Children with cerebral palsy sometimes show obvious abnormal postures when they lie still, while some children with cerebral palsy show obvious abnormal postures when they exercise.
1. Tense neck reflex posture
This is when the head position changes, which affects the muscle tension and eye position of the limbs, and this change can be divided into symmetrical tension cervical reflex posture and asymmetrical tension cervical reflex posture. Symmetrical tense neck reflex posture is abnormal if it still exists 6 months after birth; asymmetrical tense neck reflex posture appears about 1 week after birth, and it has an advantage at 2-3 months. It will disappear gradually later because of the control of the upper center, but it is abnormal if it still exists 3 months after birth.
2. Hemiplegic posture
In hemiplegic posture, the most common manifestation of the child is one side of the limb movement, and the other side of the limb disuse, and the left and right limbs have obvious asymmetry.
3. Reverse angle
The children with this posture are characterized by increased muscle tension and head dorsiflexion.
4. Dance like hand and foot movements
This kind of posture of children’s performance is not independent movement, and movement is often in the form of dance or twisting form of continuous appearance. Moreover, the sports appearance appears to be continuous and loose, large in scope and unable to control itself.
5. Ataxia gait
This kind of realization takes the form of drunken gait, that is to say, they often can’t keep a fixed position by themselves. For example, in order to maintain the standing position, they must constantly adjust.
6. Others
Other manifestations such as two months later, children’s hands still have the phenomenon of clenching fist, such as children’s upper limb internal rotation position, both lower limbs show rigid extension, cross, sharp foot position, etc. While some children’s performance is that there is no obvious posture abnormality when they are quiet, but when the examiner suddenly holds the child’s armpit and lets his foot land on the bed, it can be found that the lower limbs of the child are adduction and crossed, and the upper limbs are adduction and pronation at the same time. But if the children over 6 months can not show normal sitting posture, and also show special abnormal sitting posture, such as forward leaning and backward leaning, it is not normal.
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