Isaac has always been ambitious,
His opportunity to continually learn has helped foster this drive,
And generate his can do attitude.
And the cycle continues,
Where we help facilitate giving him more choices,
So he can gain more access to himself,
Learn more based off having more option to do things for himself.
And fundamentally limit the confusion in his system,
As much as possible,
As to which part of his body,
Is required at each movement,
And for which action.
The relay of information,
His processing centre,
Is undeniably affected from his brain injury,
As so we teach him,
How to break the patterns causing him the greatest amount of strain,
With the least amount of success,
So he can learn to send the messages through alternative pathways,
For greater triumph,
With minimal effort.
And while I continue to feel the dance change beat,
Moving from one groove to another,
Which has me somewhat in a spin,
Isaac and his practitioner fluidly waltz on,
In sync to a rhythm I do not hear.
And it’s beautiful.
And I trust in knowing that the novelty factor remains,
In order to keep Isaac’s interest,
While still addressing all the key elements,
Causing him the most restrictions.
Weight-shift seemingly becomes the key to everything.
A lack of ability to counter-balance,
Is in fact an inability to weight-shift in order to correct himself,
And that’s why we see his instilled pattern of shortening,
Or tensing in order to brace himself.
His arms too,
Are not used to catching him,
To take the weight in order to break his fall.
So on a balance cushion,
We can begin to show Isaac how it could feel,
To shift his weight effectively to counter balance,
How simply shortening on the side you’re leaning away from doesn’t help avoid the fall,
But rather lead from the head,
To shift the weight back in the opposite direction,
And how his arms can take weight to support him,
Because it is not their role to squeeze with undue effort to brace him,
But rather be fluid and free,
Available to straighten and prop when required.
Rotation another key element,
And while we can explore rotation,
And aim for rotation,
Across many orientations,
Initially the biggest preventing factor for Isaac continues to be W sitting,
As it locks the hips and pelvis,
Therefore the upper body has no pivot point in which to turn from.
And so the more side sitting and cross leg sitting we encourage to sooner W sitting can be eliminated from his repertoire,
And the more opportunity rotation has to become available to him whenever he should need it.
And once in these more advantagous seating positions,
It’s never about being locked or fixed,
The position remains dynamic,
Bringing in all the elements of weight-shift in again,
And showing Isaac just which parts of himself are required,
And how much freedom in movement can still be found.
A perfect extension from this sitting on his bottom in a casual lose cross legged position,
On the therapy table,
To find the dynamic movement,
Becomes a fun game of,
Dipping his toes over the edge and pulling them back in again.
Is another recurring theme that we continue to find difficult to instill in Isaac,
And as nothing yet has become natural to him within his daily life,
To truly boost this,
We must find new ways of teaching the muscle how to contract,
And manually contracting them through a knee bend to straight leg,
With in a dorsi-flexed foot position,
Is a great option,
because the reality is at this point,
We’ll take anything from them.
External hip rotation is also imperative,
For Isaac to continue to to find more of himself available,
Again moving away from W sitting is vital for this,
Cross leg sitting a must,
And also going back to a slow tummy crawl up the the therapy table,
While finding that full external rotation in each leg bend,
Opening the hips,
And stopping any pointed-toe thrust,
See’s it happen freely.
And as always things pay off,
And within days,
Isaac is fluidly,
Sitting himself in cross leg sitting against the lounge,
Equally as proud of his success,
As he is aware of how important this transition is,
For his continued development.
And I see just how from weight-shift,
To external hip rotation,
Elements of counter balance,
And propping through the arms,
All go into making this seemingly simple act possible.
And of course as always,
Which fills me with so much hope for the future,
Takes him far.
Because he believes in himself.
And despite his confused neural messages,
He knows who he is.
If only we could all be so lucky,
To know who we are.