孙继海晒视频发出疑问:为什么现在小孩顺拐那么多(孙继海发布视频提问:如今孩子顺拐为何如此普遍)

2026-01-25
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Analyzing "顺拐" in Marching

I'm noticing that "顺拐," or moving the same arm with the same leg in marching, is often seen as a mistake. This can happen when learners focus too much on their foot placement, causing stiffness and a lack of proper trunk movement. Factors like limited playtime, early specialization, and time on devices are likely contributors. For younger kids, occasional same-side movement isn't usually concerning, but for older children, it could indicate a need for evaluation regarding motor coordination. If issues persist, consulting a pediatric physical therapist might be a good step. I wonder if a simple routine could help!Structuring Movement Guidance

I need to outline exercises that aid in developing movement skills for kids. Some key activities include crawling, bear/wheelbarrow movements, cross-crawl, skipping, A-march, high-knees with opposite arms, and balance beam work, plus throwing and catching across the body. It’s important to remind them to look forward and relax their shoulders while maintaining a 90-degree elbow and swinging from the shoulder. I'd also note that heavy backpacks can limit trunk rotation. Sometimes, video illusions can misrepresent movements, like "顺拐" possibly being a selection bias. I'll provide concise, actionable steps with clear headings and bullet lists for easy guidance!Crafting Clear Movement Guidance

I need to include a section about when to seek medical advice. This will be a bullet point, guiding parents on recognizing signs that require professional attention. I'll follow that with a "Tips" section that may contain measurements or cues to help improve the exercises. It's important to keep everything concise and within limits, ensuring it's easy to digest for anyone using this guidance. Let’s bring all these elements together seamlessly!

原因与现象

  • 视觉挑拣偏差:视频更容易聚焦“顺拐”的孩子,放大了“很多”的感受;初学跑步/热身时更常见。
  • 基础动作发展不足:幼儿期爬、滚、攀爬、户外自由玩耍少,跨侧(对侧)协调、前庭/本体感觉刺激不足。
  • 久坐与屏幕时间多:躯干旋转差、髋屈肌紧、肩带僵,影响自然的“对侧摆臂—躯干反旋—步幅”链条。
  • 教学与口令干扰:紧张模仿教练、按口令“想脚又想手”,上肢被“管住”,容易同侧一起动。
  • 装备与负重:鞋底过硬/过厚、背包太重,降低足部反馈、限制躯干旋转,增加“顺拐”概率。
  • 个体差异与疲劳:注意力分散、体能差或疲劳时更易出现;少数为神经/感觉统合问题的表现之一。

快速纠正思路(每次10–15分钟,每周2–3次,连做6–8周)

的感受

  • 重新建立对侧模式:交叉爬(右手配左膝、左手配右膝),熊爬,手推小车/独轮车练习。
  • 跑步基本功:A-march(高抬腿原地踏步,明确对侧摆臂)、A-skip、原地高抬腿配对侧手;墙前驱动(单腿抬膝触墙,强调对侧臂)。
  • 节奏与反馈:用口令“左脚右手、右脚左手”,配节拍器/鼓点;镜前或手机慢放回看,自我纠正。
  • 旋转与平衡:平衡木/直线走、跨障碍、左右跨步跳、旋转抛接球(跨身体中线传接)。
  • 放松与灵活:髋屈肌、胸椎旋转、肩胛活动度练习;跑时目视前方、肘约90度、手从“裤缝到脸颊”摆动。
  • 场景小技巧:先走再跑,先对称踏步找节奏;先“夸张摆臂”再逐步自然化;尽量轻装、穿更柔软的运动鞋,安全场地可短时赤足感知地面。

家长/老师可用的简易流程(5分钟热身)

side

  • 30秒交叉爬 + 20米A-march + 2×20米A-skip
  • 2×20米原地高抬腿(对侧摆臂)+ 2×20米小步频跑
  • 20米单脚跳换脚 + 轻松放松跑

何时需要评估

may

  • 6岁以上仍长期明显顺拐、影响跑跳/球类表现,或伴随笨拙、易摔、学动作特别慢等,建议看运动康复/儿科物理治疗做运动协调(DCD等)筛查。

一句话要点

  • 顺拐多见于基础动作与节奏控制不足;多做对侧协调与节奏练习、给清晰的摆臂线索,6–8周通常能明显改善。

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