The 9-year-old boy, who lives in Guangdong Jiangmen, has a history of premature birth (29 + 2 weeks) and has learned to walk from a child who is different from a normal child and starts to undergo rehabilitation until he is over seven years old. In the course of rehabilitation, the child ‘ s feet become more flexible, and if the rehabilitation is stopped, the child ‘ s symptoms become more severe, returning to his or her pre-rehabilitation state, resulting in the child ‘ s knee, tipping, and hoove-throwing symptoms that affect the normal life of the child.
After an out-patient assessment, Prof. Chang Zhuang gave a presentation: “As a result of the child’s history and existing symptoms, diagnosis of convulsive cerebral palsy, double lower limb muscle tension level 5, convulsion of 3.5 cm on the left side and convulsion, convulsion of 3 cm on the right side and convulsion of 3 cm on the right side, and internal muscle collection of 40 degrees, the first step was to develop a treatment for the child: a waist fSPR operation (functional selective spinal vertebraeal hysteria), removal of the lower limb convulsions, reduction of muscle tension, relaxation of the child’s lower limbs, together with rehabilitation training, and improvement of the child’s walking position; the second step: orthotic surgery, which addresses the symptoms of a child’s and a horse’s feet. Through two surgeries + rehabilitation training, the child’s walking position becomes normal.”
On 30 October, Prof. Chang Zhongwang successfully performed a back-to-back FSPR operation for the child, which resulted in the child ‘ s leg being relaxed, flexible, normal, and a visible rise in his front soles, and satisfaction with the effects of the operation.
FSPR post-operative rehabilitation training is divided into two stages:
The first period, 15 days after the operation, was followed by the recovery of the muscle strength of the leg with a belt, as the overall muscle strength of the patient decreased after the FSPR operation, and there was a feeling of softness, during which time the muscle strength could be restored by some bedside rehabilitation exercise, with adequate preparation for subsequent intensive training.
In the second stage, three months after the operation, a rehabilitation plan is drawn up, which is tailored to the patient ‘ s condition. This is mainly due to the abnormal walking position and pace of the patient due to long convulsions prior to adjustment and improvement, while teaching the patient to walk properly.
The maximum rehabilitation of each patient is ensured through the Gradient Therapy programme, which most likely reduces the shortcomings of the single treatment and improves the efficacy of the treatment through a combination of different treatments, shortens the treatment cycle and ultimately achieves the treatment goal of being able to live independently.
The advantages of the `graduary therapy’:
The first step is to develop individualized treatment programmes, based on the patient ‘ s pathology, age, symptoms and multidisciplinary specialists, with a view to maximizing rehabilitation opportunities for each patient.
Step 2: Effectively shorten the rehabilitation cycle, for surgical patients. Surgeons work with rehabilitation doctors throughout the process to develop reasonable surgical programmes and individualized rehabilitation programmes, reducing the length of rehabilitation by two to five years.
Step three: Gradient treatment, which saves treatment costs and improves the efficacy of treatment; it avoids duplication of treatment and the unreasonableness of the sequence of treatment, compensates for residual problems in each treatment, and systematically plans the treatment programme through a combination of different treatments to ensure the best possible recovery for each patient.
Step four: Multidisciplinary collaboration, protection for all sick. Integration of the multidisciplinary advantages of functional neurosurgery, osteoporosis, imaging, paediatrics, rehabilitation, anaesthesia, psychopsychiatrics, etc., to ensure that patients receive regular medical assistance throughout their path.
