Sunday 13 December 2015

Movement -Part 2



In the previous post, I discussed the two characteristics of movement—goal oriented and variation.
When movement is purposeful rather than aimless running around, new connections in the brain are not being formed and learning does not occur. In other words,  goal-oriented movement that requires some sort of problem-solving is required for the brain to develop, which typically occurs in a growing child.

Example 1.  A baby crawls towards an attractive object or to get into mom’s lap.
Example  2.  A toddler walks, crawls under tables, or climbs up small furniture in order to retrieve a toy.
Example 3. An older child may jump, hop, skip as a part of a game that holds some goal.
Example 3.  An adult bends over, turns around, steps backward, and moves in multiple ways while searching a lost item or cleaning the house. 

Movement of our body segments and our entire body through space in order to fulfill a task also provides  sensory input  to our central nervous system in terms of visual, vestibular, and proprioceptive stimuli.  Optimal sensory input leads to improved alertness, attention, and conduces us to better engage in tasks.
If there is hardly any purpose in movement as displayed by children who are hyperactive, movement is dysfunctional and disruptive. These children do walk, run around, and may seem to be typical  to an average observer. However, they have difficulty sitting in a place, are fidgety, or are always on the go. Engagement in a single task is difficult for them, attention and focus are short-lived for a few seconds to a couple minutes. Hence learning does not occur, but rather there is a narrow repertoire of movements and task abilities.Sitting in a classroom, mingling with other kids, attending a birthday party become very difficult.

In my clinical experience, children who are hyperactive , can’t sit still,  can’t sustain any activity generally calm down when encouraged or enticed into heavy work and purposeful activity.  Sensory Integration has been shown to be beneficial for children with ADHD.