Positions | Movement | Aims |
---|---|---|
Supine | -Weight bearing through head, neck, and shoulder with trunk elongation -Pelvis rotation -Stimulation of upper and lower extremities with different surfaces | -Increase strength and control of the anterior shoulder and chest muscles -Increase strength and balance. Control of the anterior and posterior neck muscles -Improve proximal stabilization and proprioceptive inputs -Maintain the head up and in the midline |
Prone | -Weight bearing through upper limbs with vestibular stimulations; intermittent compression through shoulders -Pelvis stabilization | -Increase strength and balance of the anterior and posterior shoulder muscles -Increase strength, balance, and control of the anterior and posterior neck and upper back muscles |
Side lying | -Bilateral upper limb activities and dissociated movement in lower extremities | -Scapula stabilization -Strength and control of shoulder girdle to provide a stable base for head lifting and turning -Bring the hands to mouth -Improve selective movements in hips |
Sitting | -Reaching forward, backward and sides with trunk elongation | -Increase the strength of back extensors and abdominal muscles -Improve anterior, posterior and sideway balance -Provide postural control -Reach to toy with hands and grasp |
Standing | -Reaching forward and sideways while standing, weight bearing of lower extremities in front of the mirror, cruising around furniture | -Increase the strength of back and hip extensors and abdominal muscles -Increase the strength of gluteus medius to provide the hip stabilization in the stance phase of walking |
Transition Positions | -Sitting to stand, rolling supine to prone, supine to sit | -Increase the strength of back and trunk extensors -Minimize the asymmetry -Improve the balance and postural control -Increase the strength of the trapezius and quadriceps muscle |