There are two main reasons why children often walk on tiptoes. One is physiological tiptoe walking, and the other is pathological tiptoeing. For infants under one year old, tiptoe walking is generally normal. This is related to the child's imperfect development. This phenomenon will disappear with age, but if the child has not improved, this may be pathological tiptoeing, a developmental deformity that must be treated in time. Why do children walk on tiptoes? 1. Pathological scissor feet: Pathological scissor feet often indicate that the baby may have a certain degree of brain damage or abnormal brain development, and parents need to pay enough attention to it. 2. Physiological scoliosis: Normal infants under one year old will have transient scoliosis during their growth and development stage, mainly during the stage of supported standing and jumping at around 4 months and the stage of sustained standing starting at around 10 months. The scoliosis will disappear as the infants grow and develop. This is physiological scoliosis. Physiological scapula requires close follow-up observation by parents Characteristics of the disease : 1. Scoliosis persists for a long time; 2. Scoliosis is accompanied by delayed motor development; 3. Scoliosis occurs before 4 months of age; 4. The degree of scoliosis is relatively obvious; 5. Scoliosis is accompanied by poor visual and auditory response; 6. Scoliosis is accompanied by other abnormal postures. Since the spur toes phenomenon at 4 and 10 months can be either physiological or pathological spur toes, it is difficult for parents to distinguish them. It is recommended to go to the child health department for examination and identification. The rolling over development period is 3-6 months. The process of turning over generally includes the following four items: A. The neck straightening reflex action, which is mainly seen in newborns, is under the control of the Moro reflex and the neck straightening reflex and is caused by the difference in muscle tension distribution. B. Dorsiflexion and opisthotonos: The turning over movement starts with rotating the shoulder to one side, extending the spine, and flexing the head dorsiflexion to opisthotonos. Most people can only turn over to the side-lying position. C. Automatic turning over: It is under subcortical control and is mostly purposeless. It starts with raising the pelvic girdle and flexing the trunk, and the entire turning over movement can be completed. D. Purposeful turning over: Turning over purposefully under the control of the cortex. The shoulders and pelvis can rotate to one side at the same time, and can be in a crawling position or a sitting position. The movements can be flexibly adjusted. The baby cannot roll over and his development mostly stops at item A or item B, which means that he is under the control of primitive reflexes and his upright and balance reactions at the midbrain and cortical levels are not mature. Commonly used turning over training (I) During the training, the child is placed in a supine position. The trainer can also hold the child's arms with both hands and raise them above the head, then cross the arms to the left and right, thereby driving the child's body to turn to the sides. (ii) The child lies on his back and the trainer holds both of his ankles. When turning the child to the left, the trainer bends the right leg and twists it to the left, and at the same time guides the child's head to rotate to the left. In this way, the center of gravity of the body will turn over with the drive of the head and legs. This is a good way to train the transfer of the center of gravity of the limbs and coordinate the upper and lower limbs. (III) The child lies on his back, and the trainer holds both ankles of the child. When the child turns to the left, the trainer bends the right leg and crosses the midline of the left leg. The trainer bends the left arm and guides the child's head to slowly tilt to the left so that the child's body can roll with the ball to complete the turning movement. (iv) The child lies horizontally on the inclined surface of the wedge-shaped mat, which can assist the child's trunk rotation. |
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