What are the rehabilitation training for children with cerebral palsy?

1. When the child is supine, the leg of the child is passively flexed by traction, and the hip joint is flexed and extended: the adductor muscle is pulled by shaking the hip and leaving the hip to reduce the tension and keep it for a moment (this is very important), and the operation is repeated.

2. Adopt straight leg compression sitting training, and fix the abduction of both lower limbs at about 60 degrees (if the adductor muscle tension is high, it can be expanded to 75 degrees, but the degree should not be too large, the thigh angle of normal people is 150- 160 degrees, and the baby is smaller) to stretch spasmodic muscles and reduce muscle tension. This is static training.

3. Hammer the hip joint training chair to train the child's lower limb abduction-adduction-abduction, so as to achieve the purpose of pulling muscles and activating the hip joint while exercising. This is dynamic training.

4. "Riding" training, (using wooden barrels, wooden horses, wooden chairs, etc. ) can stretch spasmodic muscles, reduce tension and restore function.

5. "Climbing high" and "crawling" training, (using frog style, that is, legs as far as possible).

6. The child walks sideways with the handrail, gradually relieves the spasm with his active movement, and expands the range of joint activities, thus achieving the purpose of mastering the opening and closing movements of lower limbs and correcting the gait of scissors.

7. When the child is resting, put a pillow or other soft object between his legs, with his toes facing outwards as far as possible, and encourage the child to separate his legs.

(b) Reduce the training of standing and walking with knees bent.

1. Stretch contracture tendons and relieve spastic muscles by pressing knees or raising straight legs in supine and prone position.

2. Stand, bend over to take things, pull the spasmodic national rope muscles, relieve tension and enhance waist muscle strength.

3. The application of bow and arrow pressing, knee joint stretching and quadriceps training chair can improve quadriceps muscle strength, antagonize spastic hamstring muscle and improve knee joint self-control ability.

4. One-step parallel bars and standing knee lifting training can improve the ability of knee joint to bend and stretch independently and coordinate the motor function of limbs.

5. Power car and walker training can improve the active motor function of lower limbs and increase the range of joint motion.

(3) Knee supination training

There are three reasons for "genu valgus": (1) the bone changes of the knee joint itself, resulting in abnormal position of the knee joint; (2) Under the load-bearing condition, the control ability of the knee joint is poor, which shows that the proprioception of the knee joint disappears, the ligaments around the joint relax, and the muscle strength of the quadriceps femoris and hamstring muscles is weak or does not contract in normal proportion; (3) Flexor contracture or high muscle tension can also lead to excessive extension of knee joint. The main cause of atelectasis of knee joint in children with cerebral palsy is dystonia.

1. Knee pressing, ankle traction, ankle shaking and flexor digitorum traction training.

2. Knee flexion and extension, foot dorsiflexion training, improve extensor strength, coordinate and antagonize muscle tension.

3. Crawling training and knee flexion are beneficial to correct tension, increase the control ability of knee joint movement and coordinate its motor function.

4. Improve the muscle strength of national rope muscles, reduce the tension of extensor muscles, and coordinate the flexion and extension functions of joints.

5. Step-up training plays an important role in correcting genu varus and coordinating gait.

Correcting "knee supination" is mainly to control the extensor movement of lower limbs. Generally, mild symptoms are corrected by exercise training. The method is as follows: the knee of the affected hand is supported on the mattress in kneeling position, and the knee of the affected side is trained in flexion and extension. In order to coordinate the movement, the knee joint is trained alternately in flexion and extension. With the improvement of symptoms, it is changed to supine position or standing position, and in severe cases, lower limbs are corrected or surgically corrected.

(d) Pointed foot, varus and varus training

1. Self-traction method-the child stands facing the wall, then slowly leans forward until the achilles tendon feels traction, or he can turn his toes to the outside (like Chaplin) to do the same.

2. Muscle strength training of flexor dorsi pedis and sitting in an ankle training chair can antagonize spastic calf muscles, increase the range of motion of ankle joint and correct deformity.

3. Lie on your back, press your knees on your stomach, adjust your feet, pull your ankles, shake your ankles, and correct your deformity. The application of eversion.

4. Go up and down the steps, train on the sports car, stretch spasmodic muscles during exercise, expand the range of activities, restore functions and coordinate gait.

(5) Training of upper limbs and hand functions

1. Shoulder flexion, adduction and pronation training

In flexion position (1), the child is supine. The operator holds the forearm with one hand, slowly lifts it along the midline of the body until it is close to the ear and repeats the operation.

(2) In the retracted position, supine position or sitting position, hold the upper arm with one hand and the forearm with the other. When the horizontal direction moves to 90 degrees (abduction), the palm will continue to move upward until it reaches the ear root, and repeat the operation.

(3) In the internal rotation position, sitting position or supine position, the performer presses the shoulder with one hand and bends the elbow with the other hand, and then performs external rotation and downward pressure, and repeats the operation.

(4) Upper limb weight training, dumbbell training, stick training and sandbag training can increase upper limb muscle strength, expand joint range of motion and restore motor function.

(5) Raise your arm and touch your shoulder (bend your arm and dial the knife), lift your hips and hold out your chest (the chicken is flying).

2. Elbow flexion training

(1) Active and passive elbow flexion and extension.

(2) Upper limb weight bearing and elbow grasping training.

(3) When bending and stretching, the joints (Cai He is carrying a basket), stretching the shoulders and bending the elbows (pushing a close call), bending the shoulders and stretching the elbows (white apes offering fruits), and raising their hands (raising the fire to the sky).

3. Wrist and finger joint flexion and thumb adduction training

(1) Passive wrist-hand exercise: The performer puts his hands side by side at the lower end of the wrist joint, his two thumbs side by side at the back of the wrist, the fingertip points to the forearm, and the other four fingers rest on the palm of his hand, so that the child's wrist bends, stretches, shakes and pulls, and then the fingers twist and pull alternately from the base of the finger to the fingertip, and finally a batch of operations are finished by drawing, and the operations are repeated.

(2) Grasp with the palm of your hand, hold hands with each other, and grasp with the palm upward. (golden dragon probe claw)

(3) Grasping (holding a pen) training, thumb and forefinger pinching (buttons, soybeans, mung beans, holding a spoon, holding a key to open the door, etc. ).

(4) Wrist extension (dorsiflexion), flexion (palmar flexion), finger abduction and adduction training (fingers closed separately).

4. Thumb adduction training

Thumb adduction, abduction, stretching training, thumb flexion, palm-to-palm, finger-to-finger training and hands crossing training. Hand function training follows the process from simple to complex, from easy to difficult, from coarse to fine.

Crawling training method for hands and feet

Years of clinical experience in treating cerebral palsy has proved that "treatment is the foundation and training is the key". Training without treatment is either impossible or ineffective. On the contrary, the treatment without training can neither consolidate its therapeutic effect nor achieve the expected effect. Treatment and training get twice the result with half the effort

According to different places and different people, he has formed his own set of training methods. The order is to raise his head, straighten his waist, do limbs and do four gymnastics.