This two-hour program details the scientific and clinical evidence which supports the well-known pediatric management principle: “proximal stability precedes distal mobility.”
Course instructor describes the ideal sequence of neuromotor acquisition and resting postures, and documents the relationship of faulty trunk control to limb muscle contracture in children with diplegic CP. She discusses sensory, biomechanical, kinesiological, and neuromotor aspects of both normal and compromised development of trunk alignment and control. She/he describes the influence of postural alignment and control on movement acquisition and skills, and offers suggestions for science-based orthotic intervention.
Finally, the Instructor introduces the new code-verified TherAlign DragonFly™ TLSO System as an example of a modality that can effectively address postural management issues.
Attendees completing this program are expected to be able to:
- Describe the two fundamental kinesiologic ingredients for motor development and the typical sequence and expected age of their achievement.
- Explain the contribution of antigravity righting reactions to postural control acquisition and maintenance.
- Explain the relationship between body sway detection, postural control, and effective limb use.
- Relate defective postural control to limb muscle contracture formation in children with pyramidal-type cerebral palsy.
- Define muscle balance and muscle imbalance, and discuss related use histories in functioning joint alignment and resulting muscle strength.
- Bring Sahrmann’s muscle-balance-promoting management principles to a discussion the effects on trunk muscle strength and on postural control of providing orthosis-assisted postural alignment.