Patient's question:
A 6-month-old baby cannot lift their head, can roll over, has a normal appetite, and shows no significant abnormalities, but sometimes they experience tremors. What are the spastic rehabilitation methods for cerebral palsy patients?Doctor's answer:
1 Correct Shoulder Abnormal Posture(1) The child assumes a seated position, and the therapist stands behind the child. One hand stabilizes the child's head, while the other hand supports the affected elbow joint, slowly elevating the shoulder joint to 180 degrees and maintaining the position for 30 seconds. This movement can be repeated 10 times.
(2) Repeat (1). When the affected upper limb's shoulder joint reaches 180 degrees, flex the child's elbow to 90 degrees and place it behind their head, keeping the forearm in supination. The movement should be gentle, avoiding excessive force. Maintain the position for 30 seconds and repeat 10–20 times.
(3) The child remains in a seated position, placing the affected upper limb behind them and interlocking it with the other hand, with palms facing outward, performing a "behind-the-back" motion. Initially, the child's hands can be positioned at the coccyx, gradually moving upward to the L1 vertebra. Maintain the position for 30 seconds and repeat 10–20 times.
(4) The child assumes a side-lying position with the affected side on top. The therapist sits behind the child, crossing the right lower limb over the affected hip joint and securing it. One hand stabilizes the child's axilla, while the other hand's fingers are placed on the supraspinatus muscle of the same shoulder, applying rhythmic pressure. The direction of force can be forward, downward, or backward, with each direction maintained for 30 seconds and repeated 20 times.