Enhancing proper sitting position using a new sEMG protocol, the "minimax" procedure, with Boolean logic.
The modification of posture in children using sEMG is a new area that offers much potential to aid disabled children regain function. This article describes a new protocol, the "minimax" procedure, to aid children regain motor function in sitting. The protocol uses selective reinforcement to encourage recruiting/relaxing target sites (gluteus medius/maximus) in a predetermined way so as to encourage good form in sitting. Children often are unaware how to make changes in posture, and when they do succeed the progress is so slow that sustaining motivation is a challenge. This paper describes a procedure that helps the child recognize when they have achieved the correct posture, immediately rewards them for doing so, and generates data using Boolean operations to numerically substantiate the clinically observed changes in posture.
Bolek
J
J
Cleveland Clinic Children's Hospital for Rehabilitation, 2801 Martin Luther King, Jr. Drive, Cleveland, Ohio 44104-3865, USA. j.bolek@worldnet.att.net
Moeller-Mansour
L
L
Sabet
A
A
D000293:Adolescent; D001676:Biofeedback, Psychology / Q000379:methods*; D001930:Brain Injuries / Q000503:physiopathology; D002547:Cerebral Palsy / Q000503:physiopathology / Q000628:therapy; D002648:Child; D004566:Electrodes; D004576:Electromyography / Q000379:methods*; D005260:Female; D006801:Humans; D008128:Logic; D008297:Male; D011187:Posture / Q000502:physiology*