Spastic cerebral palsy is a common type of pediatric cerebral palsy. It is important to understand the training methods for spastic cerebral palsy and adopt reasonable training methods for different parts to promote the recovery of body functions. So what are the training methods for spastic cerebral palsy? Inhibit the inward internal rotation of the upper limbs, thumb inward, fist clenching, elbow flexion, shoulder joint retraction, and maintain good body position and posture.
Specific training methods are as follows.
①Thumb key point control training.
②Passive finger flexion and extension training.
③ upper limbs with key point control, double upper limbs abduction external rotation, supination.
④Holding ball position.
⑤Training on Bobath ball or roller, supine on it to promote whole body extension posture. Supine side and hold legs to inhibit head dorsiflexion, prone on it to promote head lift and hand support.
⑥Towel wringing training to correct internal rotation and back extension.
(7) Promotion of midline activities.
How to train to suppress the abnormalities of both lower limbs in spastic cerebral palsy?
The abnormal postures of both lower limbs are mainly manifested as inward cross, knee and hip flexion, pointed foot and foot inversion.
The training methods are as follows.
①Interactive movement training of both lower limbs is helpful to reduce muscle tone and lift legs and stride
(2) Abduction and external rotation training of both lower limbs, correction of adductor cross
③ relaxation and massage of bilateral adductors
④Riding on the roller, peanut ball or with the aid of hip abduction training chair
⑤ Correcting internal and external rotation of the foot using manipulation and internal and external rotation correction board
(6) Training of the cochlea muscle retraction
(7) Iliopsoas muscle tension training
⑧Traction training of the Achilles tendon and maintenance training of foot dorsiflexion to correct acromegaly
⑨ Hip extension training to correct hip flexion
⑩Bridging exercises to promote pelvic extension and strengthen the muscles of the low back
Joint mobility improvement training and stability and coordination training.
① Passive joint mobility training for major joints.
②For severe cases with ankle clonus or muscle tension, treatment can be combined with spastic muscle therapy instrument.
③ Hand-mouth-eye and hand-foot-mouth coordination training.
④Double upper limb support training (to promote both hand support and finger extension, head lift, and hip extension): passive hand support on the training bed; training on the wedge mat; training on the roller, with the trainer fixing the elbow joint.
⑤ Standing promotion plate training to promote standing and enhance lower limb stability.
(6) Those aged 3 years or older can use bicycles and treadmills to enhance lower limb training. The quadriceps trainer can enhance the muscle strength of the lower limbs and promote the perfection of the lower limb separation movement.
(7) Use recreational gymnastics to improve the joint activities of lateral lifting, up lifting and abduction of the upper limbs.
⑧Finger training can be used to pinch small food, play with blocks, fold paper, hold pencil tracing, wooden peg plate training, etc.
Body axis gyration ability and trunk mobility training.
①Body axis gyration mode (lying, sitting, standing).
②Lying on the roller, use the rotational nature of the roller to make the child’s lower extremities, hip joints, trunk and neck and back appear in an extended position, or slowly rotate the roller to shift the child’s center of gravity to the left or right side, and repeatedly operate so that the child feels the change of the center of gravity.
③Turning training: reflex turning; hand-controlled turning; leg-controlled turning; head-controlled turning.
Sitting and sitting balance training for spastic cerebral palsy.
①Start with sitting position maintenance training.
After being able to sit alone, we can train the front, left, right and rear balance, weight transfer and recovery sensory training. We can train with the help of Bobath ball and balance board to enhance the training difficulty.
Crawling training for spastic cerebral palsy.
①Maintenance of the four crawling positions.
② Training of four-point, three-point and two-point support weight-bearing balance.
③Training crawling. Spastic cerebral palsy kneeling training
①Two-knee training with object support.
②Kneel on both knees without holding objects.
③One-legged kneeling training.
The above is an introduction to the training methods for spastic cerebral palsy. I hope it will be helpful to you, and the parents concerned can carry out rehabilitation training according to the above methods in daily life, so that the child can achieve the best treatment effect and promote the recovery of the child.