Cerebral palsy refers to before birth, birth or within the first month after birth, because the brain has not yet mature, and by the syndrom
Cerebral palsy refers to before birth, birth or within the first month after birth, because the brain has not yet mature, and by the syndrome with movement disorders and postural is mainly caused by various causes damage or injury, often associated with manifestations of epilepsy, mental retardation, language barriers etc.. At present, the prevalence rate of cerebral palsy in children is 1%-3%, which is characterized by spastic type and hand foot movement type, accounting for 60% and 25%, respectively. The ataxia type is 1-5%, the rigidity type is 5-7%, and the other is mixed type. With the development of Obstetrics and Gynecology, the mortality rate of newborns and premature infants has decreased.
The highest incidence of spastic cerebral palsy mainly for upper limb flexor hypertonia, lower limb extensor, adductor muscle tension. Quadriplegia upper limbs were spastic joint flexion, adduction, internal rotation of the shoulder, elbow, wrist, finger, wrist and arm in internal rotation, flexion of the fingers are clenched fist, thumb adduction, hold in the palm. Two the upper limb is clumsy, stiff and uncoordinated. Two lower limbs stiff and adduction in a cross shape, hip internal rotation and ankle plantar flexion. Lift station, double foot drop, varus, toe, heel not trampled. When walking on foot, like a pair of scissors gait. Some children with low back muscle spasm and arched over the Zhang extension.
Children with cerebral palsy of the hand, foot, and feet often appear slow, peristaltic, irregular, uncontrollable, aimless and uncoordinated movements. Often involving the whole body, head control ability is poor, often have a strange facial expression, sometimes appear repeatedly extended and retracted tongue rhythmic movements, trunk and upper limb movements are more prominent. Abnormal movements disappear after sleep.
The treatment of children with cerebral palsy by Department of Neurosurgery, orthopedic surgery, pediatric department of orthopedics, rehabilitation physicians with each other, comprehensive therapy and multidisciplinary rehabilitation intervention to be effective, and should be individualized treatment plan for each child. The spastic cerebral palsy, up to 2/3 of the proportion of athetoid cerebral palsy and mainly to spasm of mixed cerebral palsy, rehabilitation training alone often cannot achieve satisfactory effect, must first surgery relieve spasm, healing, and on the basis of training in order to better rehabilitation, - that is, to this kind of take the rehabilitation training for children with cerebral palsy, surgery, orthopedic treatment and rehabilitation training to achieve the best treatment method.
Because of the clinical practice has been verified, 2/3 children with cerebral palsy treated by surgery can obtain different degrees of improvement: such as the function of children with spastic cerebral palsy (including mainly to spasm of mixed cerebral palsy surgery (FSPR) acceptable functional selective posterior spinal nerve root transection part), the root of the spinal cord after all adjust the muscle tension, muscle tension of muscle spasm as close to normal state, provided the prerequisite for the restoration of motor function of the maximum.
The children with cerebral palsy can be treated with carotid endarterectomy, so as to improve the brain function, enhance intelligence, memory and language skills, lower limb muscle tension (especially the upper limb) effect. In addition, these children after spasmolysis surgery, if there is still a knife, strephenopodia, fried step limb malformation case, can continue to receive orthodontic treatment, the deformity correction more thoroughly, the overall function of the limb fast recovery, generally a week can significantly effect at the same time, non surgical site deformity can thus be corrected.
In a word, as long as these children with cerebral palsy with surgical indications, and the optimal operation period (2.5 to 6 years old), adhere to the rehabilitation training in the perioperative period on scientific surgery, most of the people can be restored to normal muscle tension, rehabilitation training for later laid a solid foundation help, rehabilitation will be better.