain auxiliary effect on rehabilitation in some periods, but a lot of clinical practices at home and abroad have proved that appropriate information stimulation and correct functional training are the main methods of rehabilitation, and China’s acupuncture, massage, medicinal baths, spinal chiropractic, and cupping are all practical and effective rehabilitation methods. Reasonable cooperation can significantly improve the therapeutic effect. It is important to note that no matter what passive training, it still cannot replace active movement, and it is the essence of brain injury rehabilitation to induce children to move actively and talk more.