Cerebral palsy: Learning to sit

Research shows that children with severe Cerebral palsy can learn to sit actively

Children with cerebral palsy have good possibility to learn postural control in sitting. If we have expectations of learning and they are given the opportunity to sit just like us, with a good pelvic position, straight back and neck, the eyes in a horizontal position and with the upper bodys´center of gravity above the base of support, they can learn balance control and to use their hands. The child may need a hipbelt, dynamic leg divider, and a seat which creates a basis for a good pelvic position - either a neutral pelvis or a forward tilted pelvis, but not a backward tilted pelvis. How children with cerebral palsy learn to sit is described in the doctoral thesis " On factors of importance for sitting in children with cerebral palsy" by Ulla Myhr, which was presented in Gothenburg Sweden in 1994. This research followed children for 5 years and noted that if you were not given the opportunity to sit actively, your motor function deteriorated, if you had expectations of learning and followed principles of normal sitting, the children improved and learned to sit.

If you want to know more about functional sitting you can download the following articles. The first is called " improvement of functional sitting position in children with cerebral palsy" and the other is called " five year follow-up of functional sitting position in children with cerebral palsy"- The five year follow-up study was presented at the World congress of physical therapy in Washington DC in 1995

The research is the basis for a planned web-course about teaching children with Disabilities how to sit actively that will be ready fall of 2019.

 
Center of gravity in front of the hip joint is crucial for learning to sit actively

Center of gravity in front of the hip joint is crucial for learning to sit actively