7 ways to judge whether it is cerebral palsy.

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Cerebral palsy is not an incurable disease, but children are difficult to cure, so it is necessary to treat it as soon as possible without delay. Here are four ways to help judge the early symptoms of children with cerebral palsy and six principles that must be adhered to in the treatment of cerebral palsy.

Mode 1: high-risk factors of mother during pregnancy and childbirth.

Check whether there are high risk factors of cerebral palsy before, during and after delivery. Such as infection during pregnancy, rubella and severe pregnancy-induced hypertension. ; Birth asphyxia, premature infants, severe jaundice; Children with intracranial hemorrhage after birth, or feeding difficulties, such as sucking weakness, crying weakness or crying too much, are easily frightened. Muscle tension and abnormal posture often occur, such as hand adduction, fist clenching, forearm pronation, head and neck backward movement, etc. These factors indicate that the child may have cerebral palsy.

Method 2: Summarize cerebral palsy from 1 to 12 months.

1 month:

Physical weakness and decreased spontaneous activity: this is a symptom of low muscle tone, which can be seen in a month. For more than 4 months, it can be diagnosed as severe brain injury, mental retardation and muscle system diseases.

Fixed posture: abnormal muscle tone is often caused by brain injury, such as inverted horn arch, frog position, inverted U shape and so on. Abnormal head circumference can be seen within one month after birth: abnormal head circumference often occurs after brain injury.

2-4 months:

Poor weight gain and weak breastfeeding; Don't laugh: you can't laugh for 2 months and 4 months.

Fist-making: If you can't open it for 4 months, or your thumb is adducted, especially if one upper limb exists, it will be of diagnostic significance.

Body Torsion: The baby has body torsion at 3-4 months, which usually indicates extrapyramidal injury.

Head instability: This is usually an important sign of brain injury. Lying or sitting for four months, I can't keep my head straight.

Strabismus: 3-4 months old baby has strabismus and poor eye movement, which may indicate brain injury. Unreachable items: 4-5 months, which can be diagnosed as mental retardation or cerebral palsy.

Unable to turn over: unable to turn over for about 3 months.

5-6 months:

Staring hand: it still exists after half a year, so we can consider the problem of mental retardation.

Slow response, no response: it is an early manifestation of mental retardation. It is generally believed that four months of slow response and six months of no response can be diagnosed as mental retardation.

7- 10 months:

People with mild brain injury often have no obvious performance in the first half of the year, but they have abnormal performance in the second half of the year.

Unable to turn over: unable to turn over after 6 months, which is of diagnostic significance.

Do not use lower limbs: 6-7 months without short-term support weight of lower limbs.

No need for one hand: a 7- 10 month old baby does not need to scratch with one hand.

Fingers can't do fine movements: if you pinch something, untie it, and tie your belt inflexibly and incongruously, 7- 10 months is of diagnostic significance.

Can't sit alone: can't sit alone for seven months.

Can't catch the station: 10 months can't catch the station.

I won't see anyone again: 10 months later is of diagnostic significance.

10 months later:

Stand on tiptoe.

I can't take a step: 13- 15 months later, I won't take a step.

Drooling and "eating hands": 12 months later has diagnostic value.

Mode 3: Look at early symptoms from the perspective of traditional Chinese medicine

In the eyes of Chinese medicine, cerebral palsy is a disease, which belongs to the categories of "five stagnation", "five softness" and "five hardness" except for the reasons recognized in medicine. Its basic performance is motor dysfunction, which is mainly manifested as: late standing, late walking, late hair, late teeth and late speech, which is called "five lateness" in Chinese medicine; The head is soft but not drooping, the hands are weak, it is difficult to make a fist, the lower limbs are weak, the lips are soft and weak, the mouth is hard to bite, the skin is slack, and the muscles are soft and not long, which is called "five stagnation" in Chinese medicine; Symptoms are hard head, hard hands, hard feet, hard mouth and hard muscles, which are called "five hardnesses". It is characterized by adduction and external rotation of both limbs, flexion of elbow, wrist and finger joints, and cross-straightening of both lower limbs, showing a sharp foot shape and scissors shape.

This is due to the congenital deficiency, liver and kidney loss and essence deficiency caused by various reasons during the intrauterine development of children, and finally the symptoms of "osteomalacia" appear; Due to congenital deficiency, acquired spleen and stomach weakness, insufficient biochemical sources of qi and blood, acquired malnutrition, muscle atrophy or skin relaxation; Or after birth, liver blood and kidney essence are insufficient, bones and muscles are malnourished, and the body is weak; Eventually, the brain loses its support and forms cerebral palsy.

Mode 4: Judging from clinical symptoms.

