Rééducation de la position assise de l'enfant paralysé cérébral infantile. Les moyens préventifs orthopédiques non chirurgicaux. Présentation d'un cas clinique

There are several sitting positions, which need a specific control of adjustment against gravity and a postural organization available to be learnt. The acquisition of sitting position is a very important step of child's functional development: this step is a very crucial point for clinicians who take care of rehabilitation of children affected by cerebral palsy because these children have abnormalities of functions against gravity and bad propioceptive informations. There are several and different pathological factors that could disturb the sitting position and it is very important to know these factors to prevent the orthopaedic problems and offer the most suitable chair for each child. For the most part, the children affected by cerebral palsy, especially if they belong to 3 or 4%, spend in sitting position 80% of their living time. If the child spends a lot of his time in a particular position, we must pay attention to the postural abnormalities and their orthopaedic outcomes. For this reason, it is very important to understand the importance of preventive treatment and clinic assessment oriented to identify the abnormalities. The educational and therapeutic strategies should be organized in an integrated and multidisciplinary way.