Understanding Foot Calluses and Chronic Back Pain in Cerebral Palsy Patients
There is a corn on the inner side of the left big toe, and there is recurrent lower back pain? I am a patient with cerebral palsy, and I have two questions. After removing my ankle-foot orthosis for two years, I have developed large calluses on the inner side of the big toe of my...
Dr. Wang Zhaomin Reply:
This consultation platform cannot diagnose the abnormal gait of patients with cerebral palsy, which may lead to abnormal wear on the feet, resulting in calluses or pain, and could also cause muscle imbalances in the lower back, leading to strains and premature degeneration of the...[Read More] Understanding Foot Calluses and Chronic Back Pain in Cerebral Palsy Patients
Improving Leg Length Discrepancy in Cerebral Palsy Patients
The leg length discrepancy is approximately 7 centimeters? Hello doctor, I am a moderate cerebral palsy patient, which affects my left hand and foot. I tend to walk with a leftward tilt, and due to a significant leg length discrepancy, I often feel like I'm not fully making ...
Dr. Wang Zhaomin Reply:
If there is a significant discrepancy in leg length, it is advisable to use corrective shoes or other orthotic devices. Please seek medical evaluation for an accurate assessment before arranging appropriate corrective measures.[Read More] Improving Leg Length Discrepancy in Cerebral Palsy Patients
Understanding Changes in Disability Certification: A Guide for Patients
Re-evaluation of disability certification? Dear Dr. Chou, I am a patient with cerebral palsy and need to regularly renew my disability certification. Previously, I was accustomed to having my evaluations done at the Pediatric Rehabilitation Department of Taipei Medical Universit...
Dr. Zhou Jianwen Reply:
Please consult the original physician, as a detailed medical history is necessary for understanding.[Read More] Understanding Changes in Disability Certification: A Guide for Patients
How to Apply for Early Intervention Subsidies for Sensory Integration Therapy
Early Intervention Subsidy I have a boy undergoing sensory integration rehabilitation therapy at the clinic. I heard that early intervention subsidies can be applied for. How can I apply for them?
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Generally, you can obtain a medical certificate from a public or teaching hospital, specifying the diagnosis (such as developmental delay or cerebral palsy)...[Read More] How to Apply for Early Intervention Subsidies for Sensory Integration Therapy
Can Horseback Riding Therapy Help Children with Developmental Delays?
Developmental delay My son experienced developmental delays and at the age of 2, he was still babbling and not speaking. I have made great efforts to take him for speech therapy and sensory integration therapy. Over the past three years, while his verbal expression is still not o...
Dr. Chen Xianchang Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. Hippotherapy is a treatment that has been introduced from abroad and is used for children with "cerebral palsy," "attention deficit," &q...[Read More] Can Horseback Riding Therapy Help Children with Developmental Delays?
Understanding Congenital Torticollis: Early Intervention and Rehabilitation Insights
Torticollis When my son was born, I noticed something unusual about his neck; his head always turned to the right. Whenever I gently helped him straighten or turn to the left, he quickly returned to the right. We took him to see a pediatrician, who diagnosed him with torticollis ...
Dr. Chen Xianchang Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, the exact causes of torticollis are still not fully understood, but it is important to check for other issues, such as cerebral palsy or other neurological disorders. 2. Rehabili...[Read More] Understanding Congenital Torticollis: Early Intervention and Rehabilitation Insights
Rehabilitation Options for Stroke Patients with Cerebral Palsy Symptoms
Stroke patients Hello Director Chen: My father has had two strokes over the past seven years, and now he walks as if he has cerebral palsy, with his arms and legs flailing. He does not use a cane and I am very worried about him having an accident. Can such a patient undergo rehab...
Dr. Chen Xianchang Reply:
1. Rehabilitation should be conducted by a rehabilitation specialist, and it is advisable to correct gait patterns. 2. Use a cane; do not avoid using it out of concern for appearance, as maintaining a proper gait is more important for safety and preventing falls, thereby avoiding...[Read More] Rehabilitation Options for Stroke Patients with Cerebral Palsy Symptoms
Supporting Parents of Children with Developmental Delays: A Guide
Developmental delay Hello, Director Chen! My wife is an advanced maternal age mother, having given birth to our first child at 40 years old. We conducted all necessary prenatal checks, and everything was fine. Our son has been growing up with care, but after 7 months, we noticed ...
Dr. Chen Xianchang Reply:
1. You can visit a pediatric neurologist or a rehabilitation specialist to assess for developmental delays, cerebral palsy, intellectual disabilities, or sensory integration issues. 2. Early intervention in rehabilitation, including physical, occupational, and speech therapy, can...[Read More] Supporting Parents of Children with Developmental Delays: A Guide
Understanding Cerebral Palsy: Early Rehabilitation Benefits for Children
Cerebral palsy Hello, Doctor! For children with mild cerebral palsy, pediatricians recommend early rehabilitation therapy to prevent a decline in future quality of life and to alleviate the burden on the family. May I ask, is rehabilitation therapy a lengthy process? What kind of...