(1) Early symptoms of cerebral palsy in children

1. Too annoying: irritability, persistent crying, restless sleep, etc.

2. Too quiet: ignoring the outside world, too quiet.

3. It is too difficult to feed: it is difficult to suck milk and often vomit.

4. It's too hard to take: it's hard to take care of, and the limbs are stiff, like rolling wood. 5. Too ugly: fist clenched, "pilot", "ballet feet" and so on. ?

(2) Clinical manifestations of children with cerebral palsy-the development of children with cerebral palsy is worse than that of normal children of the same age.

Such as general weakness, limb weakness or tightness; Easy to be surprised, the angle is reversed, moving less or moving more; Unable to suck, have difficulty swallowing or often choke, choke and spit when eating; The baby's mouth is not closed properly, crying weakly or screaming; When you are 2-3 months old, you will not laugh or look up; I have been crying, my fingers are clenched and I can't open it; Will not turn over for 4-5 months; After 8 months, I can't sit, or even grab, hold or put my hand on my mouth. In addition, intellectual development lags behind that of normal children of the same age.

(3) There are some abnormal movements or postures.

Drooling, trembling and other learning stations, feet close together, feet always stand on tiptoe, sometimes cross, scissors-like limb movements are uncoordinated and asymmetrical, and the head can not keep the center position. These are common movements and postures of children with cerebral palsy.

skill

In short, no matter which way is used to judge, we can find out as soon as possible according to the different body positions of children with cerebral palsy and normal children, combined with the high-risk factors of mother during pregnancy and childbirth, and go to the hospital neurology department for examination and diagnosis as soon as possible to avoid delaying the best treatment period.

Post-processing should adhere to six principles:

1

Progressive principle

Because cerebral palsy is a syndrome, it needs patient training day after day. The recovery of various functions mainly depends on the help of doctors, therapists and parents, and advocates children to exercise by themselves. Therefore, all kinds of movements must first adapt to the children. If the child can't sit, let him sit by himself. You can also break down a function into several actions for children to practice. The daily training time should be planned, not too long, so as to avoid children's negative emotions such as fatigue, boredom, disgust and unwillingness to cooperate. Training should be diversified to make children feel fresh and improve their enthusiasm for training.

2

Non-substitution principle

Children with cerebral palsy can't do every movement by themselves. Parents must help them. But it must be emphasized that help is by no means a substitute. For example, some children can eat slowly by themselves, but the posture is not correct and it is easy to get dirty. Parents can only help correct their incorrect posture, but not feed them. The correct way should be to help children eat with spoons in the right posture. After a long time, they get used to it and the children can eat by themselves.

three

Principle of not being overly cautious

Many children's parents always take care of their children unconsciously because of their love for them; In fact, this is neither necessary nor conducive to children's training. Over time, too much care is bound to develop children's laziness and dependence. Therefore, children must cooperate with every movement during training. When children are distracted, parents can take toys to divert their attention to various actions, but don't care too much; Let the children do whatever they can. ?

four

Repetition principle

Children with cerebral palsy have to pay a certain price every time they recover a function, and every movement needs repeated training to finally consolidate. At the same time, the training of the next action can only be carried out after a certain action is qualitative. Training should follow the principles of demonstration, waiting, encouragement, waiting and demonstration. It is difficult for children to complete every movement and often appear repeatedly (some children can walk a few steps independently, but they can't walk a step for a few days). Therefore, children must practice every function and action repeatedly in order to get the final recovery.

five

The principle of avoiding abnormal force

Because the child is in an abnormal range of activities for a long time, it causes different degrees of limb abnormalities. The main reason for abnormal posture is abnormal strength. The more severe the abnormal force, the more serious the abnormal posture. If it is not corrected in time, it will inevitably increase the child's muscle tension and lead to the aggravation of dysfunction. Therefore, avoiding abnormal exertion is the key issue of children's rehabilitation training. If a child can barely walk on a flat road, don't urge him to practice jumping obstacles or going up and down stairs.

six

Positive incentive principle

For various reasons, many children have never been trained in standardized joint range of motion. Therefore, it is difficult to accept a lot of intensive functional training of exercise and decomposition. Most children will cry and not cooperate, which will affect the effect of rehabilitation training. Therefore, it is necessary not only to arrange and plan the training time reasonably according to the child's physique and psychology, but also to avoid the fatigue and disgust of the child due to fatigue.

In daily training, we should try to guide children's attention, fully understand their psychology, and pay attention to using language, nursery rhymes or articles to arouse their interest in training; Pay attention to less criticism and more praise. If you practice well, you can also give a moderate reward, so that children can always maintain a sense of accomplishment. It must be understood that excessive indulgence or fright, beating and cursing will cause psychological pressure to children, and then avoid and refuse to cooperate with training, which will ultimately affect the rehabilitation effect.