Analysis of the Movement Elements That Children with Cerebral Palsy Learn in the Process of Acquiring Sitting Positional Movements and Difficulties in Learning Such Movements

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  • 脳性まひ児の座位獲得過程にかかわる動作要素とその学習困難に関する分析
  • ノウセイ マヒジ ノ ザイ カクトク カテイ ニ カカワル ドウサ ヨウソ ト

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Abstract

The purpose of the present study was to analyze the movement elements that children with cerebral palsy learn as they acquire a sitting position, and to examine the difficulties that they encounter in such movements. Subjects were 135 children and youth with cerebral palsy, aged 4-16 years. Factor analysis was performed via the quantification method of the second type, taking as an external criterion the quality of acquisition of 4 movements regarded as milestones in the process by which children without disabilities learn the sitting posture, and taking, as a variable, the degree of acquisition of model pattern movements in the DOHSA method. Furthermore, problems in learning the movements were categorized by examining follow-up data based on categories of children with cerebral palsy, classified via cluster analysis. The results indicated that (1) a cervix-retaining movement was involved in all processes of acquiring the sitting position, (2) anti-gravity movements were involved in a position of standing on the knees, in the process of moving to a sitting position from a stable face-down position, and (3) subjects who had difficulty in learning such anti-gravity movements included a group of children having a problem with cervix control, and a group having a problem with a typical posture-indicating systematic flexion pattern.

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