Hello! My name is Amy Sturkey. I am a
pediatric physical therapist with a little over 30 years clinical experience.
I am here with Sebastian, and he has spastic quadriplegic cerebral palsy.
He is six and a half years old. He was born at 26 weeks gestation. I have
been treating him for about a year now. I have had a lot of requests for ideas of things to
do with a child with cerebral palsy. So let’s just start simple. I recommend
working on head control from the very beginning with the child with cerebral
palsy. Sebastian has a tricky time with head control. As you can see, I am using my
elbow up to support his head now. I recommend…it is so fun and easy to hold a
child with cerebral palsy like this where you are always supporting in his
head and neck and he can not develop it. So I recommend, as much as possible to, work on
holding a child out so he can practice his head control. You can see that it is
pretty quick for him to lose his head control. So you just want to get him back
into a good upright position. We have been working really hard with him to fix
his head. I can give…we have asked everybody to give the same verbal cue
telling him what to do, so he will understand what we want. So I am going to…if
you notice, I have dropped his hips down between my legs just a little bit to get
a little bit more than 90 degrees hip flexion to be able to encourage his
tone to break up a little bit. He has a strong extensor tone thrust. Thanks for the demonstration. So I try to break it up by going into more
than 90 degrees of hip flexion, and then I support at his shoulders. So what I am
seeing now with his extensor thrust that it might be that I will need to break up the
extensor tone a little bit more by putting him into criss cross sit. It is a little bit easier for him to
hold his head upright. So these are just simple ideas for you to start working on
head control. See how I am using my elbow to help me get his head back up. It is
something that the more he practices that the better he will get.
This is a simple idea for you to work on at home to work on head control with
the child cerebral palsy. Sebastian and I say, “See you later next time!”