Brains and bodies learn experientially – that means that if we do a movement with bad form, bad form is what we learn. Athletes know that it is all too easy to learn a function incorrectly and once learned, it is much harder to correct it than it is to learn with good form in the first place. This basic rule that Function Follows Form is also true for the older child with the established movement patterns (aka Habits) of cerebral palsy.
The first step to changing a maladaptive habit is to correct the Form by whatever means is necessary to create as normal as possible body alignment. Peak performance athletes, blessed with an above normal neuromotor system understand the importance of good form first. They use a wide range of compression garments, bracing, splinting and Kinesiotaping to learn new movement patterns with their bodies supported in alignment.
For children with cerebral palsy, at all levels of severity, step one of changing a maladaptive habit is getting the body into the best Form before trying to teach improved Function. If you try to teach function with abnormal body alignment you will teach maladaptive function. This blog post demonstrates how effective this approach can be in an older child with athetoid quadriplegia. Quick Fixes – Take Your Therapist’s Hands Home with You.
The good news is that Habits Can Be Changed, but it takes work. This short animation provides one of the best explanations of making and changing habits. It is crucial that both parents and therapists understand these concepts. Rewire Your Brain with a New Habit