Treatment of cerebral palsy, pre-operative assessment and post-operative rehabilitation training are important

In many people ‘ s perception, cerebral palsy seems to be incurable and accepted passively, even by parents with many children suffering from cerebral palsy, so that we can hear or see that parents who care for children with cerebral palsy have eliminated the possibility of having a second child. Consider such love great, but the fact is that it is narrow and selfish. If a second child is born only to care for a child with cerebral palsy, it is certainly unfair — be it a child with cerebral palsy or a child with a second child. Indeed, for children suffering from cerebral palsy, it is more important to help them to be able to live independently, and more so to be able to provide effective scientific treatment.

Professor Zongwang, a specialist in cerebral palsy, described the various types of cerebral palsy that could be classified clinically, the fact that not all cerebral palsy could be treated for surgery, and the need for a thorough pre-operative assessment to determine whether surgery was possible. For example, the current FSPR, which had the ideal clinical effect, was suitable only for treatment of convulsive cerebral palsy. Before each of the FSPRs, we conducted a comprehensive assessment of children suffering from cerebral palsy, for which the following conditions were met:

1 Pure convulsion, with muscle tension above level 3.

2 No apparent fixed convulsions or only mild malformations.

The pre-operative spinal limbs have a certain motor capacity.

4 Intellectually normal or near normal, able to accompany post-operative rehabilitation.

Severe convulsions and rigidities affect daily life, care and rehabilitation trainers.

Six muscles above class IV.

It should be recalled that the optimal duration of the FSPR operation is between 2.5 and 6 years of age, which appears to be a harsh condition, in effect enhancing its safety while ensuring its effectiveness.

From a medical point of view, any treatment has its adaptive symptoms, i.e. the range suitable for application. At present, various treatments are aimed primarily at the type of convulsive or primarily convulsive cerebral palsy. From a therapeutic point of view, three steps should be included: the removal of convulsions, the correction of malformations and rehabilitation training. As a result, FSPR surgery (i.e. functional selective vertebral post-separation) is the primary option for the treatment of persons with convulsive cerebral palsy. Since, beyond that, there is currently no treatment that can be effective in removing convulsions.

The main purpose of the FSPR is to address the problem of physical spasms and to create the conditions for rehabilitation training, where a successful operation provides an opportunity for children with cerebral palsy to stand and walk. Objectively, rehabilitation training should be consistent and long-term in the treatment of cerebral palsy.

It is important to highlight that surgery provides only the basis for rehabilitation training and that timely, effective and standardized rehabilitation training is essential for the purpose of functional improvement. This is because clinical studies have found that there is an inevitable degree of reduction in the muscle strength of persons with cerebral palsy following various surgical procedures, and a degree of muscle contraction during the plaster fixed period, and changes in standing and walking postures (e.g., gravitational line, weight and joint angles).

For these reasons, after the operation, persons with cerebral palsy have to undergo long-term and well-rehabilitated training so that muscle strength can be fully enhanced so that standing and walking behaviour can be effectively improved.