Are You Helping a Child Move Before They are Ready? Thinking About Latency in the Context of Movement.

“Nate,   stand up”.  Nathan is five, has cerebral palsy and takes a while to prepare to move his body.  Thirty seconds or more can pass between the request to move and getting a response.  He is quiet, then there may be a quiver of movement. Sure enough, after some patience, up comes the leg and he rises to standing with only a little assistance.  In the context of the classroom, this extra waiting time is surely difficult.  Nathan either arrives late to an activity or his aide is lifting and initiating for him throughout the day and a behavioral expectation is set up.

Children with motor planning difficulty need extra time to initiate and carry out their movement.  Many of us live in a world where time is scarce and we don’t feel that we have time to wait. On the other hand, starting with the end in mind is crucial and takes a lot of training, repetition and patience.  What have you decided to do when faced with this dilemma?

Continue reading “Are You Helping a Child Move Before They are Ready? Thinking About Latency in the Context of Movement.”

How to Use the 30-Second Walk Test (30sWT)

Walking from class to the school library, Josh falls to the back of the line.   Shortly thereafter, a gap forms between Josh and the rest of his class.  He is last to arrive and gets the half-functioning computer that everyone else avoids.   As his PT,  you are there to observe, problem-solve and treat.   The computer lab is a half-minute walk from class.    His teacher comments “Is that really as fast as Josh can walk? Has it always been that way?”.  Do you have an answer for this question?

30sWT Quick Facts:

  • Age 5-17
  • natural environment
  • walking at natural pace

Josh’s slow walking speed was a major concern at the begining of the school year.  At that time you did the thirty-second walk test (30sWT) and the result was clear; he was below the 5th percentile for boys his age and off the low-end of the chart.   Although you are having this conversation right now, you think he has improved because he has propulsion and a more efficient gait. Continue reading “How to Use the 30-Second Walk Test (30sWT)”