What Are the Different Types of Gait Therapy?

Gradient therapy is the abandonment of the bad habits of each subject. After combining basic and clinical research, it is the first time in the world to propose a new technology for the treatment of cerebral palsy-gradient therapy. Surgical skills) Cooperate with rehabilitation doctors of cerebral palsy throughout the process. On the basis of evaluating patients' various functions and grading, comprehensive application of selective spinal nerve root surgery + professional rehabilitation + perfect orthopedics + orthopedic braces and other treatment methods, according to the patient in 2- The specific evaluation and grading of different treatment courses in 3 years, and gradients to give medical treatment, and ultimately achieve a complete repair of the patient, so that the patient can get rid of the bad luck of the disability and rebuild a perfect life.

Gradient therapy

Gradient therapy is the abandonment of the bad habits of each subject. After combining basic and clinical research, it is the first time in the world to propose a new technology for the treatment of cerebral palsy-gradient therapy. Surgical skills) Cooperate with rehabilitation doctors of cerebral palsy throughout the process. On the basis of evaluating patients' various functions and grading, comprehensive application of selective spinal nerve root surgery + professional rehabilitation + perfect orthopedics + orthopedic braces and other treatment methods, according to the patient in 2- The specific evaluation and grading of different treatment courses in 3 years, and gradients to give medical treatment, and ultimately achieve a complete repair of the patient, so that the patient can get rid of the bad luck of the disability and rebuild a perfect life.

Chinese name

Gradient therapy

Feature 1

Multi-Department Combined Therapy

Feature 2

Phased precision

Feature 3

Minor surgery

Pediatric cerebral palsy gradient therapy ^[1]

Gradient therapy ensures the maximum repair of each patient, reduces the shortcomings of a single treatment method to the greatest extent possible, and improves the efficacy and shortens the treatment cycle through the cooperation between different therapies. The entire treatment process is completed in a professional treatment center, followed by a professional cerebral palsy doctor for 2-3 years to restore the patient to the society after complete repair. Clinical practice shows that gradient therapy is not only safe and effective, it can shorten the rehabilitation time by 3-5 years, but also guarantees the normal development of limb function to the greatest extent, and mild patients can completely recover to normal gait. Severe patients can walk independently and take care of themselves. The best time to treat cerebral palsy is 3-6 years old. One-stage surgery can solve the problem. After that, the effect gradually decreases with age. However, no matter what age, as long as there are no serious complications of bone deformity, there are treatments. opportunity. In addition, gradient therapy also has a good therapeutic effect on traumatic spastic paralysis caused by stroke or craniocerebral injury.

Feature 1: Multi-Department Combined Therapy

It is impossible to achieve satisfactory results with any one of the cerebral palsy treatment methods. Inconsistent cerebral palsy treatment

Even more dangerous than not treating. Combining various departments and using teamwork to integrate the various methods of cerebral palsy treatment into one treatment team, put forward the concept of responsibility for the patient's endpoint efficacy, and changed the segmented symptomatic treatment mode of cerebral palsy. Avoiding the shortcomings of the advantages of single treatment and the more serious follow-up problems caused by improper treatment. Treatment methods for such diseases include: rehabilitation, neurosurgery, orthopedic surgery, and medication. These therapies are characterized by a long treatment cycle and limited efficacy. Because these treatment techniques are mastered by doctors in different disciplines, apart from the research team, there is no treatment team at home and abroad that integrates surgery, rehabilitation, psychology, and brace treatment, and there is no method that combines various treatment methods organically. .

Feature 2: Accurate in stages

In order to solve the problem of how to choose, when to choose, and what kind of therapy, we first proposed the concept of gradient therapy and carried out clinical research: First, we will evaluate the four core indicators of muscle strength, muscle tension, gait, and deformity that reflect the core symptoms of cerebral palsy. Make a review

After measurement and quantification, and weighted correction according to the previous treatment situation, the treatment method and order are selected according to the results; according to the patient's age, mental state, intelligence level, brain development (MRI evaluation), and reasonable treatment time (retention learning time), etc. Factors, formulate a 3-5 step step treatment plan (treatment time, treatment method, treatment improvement goals); implement the treatment plan step by step (surgery and rehabilitation physiotherapy, assisted brace therapy and gait training during the period); each stage of treatment After the end of the evaluation, a second evaluation is performed to correct the next treatment plan, and the residual problems in each stage of treatment are compensated after the step treatment, which can reduce the defects of various treatments and improve the efficacy systematically. Finally, based on the symptom evaluation, comprehensive evaluation is performed. Patients evaluated treatment results in such indicators as psychology, self-care ability, and quality of life.

Feature 3: minor surgery

The core technique of selective spinal nerve root dissection is "choice", that is, the problem of how many nerve roots are removed. "Too much" leads to soft paralysis (complete paralysis). "Too little" will inevitably recur after three months. This problem Prevented the popularization of this technology. Although the electrophysiological monitoring methods reported in various literatures are feasible, they are extremely demanding: they require senior electrophysiologists, electrophysiological monitors of 32 or more channels, and smooth anesthesia during the operation; this study quantifies the results through the evaluation of gradient therapy , Designed the calculation method, calculates the ratio of intraoperative resection, and

The method of calculation and comparison of physical testing is adjusted and the calculation method is gradually established. A set of highly selective resection methods based on preoperative quantitative evaluation and supplemented by intraoperative electrophysiological monitoring is gradually established, which greatly reduces the operation on the basis of ensuring the efficacy. Difficulty. Traditional orthopedic surgery for cerebral palsy is performed by an orthopaedic surgeon. Because the core problem of cerebral palsy deformity is the stretch reflex of the nerve, this therapy is based on the needs of gradient therapy based on orthopaedic surgery. Moderately damage the tendon or muscle fiber on the basis of minimally invasive, and use new materials such as bone anchors to reduce surgical trauma, and integrate orthopedics and neurodissection to serve the core symptoms of patients.

Feature 4: Effective rehabilitation after surgery

The postoperative rehabilitation treatment is completely the opposite of the preoperative operation.

Will cause the patient to be completely paralyzed and unable to walk; therefore, for children with cerebral palsy, rehabilitation before surgery is to reduce muscle tension through various means. The muscle tension has been adjusted to close to normal during the operation. After the operation, the muscle strength, balance, and normal exercise mode are re-established, so that the child can achieve a perfect rehabilitation effect. Therefore, the two have different focuses, different rehabilitation functions, and different operability. Adhering to the correct rehabilitation training after surgery will tend to be more perfect. The core stability is the guarantee of the normal movement of the head, neck and limbs, and the muscle coordination ability training. We can use the pressure tapping method to make the active muscles, antagonistic muscles, and synergistic muscles work at the same time; we can also use the alternate tapping method by The tapping operation in the opposite direction is performed alternately on different parts of the child's body to achieve the purpose of ensuring that the child is in the middle position.

Introduction of the disadvantages of preoperative rehabilitation training

Once the child has been diagnosed with cerebral palsy, targeted rehabilitation training will begin. Regardless of science or non-professional, parents will actively or passively provide rehabilitation training. Those who cannot walk, find ways to help and pull him to walk; cannot grasp things Yes, they are tempted to grasp by various methods. Therefore, rehabilitation is the most important, most effective and most practical treatment for cerebral palsy. However, no matter how professional the rehabilitation training of cerebral palsy can not solve the main symptoms of cerebral palsy perfectly, because the main source of symptoms of spastic cerebral palsy is that continuous muscle spasm causes muscle development to lag behind bone development, even if the rehabilitation training is good Can not achieve complete resistance to this backwardness, once an error occurs will lead to abnormal exercise posture.