Cerebral palsy rehabilitation treatment should be ‘three early’

  Infants have certain developmental patterns, such as being able to lift their heads at two months, turn over at four months, sit independently at seven months, crawl at nine months, and stand at 13 months. However, some babies have a history of premature birth, asphyxia or severe jaundice, and are developmentally delayed, not lifting their heads when they should, not turning over when they should, lagging behind other babies of the same age in sitting, crawling, standing, walking and intelligence, being weak and limp, or having stiff limbs that are easily startled, moving little or excessively, choking on milk, crying weakly or screaming, and having some abnormal postures, such as not being able to lift their heads If your child is unable to lift his head, twists his head to one side, drools, can’t stretch his fingers out, or is on his toes but his heels are dangling and trembling, it is time to draw parents’ attention to the fact that your child may have “cerebral palsy”.  Cerebral palsy is the sequelae of damage to the brain from any cause before the development of the brain is completed. The fetal development is affected by trauma, infection or inappropriate medication during pregnancy, gestational toxicity, lack of oxygen to the fetus due to knotted or wrapped umbilical cord, preterm miscarriage, placental abruption and preterm delivery. Common causes during delivery include birth injuries, asphyxia, aspiration of amniotic fluid, and respiratory distress syndrome. Common causes in infancy include nuclear jaundice, cranial injury, cerebrovascular accidents, febrile convulsions, and encephalitis. However, there are still a few children with cerebral palsy whose cause is unknown.  Cerebral palsy is one of the most serious disabilities in children, with a prevalence rate of 1.8-4.0 per 1,000 in China. Cerebral palsy can present with spastic palsy (commonly known as rigid palsy), flaccid palsy (commonly known as soft palsy), tardive dyskinesia (involuntary movements of the limbs) and ataxia (difficulty in coordinating the movements of the limbs); it can present with unilateral palsy, bilateral palsy, quadriplegia or unilateral palsy; it is often accompanied by mental retardation, language impairment, visual impairment, hearing impairment, and hearing impairment. Language impairment, visual impairment, hearing impairment, growth retardation, epilepsy as well as abnormal behavior and moodiness, which, if not treated with early rehabilitation, can result in muscle impotence joint ankylosis contracture and skeletal deformity, causing difficulties in self-care for the affected child and becoming a burden to the family and society. If parents can find out early, doctors can diagnose early, hospitals, families and rehabilitation institutions can give early rehabilitation treatment, they can receive obvious results, various obstacles can be improved to different degrees, various functions will have different degrees of improvement, so that the child can overcome their own obstacles, achieve self-care, receive certain education and training, grow up to be able to engage in simple labor, and become a useful person in society. It can be said that the earlier the child is detected and given rehabilitation treatment, the easier it is to bring into play the potential of the individual, and the better the treatment effect. Therefore, the key to rehabilitation treatment for cerebral palsy is early detection, early diagnosis and early treatment.  How to detect cerebral palsy at an early stage? There are several test methods for reference: 1. Prone: When prone, normal infants can support their upper body with both arms and lift their head. Infants with cerebral palsy will not. Parents can lift the child’s head with their hands, but the normal infant does not resist, while the infant with cerebral palsy does.  2. Supine: Normal infants can spread their limbs and lie on their backs, while infants with cerebral palsy turn their heads to one side, with their arms and legs extended on this side and flexed on the other side. When parents use their hands to tease the supine child, the normal infant can use both hands to play with the parent’s hands and still remain lying flat. Infants with cerebral palsy hold on to the parent’s hand and even hang up their upper body.  3. Sitting: When the parent presses the hand on the back of the sitting child, the normal infant is more stable and can still sit. Infants with cerebral palsy are unstable, easily lowering their heads and leaning forward, and swinging up and down with their arms outstretched.  4.Standing: The parents hold the child under both armpits with both hands and let the child land on both feet. The infant with cerebral palsy has a unique posture with the toes on the ground, the heels hanging in the air, and the legs crossed.  5. Inverted lifting: The parent grabs one of the child’s legs and lifts it upside down from the prone position, while the normal infant flexes the other leg to counteract this. Infants with cerebral palsy will straighten their legs and let you lift them upside down without any obvious reaction.  The rehabilitation treatment for cerebral palsy should be comprehensive, including acupuncture therapy, massage therapy, physical therapy, surgery, exercise therapy and various training, such as gross motor training: training to crawl, roll over, sit up, stand up and walk; language training: training to pronounce words, say words to simple sentences; daily living ability training: training to dress, eat, urinate and defecate, wash face, etc. The application of combined Chinese and Western medicine is the advantage of rehabilitation treatment for cerebral palsy in China, especially the head acupuncture therapy and massage therapy, which are suitable for all kinds of children with cerebral palsy.