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14 Tishrei 5765 - September 29, 2004 | Mordecai Plaut, director Published Weekly
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Fault Finding
by L. Raffles

WALKING

When we study the nature of walking, we see that it's not a simple matter of `can' and `can't.' The ability to walk is a combination of many skills, and a young child can walk with varying degrees of skill, which develops over time. So at first, he will only be able to walk for very short distances, and will fall when there is any obstruction, incline or distraction. As they get older and more proficient, children are expected to manage for longer, deal with more difficult terrain, and start to be able to walk while talking, or looking around. If a child gets stuck at any particular stage, then we have to investigate. We certainly wouldn't just accept our lot and say, "Oh, well, not everyone can be a good walker." Walking is too important for that.

If we take a layman's approach, then we might think that it is obvious that if a child can't walk, then he must have a problem with his legs, and of course, the remedy is `walking practice' every day. This might help, but then again, it might not. It depends so much on whether this is truly the root of the problem, and whether practice is the correct solution.

If we went to a specialist, then he would be looking to find the specific underlying cause of the problem: Is it balance, injury or deformation of a muscle or bone or something as simple as a stone in the shoe? The problem could be caused by visual difficulties, which give the child a false sense of perception, so he keeps falling down. In this case, the child might not even try to walk, for fear of falling. In such a case, physiotherapy on the leg muscles would be very misguided, and if not exactly harmful, would not be very helpful either. Likewise, dealing with the psychological factors (the `fear of walking syndrome') without understanding the root of the problem will also be mistaken. The `walking practice' sessions wouldn't help much either. In fact, it might even make the child more resistant to trying.

Now suppose the specialist decides the problem is in the area of balance. If a child doesn't have good balance, then he obviously can't learn to walk well. The center for balance is in the inner part of the ear. This child needs to go to a specialist for the inner ear. And if you, as a parent of such a child, told your friends: "My child has problems with learning how to walk, so I need to take him to an Ear-Nose- Throat specialist, the friend might feel quite justified in thinking you have `lost a few screws.' Whoever heard of ENT for legs! But that is just ignorance; it shows a lack of understanding of the complex mechanisms involved in a multifaceted activity such as walking.

Now, when working on balance, the exercise prescribed might not appear to have much to do with walking at all. The child might be rolled and swung, which hardly seem to connect to walking.

The important thing to understand here is that although the end result you want now is that the child walk well, because the underlying weakness will affect many areas besides walking, strengthening it is important for many other reasons.

From the example of walking, we can derive certain rules that apply for all developmental stages and educational objectives.

WRITING

It is not usually a matter of `can' and `cannot.' There is usally a spectrum of skill. So although a child might be said to `be unable to write,' he can, in fact, a) hold a pencil properly, b) make lines, circles and diagonals, c) knows the shapes of all the letters, and can produce most of them. Therefore, this child sits on a certain place on the `writing' spectrum, but not where we would like him to be, and that place on the spectrum will depend on his age.

He might be said to be `unable to write' because his letters are of different sizes, or do not sit on a line, or that the capitals and lowercase are interspersed. Or, perhaps, the child may be able to write perfectly well as a physical skill, but cannot copy from the board, or think of anything to write when he has to produce an original composition.

A child does not usually stay stationary at one point along the spectrum, but moves along it. So even though he is `behind' in this skill, he may be progressing. For some skills, it may be enough that he reaches the right level of proficiency in the end, even if it is later than other children. For other skills, the late development may mean a serious underlying weakness.

A `problem' exists when a child stops moving along the spectrum, does not move at the speed expected, or moves the wrong way. In the example of walking, this can mean that a child lags significantly in walking skills, remains walking at the same skill level without progressing or stops walking as well as he could before.

We must be careful before we pass sentence that a child's weakness is just inevitable and that it should be accepted rather than worked on.

In some cases, a weakness in a certain skill may indicate an underlying problem that will show itself in other areas, and this should be addressed. So if a child has a weakness in writing, it might be a muscular weakness, shown by difficulty in holding the pencil, or it might be hand-eye coordination, both of which will affect other activities. These should be addressed as general problems, rather than just looking at the handwriting in isolation.

Addressing the underlying causes can appear to have nothing to do with the original problem. Again, in the example of writing, if the cause of the problem is a muscular weakness, then using `silly putty' to strengthen the hand may prove helpful. If the cause is hand-eye difficulties, then learning to catch a small ball or thread beads will be helpful. It all depends on the root cause. Do not be too incredulous if the exercises seem to bear little direct relationship to the original problem.

READING

Reading is a multifaceted and very complicated skill, requiring many stages. The child has to:

1. See the shape of the letter clearly.

2. Have it correctly orientated in his mind (not confusing p,d,b and q or similiar looking letters in Hebrew like beis and kof etc.).

3. Remember this shape and compare it to one previously seen.

4. Remember the name of the letter.

5. Be able to recall that name in speech. This requires two skills. Firstly, one can recognize a name when someone else says it without being able to recall it for himself, just one usually understands more of a foreign language than one can speak. Secondly, one can `fish' into the brain for a known sound or word, but come out with the wrong sound or word. This is a speech problem, but may appear to be a reading problem.

6. Remember the sound of the letter.

7. Be able to say that sound. This requires the child hearing the sound and saying it. For example, the difference between `n' and `m.'

All this is just to say one letter! This becomes even more complicated when moving to whole words or understanding what is being read. What is truly amazing is that anyone manages to learn at all!

We must rejoice at every stage of development that children reach, realizing that they are in fact achieving miracles. But one must also be aware that sometimes, children need a little -- or a lot -- of help to achieve all of which they are capable.

 

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