SIT UP STRAIGHT By Teri Allen, OTR "Sit up straight!" is something you may have said to your child. Well, you were right, good posture is important for your child. Posture is the framework upon which all body movements are built. The ability to stabilize the trunk and neck underlies the development of efficient eye and hand movements. In addition, if your child is unable to stabilize her trunk and neck then large motor tasks such as walking, running and jumping may be awkward or difficult. You may believe that reminding your child to "sit up straight," will eliminate poor posture. What you probably do not know is that your child can only temporarily change her posture after being reminded. Posture is constantly changing to support your child in the movement tasks she does. Your child needs to be able to sustain her posture while doing skilled tasks and transition smoothly from one posture to another. Posture is controlled at lower brain centers and is an automatic function that doesn't require your child's focused attention. She can consciously change her posture, however, when she shifts the focus of her attention to math or tying her shoes, posture comes back under control of the lower brain centers. So, what can you do if you are concerned about your child's posture? First, decide if there really is a problem. Occasional slouching may not be anything unusual, especially with adolescents. If you regularly see any of the following behaviors in combination with frequent slouching, your child may need some attention in this area: Fatigues quickly with physical activity. Avoids sports, gym, or playing outside. Has difficulty sitting still. Frequently leans on something or someone. Lays her head on the table/desk while reading, writing or eating. Delays in acquiring motor milestones. (walking, skipping, riding a bike, etc.) Clumsy or awkward movement (Runs "funny"). Problems with reading or writing. Muscle strength is weaker than peers. If you decide your child's posture needs some additional attention, try the following suggestions: 1. Encourage regular physical activity that your child enjoys participating in. Sports such as swimming, karate, biking and gymnastics encourage stronger trunk muscles. 2. Have your child exercise to strengthen the back and stomach muscles. For example, tug of war or sit-ups strengthen stomach muscles. To strengthen back muscles have her swing while lying on her stomach or lie on her stomach to read or play a game. 3.Provide opportunities for swinging and bouncing. These activities provide the sensory feedback lower brain levels need to improve postural control. 4. Pay attention to the size of her chair and desk. Hips and knees should be at 90 degrees and feet flat on the floor. If you do not see improvement after trying these ideas, you may need professional assistance. Pediatric Occupational and Physical therapists can give you suggestions specific to your child. CHIN UP!! YOU CAN MAKE A DIFFERENCE! |
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