How to treat involuntary motor cerebral palsy? Three methods are most effective

There are many types of cerebral palsy clinically, and involuntary movement cerebral palsy is one of them. So, how should involuntary movement cerebral palsy be treated?

1) Comprehensive treatment approach based on neurodevelopmental therapy

Neuro-developmental therapy (NDT) is a theory and therapeutic technique for treating cerebral movement disorders created by British scholars. It is also known as the Bobath method and is currently recognized as an effective method for treating cerebral palsy in the world. The rehabilitation treatment of involuntary movement type cerebral palsy should still be based on this treatment method, promoting the coordination of movement patterns, inhibiting the impact of primitive reflex patterns on the normal motor development of children, promoting the integration of active patterns, preventing the formation of abnormal patterns, promoting autonomous movements and voluntary movements, and inhibiting abnormal postural reactions. On this basis, appropriate use is made of proprioceptive neuromuscular facilitation (PNF), motor relearning program (MRP), Rood technique (also known as multiple sensory stimulation therapy or skin sensory input facilitation technology), heat therapy in physical therapy, hydrotherapy, occupational therapy, cultural and sports therapy, guided education therapy, etc. Although there are many rehabilitation treatment methods, for this type of cerebral palsy, highly stimulating techniques such as the Vojta method and the Ueda method are not suitable for use. Any treatment method that can increase stimulation and induce tension may aggravate the condition, including body acupuncture, which should be avoided.

2) Suppressing abnormal postures and breaking the control of primitive reflexes is the basis for normal movement

Posture control is crucial. Maintain stable support, avoid abnormal postures during treatment, in daily life, and in various body positions. In any case, suppress remaining primitive reflexes and control abnormal postures. Only by controlling abnormal posture can normal autonomous movement occur. To suppress abnormal posture, the Bobath method is mainly used to control key point techniques, suppress abnormal postures of the head, neck, limbs, shoulder girdle, trunk, and pelvis, and break the posture controlled by the residual primitive reflex. While suppressing abnormal posture, it also promotes the control ability of the head, neck, trunk, and limbs. Attention should be paid to maintaining the straightness of the body and the normal position of the head, so that the whole body is in a symmetrical posture and maintains neutral position activities. In order to maintain a stable posture, pressure, body weight load, compression and other techniques can be applied.

3) Correctly evaluating muscle tension, relieving muscle tension, alleviating muscle tension fluctuations, and controlling dystonia are prerequisites for promoting voluntary movement.

The increase in involuntary and involuntary movements is mainly caused by fluctuations in postural tension and dystonia. To improve the correctness and effectiveness of voluntary movements and reduce synergistic movements, it is necessary to control dystonia, reduce nerve excitability, and relieve muscle tension. Only when there is no obvious muscle tension and dystonia during active movements can autonomous and voluntary movements be completed. Special attention should be paid to stabilizing postural muscle tension, inhibiting paroxysmal muscle spasms, limiting movement to a few functional modes, narrowing the range of motion, and fixing the central part during treatment so that the movement of the peripheral part can be controlled. When postural muscle tension is too low, compression and tapping are used to increase muscle tension. When muscle tension increases, reflex inhibition mode is used to inhibit muscle spasms. When muscle tension fluctuates greatly and changes rapidly, you can consider combined treatments such as medication and massage.