Seven self-tests for cerebral palsy

Seven self-tests for cerebral palsy

After a newborn is born, his growth and development is very regular. As parents, we should carefully observe the child's expressions and activities. We know that cerebral palsy is a relatively harmful disease. When the newborn is one month old, he may gradually show some symptoms. At this time, you can observe through self-testing of cerebral palsy tendencies. Once any abnormal situation occurs, you should go to the hospital for diagnosis in time.

Nursery rhyme comparison chart A newborn baby looks at the red ball and turns its head when it hears a sound. At one or two months old, it smiles at its mother, without lowering its head or tilting it up. At three or four months old, it can roll over with its loosened hands against the chest. At five or six months old, it can sit and grasp the toys next to it. At seven or eight months old, it can jump with support, and most importantly, it can roll and crawl. At nine or ten months old, it can stand with support from the bed and say “welcome” and “goodbye.” A one-year-old baby can stand steadily and can take accurate steps when led away. He calls mom and dad and can pinch and hold beans and small balls. Seven self-tests for cerebral palsy Abnormal posture is the most important clinical manifestation of cerebral palsy. Early detection of abnormal posture can help identify the tendency to cerebral palsy. Parents can use the "7 items of posture reactions" to test whether their children have abnormal posture. If any of the abnormalities mentioned above occur, parents should seek medical attention in time for further examination.

1. Spontaneous posture in the holding position and supine position

□ Thumb adduction □ Head tilt □ Head backward □ Lower limb stiffness □ Excessive softness □ Clenched fist □ Spontaneous bow-drawing and archery posture □ Spontaneous dorsiflexion of the big toe upward, and the other limbs fan out □ Both lower limbs are stiff 2. Lie on your back and help yourself to lie on your side

□Head tilt ≥ 20° □Tonic head tilt

3. Side-lying to prone position (measured after 4 months)

□ Face supported □ Hips higher than head 4. Support both armpits and lift

□ Tightness in the foot towards the sole □ Tightness in the lower limbs □ Feet turned inward/outward □ Abnormality in the upper limbs/head when raised 5. Supine to pull-up position

□Tilt your head back ≥20° □Stand up without sitting □Cross your wrists or elbows and tighten them 6. Lift your feet to the tabletop after standing up

□ Heel lift ≥ 30° □ No weight bearing □ Foot inward/outward 7. After standing, support the center of gravity to lean forward slightly and switch left and right to help the child take steps

□ No awareness of taking steps □ Not holding weight □ Heels lifted ≥30° when taking steps (pointed feet) □ Legs crossed when taking steps (scissors step) □ Rapid stepping Note: When the baby neither holds weight nor takes steps, you can make the baby lie on his back, support his knees and press the bottom to bend toward the dorsum of the foot. When there is just resistance, the angle between the dorsum of the foot and the front of the calf ≥90° is abnormal. The above 7 postural reaction tests have been used in 200 high-risk infants and have been proven to be an effective method for early detection of cerebral palsy tendencies. If a child aged 6-7 months does not have any of the above abnormalities and has normal motor development, he or she generally has no tendency to cerebral palsy.

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