How to treat cerebral palsy early?

  In the process of cerebral palsy rehabilitation, attention should be paid to the scientific functional training according to the laws of the child’s motor development, so as to gradually promote the child to produce correct movements and achieve the purpose of promoting the normal motor development of the child while suppressing abnormal movements and postures. Of course, cerebral palsy rehabilitation is a long-term process and short-term inpatient treatment cannot achieve good results. Many treatments need to be completed at home, with parents and doctors working closely together to develop training plans, evaluate training effects, and correct unreasonable training methods under the guidance of doctors.  When children with cerebral palsy reach a certain age (2.5 to 6 years old), they can undergo various surgical procedures if they meet the indications for surgery after a comprehensive surgical evaluation, such as spastic cerebral palsy; mixed cerebral palsy with spasticity (rigidity); spasticity (rigidity) of the hands and upper limbs; patients with some motor function of the trunk and limbs, abnormal gait and power deformities due to contractures only; severe spasticity or even ankylosis of the lower limbs The patient who has very difficult perineal care, and who has normal or near normal intelligence and can cooperate with postoperative rehabilitation, can undergo stage I cerebral palsy surgery, i.e., FSPR.  For children with cerebral palsy who also have joint deformation and soft tissue contracture, the FSPR procedure should be followed by the second stage of cerebral palsy surgery (muscle strength and tone adjustment), i.e. CP-MMA, which uses the rapid bone anchor technique to carry out tendon displacement fixation to improve the level of treatment and increase the efficacy of surgery, and has the advantages of being more stable, firm, precise and with a higher success rate than traditional wire fixation.  In addition, for children with spastic or mixed cerebral palsy with relatively good intelligence, varying degrees of swallowing or speech impairment, salivation, strabismus, and dystonic cerebral palsy (such as torsional spasm) with some children who are not suitable for FSPR, carotid artery epicardial dissection, or CPS surgery, can also be used to comprehensively improve brain function, enhance intelligence, memory and speech, and reduce limb It can improve brain function, enhance intelligence, memory and speech, reduce muscle tone of the limbs (especially the upper limbs), and relieve the symptoms of cerebral palsy children such as unclear pronunciation or spitting, inflexible hands and feet, unstable walking and drooling.  Most of them can recover or approach normal muscle tone if they undergo surgery on the basis of early rehabilitation training, which will lay a solid foundation for subsequent rehabilitation training and help them recover better. Here we also want to emphasize the importance of insisting on post-operative rehabilitation, which is mainly to rehabilitate the restricted and undeveloped muscle strength through a series of methods, so that the patient can stand up from new to reach walking, effectively promoting and ensuring the long-term stability of the surgical effect.  The current post-operative rehabilitation time is generally every three months as a training cycle, divided into recovery period, progression period, strengthening period and intensification period respectively for targeted rehabilitation training, after the completion of all can be discharged home, into the home rehabilitation period. Among them, we would like to introduce the functional training, which is crucial for the child to effectively achieve self-care and return to society.  In addition, functional training after cerebral palsy should follow the principle of passive and then active training: because initially the limbs of cerebral palsy patients are spastic and have difficulty moving, they often cannot autonomously dominate the joints of their limbs, and at this time, they can only perform passive activities to prevent joint contracture and muscle atrophy. After the surgery, the patient’s limbs can achieve autonomous activities to a certain extent. At this time, active activities should be carried out in the correct way, and the rehabilitation teacher scientifically instructs the patient to exercise the hip and femur by extending the lower limbs prone, to exercise the straight leg raise in supine, and to carry out active and passive ankle activities. The patient’s ankle joint should be flexed and stretched as much as possible, to the extent that the patient has no obvious pain.  Finally, we would like to remind you that the most critical treatment for pediatric cerebral palsy is the word “early”. In our long-term clinical practice, we have proved that early diagnosis and early treatment of pediatric cerebral palsy can improve or completely compensate for the dysfunction caused by damaged brain tissue, i.e., although the brain lesion still exists, the muscle tone, abnormal posture and reflexes of the child are normalized. Reflexes are normalized.  More importantly, the improvement of motor function enables the child to have extensive contact with the outside world, which in turn promotes the development of the child’s intelligence and is very beneficial to the child’s future development and growth.