What Is a Cerebral Palsy School?

Baby mild cerebral palsy is a non-progressive brain injury syndrome caused by various reasons from birth to 1 month after birth.

Baby with mild cerebral palsy

Right!

Baby mild cerebral palsy is a non-progressive brain injury syndrome caused by various reasons from birth to 1 month after birth.

Chinese name

Baby with mild cerebral palsy

Foreign name

Baby mild cerebral palsy

Time

Before birth to within 1 month

main performance

Central dyskinesias and abnormal postures

Mainly manifested as central dyskinesias and posture abnormalities, and often accompanied by intellectual, audiovisual, eating, swallowing, speech, behavior and other disorders, will seriously affect children's life. In particular, the main effect of pediatric cerebral palsy on children is dyskinesia, and some children may be accompanied by a certain level of mental retardation, but it is fundamentally different from 'dementia' caused by human chromosomal abnormalities and chromosomal aberrations.

Symptoms are increased muscle tone and difficulty in abduction. In severe cases, muscle rigidity, contracture, and joint flexion can be seen. Light people can see that the fine movements of the hands are poor, and the heel cannot touch the ground when walking. Most of these patients are accompanied by language development and dysarthria and strabismus. About 1/3 of the patients have different degrees of convulsions and mental retardation.
Cerebral palsy can cause motor retardation. After 3 months of birth, she is still not active and is not moving. Her hands and feet do not crawl when lying on her stomach. The baby still has a tense grip after 4-6 months of birth. Panic gait, scissors gait, etc.
First, abnormal head circumference: Head circumference is an objective indicator of brain morphological development. Children with brain injury often have abnormal head circumference. This is one of the symptoms of mild cerebral palsy.
Second, not smiling is also the daily manifestation of patients with mild cerebral palsy. Generally, if you cannot smile for 2 months and laugh out loud for 4 months, you can be diagnosed with symptoms of mild cerebral palsy.
Third, poor weight gain and weak lactation are more common in the symptoms of mild cerebral palsy.
The symptoms of mild cerebral palsy are similar to those of children with cerebral palsy. Generally speaking, early detection of mild cerebral palsy can well grasp the optimal timing of treatment, reduce the incidence of cerebral palsy in children, and ensure the normal life and health of children. Learn.

Cerebral palsy usually occurs before birth or in infancy. The etiology is as follows: birth injury, neonatal nuclear yellow gall, cerebral hypoxia; premature birth.
Disease diagnosis 1, can not stand up: can not stand up after 6 months, it has diagnostic significance.
2. Do not use lower limbs: 6-7 months without lower limbs to support weight briefly 3. Do not use one hand: Babies between 7-10 months do not need to grab and play with one hand.
4, clumsy hands, fine movements of the hands, such as pinching small things, unbuttoning, fasten the belt is not flexible, uncoordinated, there is diagnostic significance in 7-10 months.
5, can not sit alone: 7 months can not sit alone.
6, can not grab the station: 10 months can not grab the station.
7, will not see you again: 10 months after the diagnostic significance.
8. Stand on tiptoes: stand on tiptoes for 10 months.
9. Can't take a step: 13-15 months later, I won't take a step.

EEG: About 80% of children with cerebral palsy have abnormal brain waves. The abnormal rate of EEG in hemiplegia may be normal and may also show abnormal background activities. Patients with epilepsy discharge waves should pay attention to the possibility of epilepsy;
EEG topographic maps: detect brain development and brain wave changes in children;
magnetoencephalogram;
Evoked potentials: visually impaired or hearing impaired persons can be given visual evoked potentials and auditory evoked potentials, respectively;
EMG: understand the functional status of muscles and nerves in children with cerebral palsy and muscle atrophy to do this test as much as possible;
Brain impedance blood flow chart: check the blood vessel function and blood supply of the head;

Misunderstanding 1: Although some parents find that their children cry for unknown reasons, have poor milk, are too quiet, and have stiff bodies when they are frightened, they simply think that their children are young and weak. Is it a cold? Is it bad digestion? Is it another infection?
Misunderstanding 2: When parents of premature babies see that their children's motor development, such as turning over, lying down, sitting, standing, and walking, lags behind other normal age children, they often simply think that it is caused by premature birth, and the child will develop with natural growth. Slowly recover, often adopt a "wait and see" attitude.
Misunderstanding 3: When parents find that children have abnormal postures during exercise, they often think that there is a problem with the child's bones and muscles, which delays the timing of consultation.
Misunderstanding 4: Once the child is diagnosed with cerebral palsy by a doctor, parents often take the first attitude to seek medical care blindly, hoping to relieve the child's motor dysfunction through conventional "injection and medication". Cerebral palsy in children is a group of syndromes such as motor dysfunction, mental retardation, epilepsy, aphasia, and deafness caused by substantial brain damage before and after birth. If it can be found in time and intervened in time, the prognosis is basically ideal. But when the understanding of this disease is wrong, if not actively treated, or indiscriminate medical treatment, it will leave children with irreversible sequelae.

