What Is Quadriplegic Cerebral Palsy?

Limb paralysis is the reduction or loss of voluntary motor function and is a common symptom of the nervous system. Limb paralysis is caused by upper and lower motor neurons, pyramidal tracts and peripheral neuropathy.

Limb paralysis

Paralysis is a reduction or loss of voluntary motor function. It is a common symptom of the nervous system. Paralysis is an up and down movement.

Loss or loss of limb muscle strength

To strengthen the care of patients, the following points should be done:
(l) Do good psychological care: attach importance to doing ideological work to patients. The paralysis brings a heavy ideological burden to the patient. The patient must be encouraged to establish a revolutionary optimism. "When it comes, let it be safe." It is required to overcome difficulties, exercise hard, have confidence in defeating the disease, and work with medical staff and families. Cooperate with members to exercise paralyzed limbs as soon as possible to prevent joint deformity and muscle atrophy.
(2) Maintain the functional position of the limbs: The finger joints of the paralyzed limbs should be extended and slightly flexed, and a roll of sponge can be placed in the hands; the elbow joints are slightly flexed, and the rubberized shoulder joints are slightly abducted to avoid joint adduction, hip and knee extensions Joints; in order to prevent the foot from sagging and make the ankle joint slightly dorsiflexion; in order to prevent external rotation of the lower glue, sandbags or other homemade supports can be placed on the lateral part.
(3) Active paralyzed limbs: can prevent limb contracture and deformity, including limb massage, passive movement and sitting, standing, walking exercise.
(4) Prevention of complications: due to motor and sensory disturbances of paralyzed limbs, local vascular and nerve nutrition is poor. If the compression time is long, pressure ulcers-bedsores are prone to occur. Therefore, it is necessary to pay attention to changing the body position, usually turning over once every 2 hours, gently massage the reddened part, or use safflower alcohol massage to improve local blood circulation. The beds should be dry and flat, and maintain good personal hygiene. You can wipe the bath, but you should keep warm to prevent cold. The temperature of water should be appropriate when applying hot water bottle or bathing to prevent skin burns. When turning over, the seat properly knocks the back to encourage sputum to prevent falling pneumonia. There must be enough people, especially in summer, there must be sufficient water. Choose vegetables and fruits rich in cellulose and vitamins to ensure adequate nutrition. Develop a bowel habit to prevent constipation. Give 1 cup of hot drink before breakfast (hot water, tea, milk or coffee can be used according to habits), which can promote increased bowel movements and stimulate rectal defecation reflex. In order to promote bowel movements, you can also massage the abdomen, from the right lower abdomen to the upper part, turn to the left upper abdomen, and then to the left lower abdomen. Repeat the massage 5-10 times to promote the peristalsis of the upper contents of the colon to help defecation. In case of constipation, glycerin suppository or Chinese medicine can be used. If you use senna to drink water and still cannot resolve your bowel movements, you should enema. When there is urinary retention or urinary incontinence and the perineum must be kept clean, a urinary catheter should be placed, and sterilization must be strictly performed to prevent urinary tract infections.
(5) Self-care and vocational training: When paralysis improves, daily life skills should be gradually practiced. Medical staff and family members should give correct guidance and enthusiastic help together, and encourage patients to do everything they can to manage their own lives as much as possible , Such as undressing, washing the face, eating, etc .; for workers who are likely to be before the illness, you can gradually adapt to exercise