[Rehabilitation Class] Rehabilitation training method for children with cerebral palsy who have knee overstretch

Knee hyperextension: The knee joint is over-extended and the knee is sunken. The child has difficulty flexing the knee joint while walking. The causes of knee hyperextension are 1, pointed feet: children have pointed feet when the heels touch the ground and sometimes compensate for the knee hyperextension. 2. Tension and muscle strength: The muscle strength of the quadriceps muscle in front of the thigh is high or the hamstring muscle strength is weak. 3. Compensation for the healthy side: Compensation for the hyperextension of the healthy side due to changes in the affected side posture. 4. Knee joint: Insufficient muscle strength around the knee joint or loose ligaments cause knee overextension. 5. Hip flexion: Because the child flexes the hip, the center of gravity is not on the vertical line, and the knee is overextended to compensate for maintaining body balance. 6. Muscle strength: The overall muscle strength of the lower limbs is low, and the knee overstretching is caused by compensation for supporting the upper body. 7. Excessive traction: Excessive dorsiflexion of the dorsum of the foot makes the ankle and knee joints have poor control force and causes the knee to overextend. Cerebral palsy children’s knee overstretching rehabilitation skills 1, cycling training: both muscle strength training is also exercise, perception training, pay attention to the height of the sitting position to keep the child’s knee flexion. 2. Squat up: Squat up in an appropriate amount is the strength training of the lower limbs (note that the knee joint should not be fully extended), and can also improve the control of the knee joint. 3. Standing training: The surgeon takes a sitting position and flexes one knee joint. The child stands on the flexed knee joint with the first two legs apart. The surgeon supports the knee joint of the child to keep it slightly flexed. 4. Add cushion after standing knee. 5. Flexion and extension training: The child will lie in supine or prone position and then undergo passive flexion and extension training. 6. Abnormal correction: Correct abnormalities such as sharp feet, hip flexion, and pelvic forward tilt to make the center of gravity normal. 7. Strike: standing or prone and striking the popliteal fossa behind the knee, which improves the toughness of the knee joint and keeps the knee joint Certain flexion 8. Balance muscle tension: gently press the quadriceps muscle in front of the thigh to lower the muscle tension, and press or knead or smash the hamstring muscles after the thigh to lift the muscle strength. 9. Standing, descending slope, and retreating: standing on the tip of the slope, the knee joint is slightly flexed, the knee joint is slightly flexed, and the walking backwards. Children over 1 and a half years old who cannot walk even if they have knee extensions, must also have proper standing training. Some rehabilitation teachers are afraid of aggravating abnormalities and will not stand, which is wrong. Of course, they think that they can only stand after effective correction of abnormalities. This is just an ideal situation that is difficult to achieve, and because the lower limbs do not hold weight for a long time, it will also cause muscle disuse (useless) atrophy to aggravate abnormalities and cause secondary abnormalities. Appropriate and correct standing training will not only aggravate abnormalities In addition, it also has the function of correcting abnormalities. If the critical period and the sensitive period of standing are over, it will not be important to practice standing again, which increases the difficulty of training. We emphasize the control of posture and movement, we must correct abnormalities, active and passive movement and appropriate oral reminders are effectively combined to enable children to actively adjust, so that children can learn and experience correct posture and movement, and then accumulate experience Then establish a more normal posture and movement pattern.

Typical symptoms of cerebral palsy

Cerebral palsy is a non-progressive brain injury syndrome caused by various reasons from the beginning of conception to one month after birth. Cerebral palsy is mainly manifested as central dyskinesia and abnormal posture, and can also be accompanied by mental retardation, epilepsy, sensory disturbances, language disorders and mental behavior abnormalities. It is one of the main diseases that cause children with motor disabilities. So, what are the symptoms of cerebral palsy? We show it with pictures. (1) Drooling (2) Thumb adduction (3) Scissor step (cross step) (4) Knee flexion (5) O-leg / X-leg (6) Knee hyperextension (7) Tiptoe (8) Instep Turning the foot valgus (nine) to reverse the spasm