Delayed motor development
Functional impairment
1.Motor function: poor sitting balance, inability to crawl, poor pelvic control, difficulty in position change.
2.Posture correction: poor separation movement, inadequate trunk extension, difficulty in alternate flexion and extension of both lower limbs, failure to establish normal postural reflexes, especially in the right limb.
3.Language communication ability.
4. Ability of life activities: poor fine movements of upper limbs, poor coordination of upper limbs, poor response to sound and light.
Rehabilitation goals: After 3~6 months of rehabilitation, children with cerebral palsy are expected to achieve
1.Motor function: Improve sitting balance, promote crawling movement development, improve pelvic control ability, and promote the development of position change ability.
2.Posture correction: Facilitate normal postural reflexes, promote the separation of trunk and limbs, improve muscle control ability, and enhance the development of skillful movements.
3.Language communication ability: Promote the development of articulation function, promote the development of speech comprehension ability, promote the development of speech expression ability
4.Activity in life: Promote the development of medially movable hands, promote the development of large muscle vestibular balance system, promote the development of proprioception and coordination, promote the development of visual and auditory perception and enhance learning ability.
Treatment programs
Movement therapy, occupational therapy, speech therapy, sensory integration, massage, medication, brain circulation,…
Treatment Plan
1.Motor therapy
(1) Sitting: sitting balance training, sitting alternate percussion, upper limb protective stretching facilitation, Bobath ball training.
(2) Climbing: four-point support training, four-point kneeling balance, straight kneeling hold, bridge exercise, Vojta induction method
(3) correction of posture: trunk body axis gyration, flying bird stretching waist and back, the
2.Operational therapy
(1) Hand function: passive joint activities, fine motor training of upper limbs, coordination of upper limbs, manual activities.
(2) Cognitive ability: attention training, observation training, character recognition training, movement imitation training.
3.Speech therapy
(1) training for dysarthria: oral exploration games, mandibular dysarthria, lip dysarthria, tongue dysarthria, soft palate dysarthria, phonemic awareness training.
(2) Training for phonological disorders: children’s song training, phrase training.
4.Sensory integration
(1) Large muscles and balance: intrinsic balance training, vestibular balance training.
(2) Tactile sensitivity and emotional stability: tactile motor skills.
(3) proprioceptive and coordination ability: movement coordination training.
5.Tui Na
Promote brain function development tui na method, strengthen spleen and qi tui na method, promote muscle strength recovery tui na method.
6.Medication
Neurotropics, nerve growth factor.
7.Physiotherapy
Brain circulation.