How to perform upper limb training for children with cerebral palsy?

   To promote the separation of the arm from the scapular belt and to induce the child with cerebral palsy to reach forward for objects, the following issues should be noted: 1. Parents can let the child lie on his or her knees, hold the child’s scapula with both hands and fix it, and hang toys above the child’s head to encourage him or her to reach forward and grab.  2.Increase the independent control of the scapular belt and improve the stability of the upper limbs. Let the child take the prone position, support the upper body with both hands, do the posture of preparing to crawl, and then make his body move forward and backward.  (1) Parents can roll the mattress into a tube, the height of the child lying on it with hands touching the ground is appropriate, alternate hands to support, do forward or backward crawling action; (2) the child and parents to take a face-to-face sitting position, holding a stick or ball together, do confrontational pushing action.  3.Eliciting elbow joint straightening: scapular belt forward, elbow reach, or let the child hold a hard object to touch a target in front, the distance to be able to straighten the elbow joint is appropriate. To enhance the interest of the child, use a magnet to attract the metal object on the table.  4, training sitting balance, inducing protective upper limb stretching response: parents can let the child sit on a large ball, parents in the back of the ball to control the direction, when the ball drives the child’s body to the left side of the swaying to encourage the child to reach the left, and vice versa. Or let the child lie on the big ball, the parents push the child’s legs to roll forward at the back, and encourage the child’s hands to stretch forward for support.  5.Eliciting hand-to-mouth action: cross your hands and let the child do the action of touching the mouth with both hands, encourage the child to grasp food with both hands, or put some food on the fingers and let the child put it into the mouth.  6. Induce the movement of hands on the midline: (1) The child takes a lateral position with shoulders extended forward and plays with objects with hands.  (2) The child takes a supine or sitting position and manipulates simple toys with both hands. In the sitting position, parents provide the child with a suitable table and chair, the chair should not be too large, and the feet can be placed flat on the floor. When starting with unilateral hand activity, the other hand should be placed on the table to help the child maintain normal posture and muscle tone. Encourage the child to participate in the activity with both hands, and try to set the difficulty level within the child’s ability to complete it, in order to enhance the child’s self-confidence and sense of success.