Is high muscle tone cerebral palsy, and is abnormal muscle tone a symptom of cerebral palsy

Hello, the symptoms of cerebral palsy in children are reflected in hypertonia, and for the current hypertonia, it may be spastic cerebral palsy or ankylosing cerebral palsy, because both cerebral palsy have obvious manifestations of hypertonia. The spastic type has the highest incidence among all types of cerebral palsy in children, and is manifested by increased muscle tone and limited limb movement, and often manifested by increased flexor muscle tone in the upper limbs and adduction of the thighs in the lower limbs. It is also possible to have myotonic cerebral palsy, which is a relatively rare type of cerebral palsy in children, due to a significant increase in generalized muscle tone, stiffness of the limbs, and reduced activity.

When the limbs are passively moved, the agonist and antagonist muscles have sustained resistance, the muscle tone is increased in the shape of a lead tube or gear, the tendon reflexes are not hyperactive, and it is often accompanied by severe mental retardation. It is recommended to go to the hospital as soon as possible for a diagnosis**.

Children with cerebral palsy have high muscle tone, mainly due to abnormal brain discharge, abnormal signals, and abnormal musculoskeletal receiving signals, resulting in high muscle tone, and no lesions in the musculoskeletal itself, mainly caused by brain neuronal defects or dysplasia. Manifestations: ankylosis of both lower limbs straightened and crossed in a scissor-like shape.

Finally, it enters the spasticity stage, hip and knee flexion, internal rotation of the lower limbs, scissor gait, and in severe cases, it cannot walk independently. Upper extremity involvement is mild, often presenting with abnormal upper limb posture when walking, but hand function is not significantly affected.

Hypertonia is a manifestation in children with cerebral palsy.

Dystonia is not necessarily cerebral palsy, because dystonia can be caused by many kinds, some are inherited degenerative diseases, such as dopa-responsive dystonia, progressive supranuclear palsy, Parkinson's disease, parkinsonism and degenerative dystonia, and some may be caused by drugs, especially antipsychotic drugs, such as phenothiazines, haloperidol drugs can cause patients to have dystonia.

Patients with cerebral palsy are mainly due to lesions of the central nervous system, resulting in spastic dystonia of the lower limbs, cerebral palsy is a kind of dystonia, but not all dystonia is cerebral palsy, for example, some patients are hypotonia caused by hypokalemia, or muscle tone and coarse mass loss caused by myasthenia gravis, then these diseases are completely different from cerebral palsy.

The phenomenon of abnormal muscle tone may be cerebral palsy, but it is not absolute, some patients are wanton because of brain trauma, which leads to hidden hail and limb movement disorders, so it will also lead to increased muscle tone, if the child is suffering from cerebral palsy, it will be manifested as, abnormal physical development, shortness, thinness, abnormal posture, people with abnormal muscle tone, it is best to go to the hospital for examination, after determining the condition, timely grasp the **.

？Experts from Beijing Junhai Hospital pointed out that high muscle tone is one of the symptoms of cerebral palsy in children, parents must be vigilant, because the early symptoms of cerebral palsy in children are mild, high muscle tone is not easy to find, today I will teach you how to check the baby's high muscle tone. Examination for hypertonia:

Muscle Tension at Rest DystoniaCerebral palsy in children with dystonia is the tension of muscles at rest, and the muscle tone is understood by passively flexing, straightening, pronating, and supinating the limbs. Small babies can hold their forearms and shake their hands to learn about upper limb muscle tone based on the range of motion of the hand. To measure the muscle tension of the lower limbs, you can also hold the calf and shake its foot, and judge its tension according to the range of foot movement.

It can also be judged according to the range of motion of the joint, if the range of motion of the passive movement joint is large, it means low muscle tone, the range of motion of the joint is small, and the limited range of motion indicates high muscle tone. Examination of hypertonia: the "pull test" to learn more about it?

Click to consult Abnormal muscle tone in children with cerebral palsy, when checking muscle tone, you can also understand through the "traction test", this examination is easy to master, hold the child's hands, pull it from the supine position to the sitting position, and observe the backward head to understand the muscle tone of the neck and back. The developmental process of muscle tone is characterized by an increase in flexor muscle tone in the neonatal period, which gradually decreases and becomes normal with age. Therefore, some less severe spastic cerebral palsy does not have significant muscle tone within 6 months, which sometimes makes diagnosis difficult.

However, some children with severe spastic cerebral palsy can still show increased muscle tone up to 6 months of age. ？The above is the test method for high muscle tone that I will introduce to you.

Warm reminder: Children with cerebral palsy should pay attention to the examination of muscle tone, some older children with a longer course of disease, due to joint contractures, resulting in limited joint movement, do not mistake it for a manifestation of increased muscle tone. You should go to the hospital for examination and **, so as not to get more serious and endanger your health!

At present, for patients with cerebral palsy with high tension, the following methods can be given to improve symptoms: 1. Drugs. Drugs that reduce muscle tone, such as baclofen, ethperisone hydrochloride tablets, and local botulinum toxin injections**, may be given.

Medications** should be administered under the guidance of a doctor. 2、****。For areas with high muscle tone, massage, muscle stretching, acupuncture therapy, etc., are performed to relieve muscle spasms and reduce muscle tone.

3. Surgery**. Orthopedic surgery is indicated for patients with severe muscle contractures and joint deformities.

Hypertonia can be seen for a variety of reasons, it can be primary hypertonia, in this case, the examination can not find clear pathological changes, and drugs to relax muscle tone can be selected under the guidance of a neurologist**. Elevated muscle tone can also be a secondary manifestation that can be seen in a variety of diseases, such as parkinsonism, and can manifest as symptoms of increased muscle tone and tremor, which can be treated with oral drugs such as medopa**. Hypertonia can also be caused by cerebral hemorrhage, cerebral infarction and other diseases, and CT or magnetic resonance imaging of the head is required.

In the case of intracerebral hemorrhage, surgery to lower intracranial pressure or hematoma removal by dehydration may be performed**, or drugs to nourish the nerves may be used**. If it is a cerebral infarction, it is necessary to carry out the first method of blood circulation and antiplatelet. Hypertonia may also be due to encephalitis lesions, and it is necessary to identify the causative organism and then aggressively fight the infection**. ”

Hello, this is not necessarily, generally speaking, there are a variety of factors, cerebral palsy is just one of the important reasons, in general, there are other willingness, such as encephalitis sequelae, mild brain injury, etc., generally speaking, hypertonia can be reduced by ****, this problem continues, there is no need to worry about it.

At present, it seems that not necessarily, depending on the cause of hypertonia, in general, it is recommended to do a test first to see what kind of **causes**, if there are too many problems, further ** is needed.