Prognosis for rehabilitation of children with cerebral palsy

  In the past, cerebral palsy was thought to be incurable, but in recent years, scholars from various countries have shown that if early diagnosis and early treatment are provided, all but the most severe cases can be cured or normalized. 207 cases of cerebral palsy under 8 months of age treated by Vojta himself were cured in 199 cases. The cure rate was 96.1%. Early treatment is effective because the brain tissue is not yet mature in infancy, and is still in the stage of rapid growth and development, while the brain injury is also in the early stage, and the abnormal posture and movement are not yet fixed, so there is great plasticity, high compensatory ability and strong recovery ability in this period. Therefore, the plasticity of this period is high, the compensatory ability is high, and the recovery ability is strong. The best treatment effect can be obtained at this time.  Rehabilitation prognosis assessment of cerebral palsy: 1. Most children with hemiplegia walk at 18-21 months; 2. 87% of those with parachute reflex before 24 months can walk, and the walking ability reaches a plateau at 7 years old; 3. The inability to sit at 4 years old or to kneel independently at 6 years old is a reliable indicator of the inability to walk independently in the future; 4. The following 6 items are used to assess the prognosis at age ≥ 12 months: a ATNR, b, neck c, STNR, d, extensor extension reflex, e, tense vagus reflex, f, foot placement reflex.  The above 6 items, each with a response of 1 point, 2 points or more poor prognosis, 0 points good prognosis, 1 point prognosis to be considered carefully.  5, before 5 years old if the child has not formed a dominant hand or upper limb still can not exceed the trunk midline activities, upper limb function prognosis is poor, intelligence and upper limb function index balance; 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 prognosis is better; 8, low intelligence, visual impairment will also affect walking ability.