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Issues in Cerebral Palsy Part 2: Physical Handling Treatment

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Physical handling treatment for children with neuromotor dysfunction strives to provide active intervention to improve control of posture, sensory tolerance of movement, organization of body sides and therefore improved functional efficiency. The therapeutic principle of physical handling treatment is to provide the least amount of control needed to achieve a more efficient response and then gradually turn over more and more active control to the child. Within this treatment principle, various techniques are required to prepare the child for an active response. These techniques include activating muscle contraction through direct tapping, use of intermittent support to activate stability and sustained postural control, oscillation to increase or decrease tone, deep pressure tapping to reduce tightness, mobilization of the body over the limbs to normalize sensory tolerance in various ranges of movement and improve dissociation of body segments, and changes in degree and intensity of input, and key points of control to advance the child's potential for activating more organized movement patterns
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