Generally speaking, the length and weight of children with cerebral palsy due to hand-foot creep are not up to normal standards, and they are malnourished, prone to rickets, and often have symptoms such as respiratory infection, diarrhea and fatigue, which affect their health and physical strength and hinder their physical and mental development. There are also difficulties in sucking, chewing and swallowing, poor oral closure and salivation. Late teething, late learning to speak, need symptomatic treatment. In addition to providing a scientific and reasonable diet, zinc, calcium, iron, vitamin A and vitamin D should be supplemented in time to promote their growth and development.
Second, learning difficulties.
About 50% of children with cerebral palsy with hand-foot creep have mild or moderate learning difficulties, and their IQ is 70-80. Some children with cerebral palsy with wriggling hands and feet seem to have no major problems, but they may have difficulty reading or calculating. Some children are very good at reading and calculating, but it is difficult to establish the concept of shape, which leads to poor painting ability. Severe learning difficulties make children with cerebral palsy learn to walk, talk and move very slowly.
Third, mental retardation.
Children with cerebral palsy caused by hand and foot peristalsis are often accompanied by mental retardation. The incidence of mental retardation caused by hand and foot peristalsis in children with cerebral palsy is as high as 75%. Because most evaluation tests on intellectual development are based on the completion of sports, the results measured on children with cerebral palsy are often different from the actual situation, and are often lower than those of children with mental retardation. In addition, children with cerebral palsy caused by hand-foot peristalsis may have visual, auditory and language barriers, which often make it difficult for them to respond or express correctly. Because of sports obstacles, his potential development in his growth was hindered, which hindered his life practice in the process of development and affected his spiritual development. In addition, there are psychological obstacles besides trunk factors, which make the test more unreliable and the actual intelligence is often underestimated. For children with cerebral palsy, parents' observation and understanding, as well as doctors' own observation, are often helpful to the overall evaluation of children's intelligence, and the intelligence test results of children with cerebral palsy cannot be equal to mental retardation. If children with cerebral palsy improve their exercise and practice, their development level in all aspects will be significantly improved.
Fourth, language barriers.
Most children with cerebral palsy caused by hand-foot peristalsis have different degrees of language disorder. Its manifestations can be unclear pronunciation, difficulty in pronunciation, language expression disorder, and even aphasia.
The reasons for speech and language barriers are:
Because the dormitory of brain tissue affects the development of language center.
After cerebral palsy, the muscles of the face, tongue and vocal organs are involved, leading to dysarthria.
Children with cerebral palsy can also cause or promote the occurrence of language disorders due to physical movement disorders, visual, auditory or intellectual disorders.
Children with hand-foot peristalsis cerebral palsy are often accompanied by language disorders, followed by spastic quadriplegia and diplegia.
Verb (abbreviation for verb) visual impairment
Children with cerebral palsy caused by hand and foot peristalsis often complicated with strabismus, of which introversion is the most common, and others can be seen as nystagmus, gaze disorder, myopia, hyperopia and so on. In severe cases, cataracts, optic atrophy and even complete blindness can be seen. Strabismus is the most common abnormal eyeball position in spastic cerebral palsy, and optic atrophy has a higher incidence in severe craniocerebral injury and spastic quadriplegia with severe mental retardation.
Six, abnormal psychological behavior
Children with hand-foot peristalsis cerebral palsy may have behavioral abnormalities, such as self-mutilation behavior, violent tendency, sleep disorder, personality abnormality and so on. The personality of children with cerebral palsy is different from that of normal children in physiological basis and reaction style. Children with cerebral palsy are lower than normal children in emotional stability, self-control, self-reliance, gentleness and rationality. Children with superficial cerebral palsy are prone to emotional instability, variability, low self-control, strong dependence, impulsiveness and strong aggression. The adaptability of children with cerebral palsy to society and family is lower than that of normal children, and their psychological adaptability to objective environmental changes is lower. Physical stability and personal stability are lower than normal children, showing the characteristics of unstable personality and unbalanced development. Therefore, we should pay attention to the behavior of children with cerebral palsy, take effective measures to prevent the occurrence of abnormal behavior, and actively correct it to avoid the aggravation of symptoms.
