Prone on a Ball
Reaching While Prone Over Roll
Forward Acceleration Over Roll
Hands to Midline
Hands to Mouth
Hand to Foot
Prone Weight-Bearing on Arms With Approximation
Tilting Sideways on Roll
Shoulder Elevation
Hand Sweep
Ball Rolling
Weight-Bearing on Extended Arms
Weight Shift and Protective Extension to Side
Additional Range of Motion Exercises
Instructions
Instructions
Special Instructions
Instructions
Undesired Response
Special Instructions
Instructions
Undesired Response
Instrcutions
Desired Response
Undesired Response
Instructions
Desired Response
Instructions
Special Instructions
Instructions
Undesired Response
Instructions
Undesired Response
Instructions
Undesired Response
Instructions
Desired Response
Undesired Response
Special Instructions
Instructions
Desired Response
Undesired Response
Special Instructions
Instructions
Desired Response
Undesired Response
Special Instructions
Prone on a Ball
Purpose
To develop ability to bear weight on arms.
Desired Responses
Reaching While Prone Over Roll
Purpose
To aid child in increasing strength in neck and back muscles: to enable child to bear weight
on one arm while reaching with the other.
Desired Response
Child will reach out while bearing weight on one arm. Don't forget to switch arms.
Air splint would be helpful with this activity.
Forward Acceleration Over Roll
Purpose
To increase child's ability to bear weight on arms for forward protective extension.
Desired Response
Child will be able to support own body weight on hands with elbows straight, hands open,
and head erect.
Back, neck, or arms will become stiff; hands will fist, or elbows and head will bend.
Support right arm as needed (another good one with air splint).
Hands to Midline
Purpose
To assist child in bringing hands together for play.
Desired Response
Child will be able to play with hands at midline, will become more aware of own hands,
and will actively begin to bring hands together.
Child will push backwards with shoulders or head.
Hands To Mouth
Purpose
To assist child in the normal hand-to-mouth activity for sensory development.
This activity can be done sitting (as pictured), or with child lying on side. The child
should be relaxed. It is helpful to bend the hips and to bring the shoulders forward.
Slowly bring hand to mouth - do not force.
With or without your assistance, child will be able to bring hand to mouth.
Child will push back with shoulders or will react unpleasantly to having hand at the mouth.
Hand to Foot
Purpose
To promote awareness of the hands and feet.
This activity can be done sitting (as pictured), or with child lying on the back or side.
The child should be relaxed. Hold one arm at the elbow and one leg at the knee. Bring
hand and foot together.
Child will actively move. Child will become more aware of these areas of the body.
Prone Weight-Bearing on Arms with Approximation
Purpose
To enable child to bear weight on arms and strengthen neck and back muscles.
Desired Response
Child will be able to support weight on hands with elbows straight, hands open, and head
erect.
Be aware of right arm position and hand position. Keep arm at right angle to body, elbow
straight (with your assistance) and palm open.
Tilting Sideways on Roll
Purpose
To encourage protective reactions of arms.
Desired Response
The child will support self with hand at the end of the movement.
Arms will bend rather than straighten.
Shoulder Elevation
Purpose
To encourage shoulder elevation and outward rotation.
Desired Response
Shoulder elevation will occur with outward rotation while head is up.
Hand Sweep
Purpose
To encourage child to get hand flat on a solid surface.
Desired Response
Child will take some weight on hand with fingers and elbow remaining straight.
Hand will remain fisted or elbow will bend.
Ball Rolling
Purpose
To encourage child to straighten arms.
When child pushes ball, arms will straighten.
Child's arms will turn in.
This exercise is good for sensory input, awareness of both arms and weight bearing.
Weight-Bearing on Extended Arms
Purpose
To develop the ability to stabilize with upper arm for weight-bearing and other activities.
Child will maintain weight on straight arms with straight trunk.
The trunk will sag or arms will bend and not maintain child's weight.
Just another good position for weight-bearing. Support arm into elbow extension.
Weight Shift and Protective Extension to Side
Purpose
To encourage weight shifting while sitting with protective extension to the side.
Child will bear some weight on arm with elbow and fingers straight. Gradually less assistance should be required to perform this activity.
Elbow will bend or hand will remain fisted.
Good position for play. Place toy on right side, support right arm and have child use left arm for play.
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