How to deal with thumb-in-pouch in a 6-month-old baby?

Patient's question:

Currently, in most cases: When sleeping, the thumb occasionally sticks out, but most of the time it is held in the palm. When reaching for things, the arm extends, but the thumb remains adducted. When sitting on the bed, the back leans forward. Standing straight is possible, but support is needed.

Doctor's answer:

Compare the incidence of cerebral palsy, which often occurs before birth or in infancy, with its causes: birth injuries, neonatal jaundice, brain hypoxia; premature birth, etc. The main symptoms are increased muscle tone, difficulty with abduction, and in severe cases, muscle rigidity, contractions, and joints maintaining a flexed position. In mild cases, fine motor skills in the hands are poor, and the heels cannot touch the ground when walking. These patients often have language development and articulation disorders, as well as strabismus. About one-third of patients have varying degrees of seizures and intellectual disabilities. Cerebral palsy can cause delayed motor development. If the baby is still inactive and does not move much after 3 months of birth, and there are no crawling movements of hands and feet when prone; if the baby's hands are still tense and clenched after 4-6 months of birth. Shuffling gait, scissor gait, etc.

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