The brain of infants and young children is in the most vigorous period of development. Brain plasticity and compensatory ability are strong, and the effect is good after treatment. Therefore, early detection of abnormalities, early intervention and quality are very important. Early detection of abnormalities does not mean premature and eager diagnosis of cerebral palsy. It is generally believed that the diagnosis is made early in the 6-9 months of birth, and the diagnosis is made at the latest about 1 year old.
The diagnosis of cerebral palsy mainly depends on the analysis of clinical signs, types of clinical manifestations, and factors of diseases and insect pests, and necessary laboratory tests, such as imaging, electrophysiology, hearing, vision and other problems.
1. Time for early diagnosis of cerebral palsy 0-6 months is diagnosed as early. Early diagnosis of 0-3 months is very early, and the diagnosis is generally determined before 1 year of age.
2. The basis for early diagnosis includes three high-risk factors, which are divided into the following family factors; hereditary diseases, neurological diseases, and marriage of close relatives.
Maternal factors; birth at advanced age, infection during pregnancy, and various diseases.
Neonatal factors 3. Clues to early diagnosis with early clinical manifestations of cerebral palsy, including nursing, feeding difficulties, inhalation, and uncoordinated swallowing, often accompanied by laryngosound, with head not raised in prone position after 3 months; excessively quiet Or easily irritable, easily panic, nervous, shaking his head involuntarily, limbs trembling, not easy to fall asleep; mental retardation, no recognition of people, uncoordinated hand and eye movements, when lying on his back, his hands and elbows cannot be stretched to get items in the front center , The mother could not stretch her hands to take out the objects; children within 3 months had repeated convulsions, and treatment with calcium and vitamin D was not effective; motor development was significantly backward or stagnant.
4. Three basic principles of diagnosis: High-risk factors include developmental neurological abnormalities; including backward motor development, abnormal reflexes, abnormal postures, abnormal muscle tension, and Vojta abnormal posture reflexes.
Brain injury symptoms, early symptoms or clinical manifestations.
5. Brain damage caused by cerebral palsy caused by diagnostic conditions is non-progressive;
Encephalopathy;
Symptoms appear during infancy;
Sometimes combined with intellectual disability, epilepsy, sensory impairment, and other abnormalities;
Excluding central dyskinesia caused by progressive disease and temporary motor retardation in normal children.
6. Precautions for diagnosis Generally, it is not difficult to make a diagnosis based on the current pregnancy history, neonatal medical history, clinical manifestations, and movement disorders and posture abnormalities found in conjunction with exercise assessment. However, because not all children with cerebral palsy show obvious abnormal symptoms at an early stage, especially if the child is only mildly affected, it often makes it difficult for clinicians to make an exact diagnosis before 4 months or even 6 months. Diagnosis. After a few children even entered school, they began to trace the medical history and found the diagnosis after they found that they had difficulty learning, clumsy movements and other problems.
In addition, the classification of cerebral palsy is still less accurate within 6 months or later. Especially for children with soft palsy, it is often difficult to determine what type they will develop in the future. Some children who were early considered to be spastic quadriplegia may later become spastic hand-foot cerebral palsy. In addition, it is often difficult to predict the location and extent of dyskinesia and involvement in infants and young children with cerebral palsy at an early stage. For example: some children with one-finger palsy often find that they are actually unilateral palsy over time; there are some children who are diagnosed with unilateral palsy at an early stage and may find quadriplegia or bilateral paralysis in the future . This is because the more affected limb or one limb showed a pathological condition earlier, thereby masking the abnormality of the less involved limb or the other limb.
At the same time, many diseases in infants and young children may accumulate the nervous system, especially some degenerative diseases and genetic metabolic diseases, which often show symptoms soon after birth or slightly, manifested as sports, mental retardation or decline in ability, and the body is soft or stiff Clumsy movements, etc., can easily be confused with cerebral palsy, so clinical diagnosis should be cautious.

Improved cerebral palsy pronunciation difficulties

Experts point out that training children with cerebral palsy who have difficulty speaking should have the correct posture during training, provide normal muscle tension, and breathe slowly and deeply. First use games or singing to practice, so that children with cerebral palsy can relax the nerves and adjust the optimal state of muscle tension. Vocal training is best started with onomatopoeia. Since onomatopoeia is interesting and easy to pronounce, choose the sounds you hear most often in practice, such as car horn sounds and puppy barking, etc., and then practice slowly Words, phrases and sentences. When practicing sentences, it is best to choose children's songs with easier lyrics, so that they can practice while singing, and practice happily in a joyful atmosphere.