The occurrence of cerebral palsy in children is often associated with mental retardation, language disorders, abnormal posture, and so on, o
The occurrence of cerebral palsy in children is often associated with mental retardation, language disorders, abnormal posture, and so on, only early treatment can effectively avoid the serious harm caused by cerebral palsy. Treatment of cerebral palsy not only to choose the best treatment, but also pay attention to the problem of cooperation with each other in the treatment. We used to emphasize a variety of means of comprehensive treatment of cerebral palsy, in fact, in the course of treatment of Chinese medicine with both sides of the patient is also very important to cooperate with each other.
First, we talk about a variety of means to cooperate with each other, comprehensive treatment of children with cerebral palsy.
1, comprehensive medical rehabilitation: such as sports (Sports) therapy, including gross motor, fine motor, balance and coordination training; such as crawling, to identify (nose and ears), grasping and holding training, sit, swing, lift line (back to the wall, facing the wall), in situ (Sports, training, lift the stoop to pick up a single foot independent, jumping, and running); and physical therapy, including nerve stimulation therapy, hyperthermia therapy, water therapy and occupational therapy; ability training, now this specialized hospital or clinic in the city also have the good economic conditions of the family can be choice, but the effect is general. At the same time, can also carry out some traditional medicine therapy: acupuncture therapy (including high muscular tension of cerebral palsy with massage therapy; Chinese medicine therapy;).
2. Functional selective posterior rhizotomy (FSPR): This is a very effective method for the treatment of spastic cerebral palsy. Because the upper motor neuron of the cerebral cortex, motor neurons can not control the activities of some nerve fibers is the main cause of increased muscle tension, so the FSPR operation is the use of modern electrophysiological techniques and microsurgical techniques to find out and remove these nerve fibers to hyperactive reflex arc stabilized, reduce muscle tension, to improve the success rate of operation high spasmodic muscles. After surgery, rehabilitation training and muscle strength balance training. The indications for surgery is 2.5-6 years old, simple spastic cerebral palsy, normal intelligence, muscle tension level 3 or above, have certain ability to control movement, without hypotonia, athetosic, ataxia, muscle contracture etc..
3, cerebral palsy muscle force and tension adjustment operation (i.e. CP MMA operation): after completion of surgery and rehabilitation of nerve spasm, for nonresolving deformity and fixed deformity exists, by orthopedic surgeons take different schemes according to the children, the use of CP MMA malformation surgery the correction, in order to further improve the objective function. There is not suitable for surgical patients spasmolysis deformity, but also by orthopedic surgeons before surgical treatment, and functional training and rehabilitation exercise. The general principle of the operation is to relieve the spasm and then to correct. The order problem is important. Without lifting the cramp as a precondition, the effect of the correction is temporary and unstable.
4, carotid adventitial stripping surgery (CPS surgery): through bilateral carotid adventitial stripping, to improve cerebral blood supply and oxygen supply to promote not damaged brain cell growth and development, the sensory and motor nerve to be fully released, so that the body muscles relax, so as to improve the patients' twist, ptyalism, language, intelligence, hyperactivity and a series of phenomena, combined with the family with good, rehabilitation training, clinical guidance of the combination of science, so that patients get scientific and reasonable treatment, and ultimately self-care, return to society for therapeutic purposes.
5, selective peripheral neurotomy (SPN surgery): This is a kind of local muscle spasm, muscle tension, surgical torsion spasm, blepharospasm, tremor, disorders and other symptoms taken, intraoperative nerve electrical stimulation on motor nerve muscle innervation position for peripheral nerve (for example cerebral palsy common sciatic nerve or tibial nerve branches, brachial plexus and branch) of partial cut. The treatment is divided into three types: central surgical approach to the brain, cerebellum, spinal cord and peripheral nerve surgery for spinal nerves and limbs.
Secondly, we talk about the treatment of patients with cerebral palsy.
The above cerebral palsy rehabilitation treatment needs almost under the guidance of professionals, or directly by the doctor. And we know that the rehabilitation of children with cerebral palsy is a long and long process, relying on inpatient treatment is far from achieving the desired effect, many subsequent rehabilitation must be completed by the parents to help children. Therefore, the parents of children with cerebral palsy should be under the guidance of doctors to learn some family rehabilitation, in order to better cooperate with the doctor.
1, the head of training: cerebral palsy is often head to one side, whether parents care lying, holding, sitting or standing, should always pay attention to the head in the midline, especially when lying on both sides of the head pad sandbags or soft object support. If there is a post or forward, parents in the child behind his hands from the top of the vertical press, is conducive to the formation of the normal mode.
2, the training of children with cerebral palsy: sleeping in bed to play or sleep, should take the lateral position, which is conducive to spasmodic muscle tension relief, but also conducive to the body symmetry, easy to put his hands on the chest. In addition, before placing toys and hanging some colourful balloons and bells, easy grasping toys, is conducive to the development of upper limb function, but also by the color and sound stimulus.
3, sitting posture correction: bad sitting position is easy to cause spinal deformity. In order to keep children with spastic sitting in the plane when the iliac joint flexion 90 degrees, back at full stretch, parents can kneel in the belly to the back, waist, through the upper limbs from the armpit, prevent shoulder adduction, with both hands from the child's legs, and press the knee straight leg. Athetosic type in the sitting position, the sacroiliac joint excessive flexion, lower limbs stretch apart, head suppression, upper limb lift, body center of gravity, it is easy to fall. Parents can be with legs together with buckling, holding the shoulder joint rotation activity, make the child hands into the chest support or grasping toys.
4, the hand function training: parents should always let the children hand grab objects, then grab and play. These exercises are conducive to the functional development of the hand, but also to promote intellectual development. The further development of fine motor training, is the eye hand coordination action association. Often to do some high precision movements, such as the building blocks, let the children in the vertical direction, such as picking peas stacked dice. Can also instruct them to do rope, tie and button, to lay the foundation for the future of daily life.
In short, we must remember that if you do not do surgery, are unable to do or to correct the deformity and relieve spasm, if not for the rehabilitation of motor function, it can not be further improved, to increase muscle strength, can consolidate the operation effect. At the same time, if in the hospital after the negligence of the subsequent rehabilitation, also make early treatment effect, and even come to naught.