The Leibo Occupational Therapy Based on kinesiology Assessment and The Leibo Push Point

我们临床观察到，对脑瘫上肢功能异常进行作业疗法(occupational therapy，简称OT)前，先进行“肌动学评定”，根据“肌动学评定”结果，用“蕾波推点”干预异常后再进行功能训练，可明显提高作业疗法功能训练的效果。

We have observed clinically that before performing occupational therapy(OT) on the dysfunction of the upper limbs of cerebral palsy, we first performed a " kinesiology assessment ". According to the results of the " kinesiology assessment ", we used the "Leibo Push Point" to intervene in the abnormality before performing functional training. It can obviously improve the effect of functional training of occupational therapy.

基于痉挛型和伴有痉挛的混合型占脑瘫的绝大多数，因此脑瘫上肢功能障碍多为某组肌肉痉挛所致。对某组肌肉痉挛所致的异常，我们必须明确姿势运动异常是什么；痉挛肌群是那些，痉挛的程度及有无粘连、挛缩；拮抗肌是那些，拮抗肌有无力弱、瘫痪、萎缩；相关关节状况如何，有无松弛、粘连、半脱位，相关肌筋膜链、微循环、淋巴回流等状况如何。这一系列的评定称之为“肌动学评定”。

Based on spastic type and mixed type with spasm, the majority of cerebral palsy, so cerebral palsy upper limb dysfunction is mostly caused by a group of muscle spasms. For a group of abnormal muscle spasms, we must be clear about what abnormal posture movement is; The spastic muscle group is those, the degree of spasm and whether there is adhesion, contracture; Antagonist muscles are those that have weakness, weakness, and atrophy; Related joint conditions, whether there is relaxation, adhesion, semi-dislocation, related muscle fascia chain, microcirculation, lymphatic reflux and so on. This series of assessments is called " kinesiology assessment "

对脑瘫孩子上肢的“肌动学评定”，首先观察并摄像记录孩子安静和紧张时上肢的状态,然后在孩子放松的情况下用被动活动关节、触摸等方法进行如下上肢检查：肩前屈、后伸、外展、内收、旋内、旋外；肘屈、伸；前臂旋前、旋后；腕屈伸、手握拳张开、拇指内收外展等。

For the " kinesiology assessment " of upper limbs of children with cerebral palsy, the state of the upper limbs when the children are quiet and nervous is first observed and recorded by camera. Then, when the child is relaxed, the following upper limbs are examined by passive active joints, touching, etc.: shoulder front bending, back extension, external expansion, internal collection, intra-, and external rotation; Bend and stretch; Front arm forward and backward; Brachial flexure, hand clench open, thumb inside and outside.

蕾波推点是指蕾波推顺按摩和点压神经触激点（穴）,是前人经验和近代医学研究的精华汇聚和改进，是效果更好、更易于掌握的方法。

The Leibo Push Point refers to The Leibo Pushing Forward Massage and The Pressure Nerve Incentive Point ( acupoint). It is the best convergence and improvement of previous experience and modern medical research. It is a better and easier method to master.