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8/6/2019 Basic Fundamentals in the Rehabilitation of Children with Cerebral Palsy
http://slidepdf.com/reader/full/basic-fundamentals-in-the-rehabilitation-of-children-with-cerebral-palsy 1/3
Trainer’s Corner: Back to Basics
by: Gavin Broomes
I think the title “Trainer’s Corner” is very applicable for two reasons: 1) This friendly
post is coming directly from one of your trainers, and 2) It is analogous to a
boxer’s trainer. A boxer’s trainer will do his best to provide the boxer with all
the skills necessary to succeed. Your ABR trainers are charged with a similar
task, so the analogy should resonate pretty well.
Round 1: Before going out into the ABR world, you should have a solid grasp of the
fundamentals. In the ABR context, these fundamentals are numerous and
sometimes overwhelming…however I will bring you through some of them
step by step (round per round). During the majority of my evaluations, there
is a common thread that weaves its way all the way through each family
unit…they forget that this is a PROCESS. Process is “a systematic series of
actions directed to some goal”…therefore by definition it should be clear that
things have to go in sequence and in phases. The fact that you cannot skip
over phases is not an arbitrary decision, rather a reality you have to
understand and integrate.
Each phase is designed in preparation for the next phase and is structurally
predetermined by the human motor developmental pattern…not by ABR. We
are bound to this developmental path by mother- nature so any questions
that relate to more complex developmental skills should be automatically
answered.
8/6/2019 Basic Fundamentals in the Rehabilitation of Children with Cerebral Palsy
http://slidepdf.com/reader/full/basic-fundamentals-in-the-rehabilitation-of-children-with-cerebral-palsy 2/3
In the past, I have found it useful to help parents differentiate between
chronological age and developmental age. To be more precise, in healthy
individuals the chronological age comes with some predictable
developmental milestones. In effect, you can accurately estimate the
chronological age by knowing (seeing) the developmental phase they are in.
In the above image, the developmental age (stage of development) is typicallyachieved at a certain age (for example: sits without support between 5-8
months). This type of chart can be somewhat confusing to many parents.
Statements like “he / she is 4 years old so we have to stand them to help
them develop the hips” come from this well-ingrained developmental chart.
However, as mentioned before, if the previous stages have not yet been
achieved (lifting and holding the head, rolling over, from prone position lifts
chest with arm support, etc..) then any discussion (or statements) regarding
more advanced skills is unproductive. Therefore, more emphasis and focus
on the developmental age will be, not only helpful in understanding the big
picture, but more accurate in assessing your child’s current progress.
If you have ever seen any of the Rocky movies, you can appreciate the image of the
grizzled trainer, Mickey, yelling at Rocky and trying to motivate him through
a seemingly insurmountable challenge. Although I obviously won’t yell and
scream, the intensity is still there: “Get back to basics!! Remember the
fundamentals, Rock!” The road is long and there will be challenges…
8/6/2019 Basic Fundamentals in the Rehabilitation of Children with Cerebral Palsy
http://slidepdf.com/reader/full/basic-fundamentals-in-the-rehabilitation-of-children-with-cerebral-palsy 3/3
however you have a trainer in your corner who will slap a towel around your
neck in between rounds, sit you down, throw water on your face, and give it
to you straight.
See you soon for round 2!