Seven, epilepsy
Epilepsy often attracts attention because of convulsions. Convulsion not only hinders the treatment of cerebral palsy, but also increases the risk of brain injury and affects intelligence. The probability of epilepsy in most children with cerebral palsy is 20%-30% for infants and 40%-50% for older children. The incidence of complications is high in spastic quadriplegia, hemiplegia and childhood malformation, and many infants have seizures in the early stage.
Drugs can often control the onset, usually need to take drugs regularly, persist for 2-4 years, and gradually stop taking drugs under the guidance of doctors. Do a good job of nursing during the attack, protect the head, make it lie on its side, loosen tight clothes, it is easy to breathe and spit out, keep breathing unobstructed, observe it around the child, and let him rest after the attack.
Eight, oral and facial dysfunction and dental diseases
Because of the abnormal muscle tension of facial muscles, oral muscles and tongue muscles, children have difficulty in chewing, sucking and swallowing, and their mouths are not closed properly and their mouths are watering. The common creeping dental caries of hands and feet in children with cerebral palsy are mainly due to the dentin itself and the unsanitary side of the mouth. Due to bilirubin encephalopathy or other perinatal injuries, enamel formation is incomplete, teeth are prone to calcification, and teeth themselves are prone to dental caries.
Nine, hearing impairment
Children with cerebral palsy caused by hand and foot peristalsis are mostly sensorineural hearing impairment caused by the damage of the central part of the internal auditory canal. Children with cerebral palsy often show poor response to sound due to mental retardation, backward language development, dyskinesia and other reasons, and their hearing impairment is often ignored. Therefore, in order to reduce disability, children should be examined for hearing at an early stage, so that they can be found and treated as soon as possible.
Dysphagia
Many children with cerebral palsy have difficulty in eating because of peristalsis of hands and feet. In infancy, they have difficulty sucking, and when they grow up, they may have difficulty chewing and swallowing. Normal children's larynx can make air enter organs and lungs smoothly, and liquid or solid food enter esophagus and stomach. This function of children with cerebral palsy is often not perfect, so it is easy to cause choking cough. Food reflux often occurs in the stomach when food or liquid enters, but this phenomenon will soon disappear. This phenomenon may persist in children with cerebral palsy. Because of the long-term reflux of gastric acid, it will lead to the injury and pain of esophageal wall, which will eventually lead to the refusal of food for children with cerebral palsy.
XI。 saliva
Children with cerebral palsy caused by hand and foot peristalsis may have difficulty in controlling saliva. Babies drool for about 6 months, but soon learn to swallow saliva. It is difficult for children with cerebral palsy to close their lips and swallow saliva regularly. Therefore, continuous salivation causes the mouth and chest to be always wet. Both oral massage and minor surgery can effectively treat salivation.
XII. Rectal and Bladder Problems
Children with hand and foot peristalsis cerebral palsy have dry stools due to lack of activity, which also affects their diet. It is much easier to control early in life than later. Therefore, we should pay more attention to choosing foods rich in fruits, vegetables and crude cellulose in the diet, keep the stool unobstructed, and empty the rectum regularly to form a habit. At the same time, we should check regularly to prevent the reflection of dry stool. Compared with normal children, children with cerebral palsy have poor bladder control ability. If the bladder cannot be emptied for a long time, it is easy to cause bacterial infection of the bladder. Therefore, it is very important to cultivate urination habits and take various measures to prevent infection.
Thirteen. affect
Because of the difficulty in chewing, sucking and swallowing, children can't get enough nutrition, lack trace elements and have low immunity. Living in a certain posture for a long time, even staying in bed for a long time, is easy to cause local tissue and organ infections, such as lung infection and urinary system infection. Therefore, children with cerebral palsy should balance nutrition as much as possible, enhance the body's resistance and actively prevent and treat various infections.