I. What is a brain-injured child? Brain-injured children are children who have the following four symptoms of disease or symptom groups caused by central nervous system (brain) damage before, during and after birth and in early infancy: 1) motor disorders; 2) intellectual disorders; 3) spasticity seizures; and 4) behavioral and emotional disorders. Risk factors of pediatric brain injury: 1, family factors: family with congenital hereditary diseases, such as familial cerebral palsy, degenerative diseases, mental disorders, mental retardation, familial congenital anomalies, late pregnancy, frequent abortions, stillbirth, etc. 2, maternal factors: refers to the mother of the child: 1, movement disorders; 2, mental retardation; 3, spasticity seizures; 4, behavioral and emotional disorders. Maternal factors: refers to the risk factors of the mother in the process of pregnancy and delivery. For example, mothers under 16 years of age and over 40 years of age give birth, and mothers over 35 years of age give birth for the first time; history of habitual abortion, multiple births, malformed children and giant children; teratogenic factors in the third trimester of pregnancy; bleeding in the early stages of pregnancy; smoking habits; endocrine diseases such as diabetes mellitus; obesity; RH and ABO blood group anomaly; severe toxicosis in pregnancy; infectious diseases in pregnancy, and serious heart disease, psychiatric disorders, renal disease, etc.; long term medication, anemia; placental dysfunction; severe asphyxia. Neonatal factors: birth weight below 2.5 kg and above 4.1 kg; preterm delivery within 34 weeks and overdue delivery above 43 weeks; gestational age and birth weight are not corresponding; asphyxia; weak or no sucking ability; neonatal spasm; jaundice above 2 weeks or exchange transfusion; respiratory disorders and cyanotic episodes; malformations; birth injury; hemorrhage; anemia; infections (pneumonia, meningitis, etc.); early vomiting, hypoglycemia; central nervous system abnormalities; acidosis; lack of desire; irritability, severe malnutrition in the first postnatal week; delayed weight recovery at birth. Early symptoms of pediatric brain injury: 1, body weakness and spontaneous movement reduction (from 1 month to more than 4 months) 2, body stiffness (from 1 month to more than 4 months) 3, 4 months of slow response and 6 months called unresponsive 4, head circumference abnormality (too big or too small) 5, poor weight gain, breastfeeding weakness 6, one month after birth, fixed posture (angular retrorrhoea, frog posture, inverted U-shape posture, etc.) 7, do not have a good understanding of the child’s body and the child’s brain. 7. Inability to smile (unable to smile at 2 months, unable to laugh at 4 months) 8. Fisted hands at 3 months of age, unable to open, or thumbs retracted 9. Unsymmetrical twisting of the body at 3-4 months of age 10. Head instability at 4 months of age 11. Strabismus and poor eye movements at 3-4 months of age 12. Inability to reach out and grasp objects at 4-5 months of age 13. After 6 months can not roll over 15, 6 to 7 months lower limbs can not support weight 16, 6 months still use the toes to stand 17, 7 to 10 months clumsy hands, fine motor does not appear or uncoordinated 18, 7 months still can not sit alone 19, 7 to 10 months appear to not use one hand to grasp the play 20, 8 to 10 months can not support the stand 21, 10 months the child will not meet with the person goodbye 22, 11 to 13 months Can’t take a step 23, After 12 months, still drooling and “hand eating” If your child has any of the above risk factors and symptoms, please take your child to the Pediatric Neurological Rehabilitation Department for consultation. Early detection, early diagnosis and early treatment.