Early diagnosis of pediatric cerebral palsy

Cerebral palsy in the child’s neonatal period signs 1, whether there is difficulty in breastfeeding, such as the child will not suck after birth, weak sucking or refusal to breastfeed, or fatigue and weakness after sucking; 2, whether there is the performance of excessively quiet, small cry or continuous crying; 3, whether there is little spontaneous movement, low muscle tone, the whole body is flaccid and weak; 4, whether there is the performance of the whole body is hard and good at jerking up, with muscle tone, and often scurrying away from swaddling, head dorsiflexion, sometimes head tilted to one side. The head is dorsiflexed, sometimes the head is tilted to one side, and both lower limbs are straight and extended; 5. Whether there are easily startled, convulsions, screaming or irritability; 6. Whether there are abnormal postures, such as inwardly retracted upper limbs, inwardly rotated upper limbs, and clenched fists. 1-3 months: whether the child with cerebral palsy has inwardly retracted thumbs, tightly clenched fists or inwardly retracted or internally rotated upper limbs; whether the child does not pay attention to people and does not follow what is in front of him/her; whether the child’s head is unstable, the neck cannot be erected straightly, the head shakes left and right or the head is tilted to the side, or the head cannot be lifted up from the prone position; whether there is any change in muscle tone such as stiffness of the whole body, rigid stretching of the torso or tenderness of the whole body. Signs of cerebral palsy at 4-5 months of age Does the child have eyes that do not follow what is in front of him/her, does not pay attention to people, and has inflexible eyes; does the child have dull and inflexible expression, and does not respond to provocation; does the child still not roll over, and can’t lift up his/her head to less than 90° in the prone position; does the child have a gradual stiffness of the body, and has a mild angular posture or lower limbs crossed in scissor-like manner; does the child have an asymmetrical body posture? Signs of cerebral palsy at 6-7 months of age Does the child have uncoordinated hand, mouth and eye movements; does the child’s hand release quickly or does not hold on to objects; does the child still have asymmetrical postures; does the child sit in an unstable forward or backward tilted position; does the child have head dorsiflexion, shoulder retraction, internal rotation of the lower limbs and clenched fists; does the child still have primitive reflexes. 7-12 months’ prognosis of children with cerebral palsy Are still unable to roll over after 6 months; Are still unable to support both lower limbs after 6~7 months; Are still not grasping toys with one hand or always grasping with one hand after 7~10 months; Are still feeling clumsy at 7~10 months; Are still not able to sit alone at 7 months; Are still unable to say good bye after 10 months; Are still standing on tiptoes after 10 months; Are still not able to support standing at 11 months; Are still unable to support standing at 12 months; Are still not able to support standing at 11 months; Are still not able to support standing at 12 months? Can’t stand on tiptoes after 10 months; Can’t stand with support after 11 months; Can’t take a step after 12 months; Can’t salivate or “eat hands” after 12 months.