so i work in a kindergarden where i have 17 kids with special needs 2 to 8 years old...most of them diagnosed with CP:spastic dyplegia, quadruplegia, cerebelar ataxia, mental retardation, west syndrom, delayed development, low tone...
...im the only phisio in this institution and alot of times i feel the need to change opinions with somebody so thats why i think this forum its a great thing...ty for your reply and i would apreciate if u could give me some ideas on how to train sitting...
...my aproach on this matter is side sitting, cross legs ( which i find eficient where spasticity is involved) and also legs in front( here i wanna ask if legs should be extended or flexed in external rotation for more support).
...about W sitting, its about a girl, 7 years old with cerebelar ataxia...she always goes in W sitting...she can crawl...and now i work on balance with her on her knees... she can maintain the high position(knees on 90 degres) without suport and also she can move sideways in this position with suport(like hands on a wall)...she can pull to standing at furniture and maintain the standing position with support but without support there are no signs of balancing reactions...she just tends to fall, mostly backwards...im also working with her on the "big" phisyo ball, in sitting, where she has some balance reaction but she alwasys falls backwards...i hope you can get a picture from what i wrote here but im not used to physio english words yet...ty