Predicting and influencing factors on the outcome of pediatric cerebral palsy rehabilitation

I. Indicators of predictive analysis 1. Most of the children with hemiplegia will walk at 18-21 months; 2. 87% of those with parachute reflexes before 24 months of age can walk, and the ability to walk reaches a plateau at the age of 7 years; 3. The inability to sit at the age of 4 years old or the inability to independently walk on one’s knees at the age of 6 years old is a reliable indicator of the inability to walk independently in the future; 4. There are the following 6 items (age ≥ 12 months for assessment of the prognosis) ① ATNR; ② cervical tilt positive ①ATNR; ②Neck-turning positive reflex; ③STNR; ④Extensor digitorum profundus reflex; ⑤Tension labyrinth reflex; ⑥Foot placement reflex. Each of the above 6 items has a response of 1 point, more than 2 points of poor prognosis, 0 points of good prognosis, 1 point of prognosis should be carefully considered; 5, before the age of 3 years, if the child has not formed a dominant hand or the upper limbs can not be more than the trunk midline activity, the prognosis of the upper extremity function is poor, the intelligence and upper extremity function index is balanced; 6, the younger the age, the better the prognosis, generally not more than nine years old; 7, IQ>70 prognosis is good, if more than 80 The prognosis is better if IQ>70, and better if >80; 8. Low intelligence and visual impairment will also affect the ability to walk. Common factors affecting the efficacy of rehabilitation 1, because of preterm infants <30 weeks of rehabilitation, the sequelae of nuclear jaundice poor efficacy 2, age more than 3 years old serious hand-foot bradykinesia type cerebral palsy children poor efficacy; 3, serious abnormal postural reflexes ATNR, the abnormal movement pattern of the long-term existence of poor efficacy; 4, malnutrition, poor physical condition, sweating more, easy to fatigue the poor efficacy of the child; 5, repeated respiratory infections of cerebral palsy child Poor outcome in children with epilepsy, such as infantile spasms, etc. Poor outcome in children with epilepsy, such as infantile spasms, etc. Poor outcome in children with epilepsy, such as infantile spasms, etc. Poor outcome in children with epilepsy, such as infantile spasms, etc. Poor outcome in children with epilepsy, such as infantile spasms, etc. Poor outcome in children with epilepsy, such as infantile spasms, etc. Poor outcome in children with epilepsy, such as infantile spasms, etc. Poor outcome in children with cerebral palsy, such as those who are overstressed and agitated.