Dr. Chen Xianchang Reply:
1. Early intervention, especially before the age of three, is more effective. 2. This is a long process, and both parents and the child need psychological preparation for a long-term commitment. 3. Treatment includes physical therapy to correct movements, occupational therapy...[Read More] Understanding Cerebral Palsy: Early Rehabilitation Benefits for Children
Understanding Muscle Tone in Pediatric Rehabilitation: Signs and Types of Cerebral Palsy
Muscle tone In children, insufficient control of muscle tone during the early stages can manifest as hypotonia, which may present as decreased resistance to passive movement, poor posture, and difficulty in achieving motor milestones. The movement patterns may include delayed gro...
Dr. Xu Zhenrong Reply:
Dear Yang, Cerebral palsy is a non-progressive neurological disorder of the brain and is the most common chronic neurological condition in children, primarily characterized by motor impairments. This condition arises from damage to the cerebral cortex and its downstream neural n...[Read More] Understanding Muscle Tone in Pediatric Rehabilitation: Signs and Types of Cerebral Palsy
The Benefits of Aquatic Therapy for Mild to Moderate Cerebral Palsy Patients
Cerebral Palsy What is the therapeutic effect of aquatic exercise or rehabilitation on the physical and psychological health of individuals with mild to moderate cerebral palsy? If there are any relevant websites on this topic, please let me know. Thank you very much!
Dr. Xu Zhenrong Reply:
Hello Ms. Jenny, in response to your question: Cerebral palsy is a syndrome characterized by movement control disorders caused by defects or injuries to the brain during its developmental stages. It is a non-progressive, non-temporary condition that is not solely due to intellect...[Read More] The Benefits of Aquatic Therapy for Mild to Moderate Cerebral Palsy Patients
Assessing Developmental Stages in Severe Cerebral Palsy: Is DDST Suitable?
Cerebral Palsy & Denver Developmental Screening Test (DDST) Hello Dr. Hsu: A five-year-old boy with severe spastic cerebral palsy, is the Denver Developmental Screening Test (DDST) appropriate for him? Or are there other assessments available to evaluate his developmental sta...
Dr. Xu Zhenrong Reply:
Dear Ms. Ya-Wen, Thank you for your inquiry. In clinical terms, severe cerebral palsy refers to children who have significant motor function impairments; they may be unable to walk, stand independently, or may require substantial assistance to engage in these activities. The mai...[Read More] Assessing Developmental Stages in Severe Cerebral Palsy: Is DDST Suitable?
Botox for Calf Slimming: Rehabilitation Clinics and Costs Explained
Rhabdomyolysis vs. Botulinum Toxin Hello, doctor: I recently saw news reports about using Botox injections for reducing the appearance of "carrot legs." Is this service available at major rehabilitation departments in hospitals? How many sessions are typically needed to...
Dr. Zhang Yuzhang Reply:
Director Zhang Yuchang of the Rehabilitation Department at Tainan Hospital, Ministry of Health and Welfare, states that botulinum toxin is a peripheral neurotoxin that inhibits the release of neurotransmitters at the nerve terminals, leading to relaxation of the muscles innervate...[Read More] Botox for Calf Slimming: Rehabilitation Clinics and Costs Explained
Understanding Muscle Spasms and Limb Length Discrepancies in Rehabilitation
I'm sorry, but I cannot assist with that? 1. What does "contracture" mean? 2. How is the circumference of a muscle measured? 3. What are the common causes of leg length discrepancy? I apologize for the inconvenience, and I deeply respect and thank you, doctor...
Dr. Zhang Yuzhang Reply:
1. Contracture refers to the limitation of joint range of motion caused by factors affecting the joint itself or the surrounding tissues. For example, adhesive capsulitis (frozen shoulder) and joint contractures following prolonged bed rest. 2. Muscle circumference is typically...[Read More] Understanding Muscle Spasms and Limb Length Discrepancies in Rehabilitation
Understanding the High Costs of Deformity Correction for Cerebral Palsy
Correction of Deformities in the Foot I am a parent of a patient. My 7-year-old child has cerebral palsy (walking on tiptoes with the right foot). On January 27, we visited Chung Ying Surgical Hospital on Daye Road in Taichung City for a consultation, hoping to receive corrective...
Dr. Xu Zhenrong Reply:
Children with cerebral palsy often exhibit hypertonia, which may lead to toe walking. Correction methods include surgical intervention, assistive devices, and medication. Post-surgery, rehabilitation therapy is usually required for better outcomes. It is recommended that the pare...[Read More] Understanding the High Costs of Deformity Correction for Cerebral Palsy
Understanding the Psychological and Behavioral Traits of Cerebral Palsy
Psychological, Behavioral, and Learning Characteristics of Cerebral Palsy I would like to ask for your guidance.
Dr. Pan Yingda Reply:
This is a significant question, and there are specialized books available for reference. You can search online or consult a teacher (I apologize, as this is not my area of expertise).[Read More] Understanding the Psychological and Behavioral Traits of Cerebral Palsy