Question
My 6-month-old baby cannot lift their head, can roll over, and has a normal appetite. There are no other abnormalities, but sometimes they tremble. What are the recovery methods for infants with spastic cerebral palsy?
Answer
- Correcting abnormal shoulder posture: (1) Have the child sit down with the therapist behind them. One hand holds the child’s head, while the other hand slowly lifts the affected shoulder joint to 180 degrees and holds it for 30 seconds, repeating 10 times. (2) Repeat step (1), but when the affected upper limb’s shoulder joint reaches 180 degrees, bend the elbow joint to 90 degrees and place the forearm behind the head, keeping it supinated. Perform the movement gently and hold it for 30 seconds, doing 10-20 repetitions. (3) Keep the child sitting, with the affected upper limb behind them and interlocking fingers with the other hand, palm outward. Start with both hands at the sacral area and gradually raise them to the L1 level, holding for 30 seconds, doing 10-20 repetitions. (4) Have the child lie on their side with the affected side up. The therapist sits behind the child and crosses the right lower limb over the child’s hip joint to stabilize it. Then, use one hand to stabilize the child’s armpit and use five fingers to stabilize the supraspinatus muscle on the same side, applying rhythmic pressure with directions that can be divided into