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1 Contents Preparation for Functional Sitting Partial Pull to Sit Pull to Sit Spine Curl-Ups...4 Sitting, Trunk Relaxation Prone, Head Approximation... 6 Sitting, Head Approximation... 7 Sitting, Approximation through Shoulders... 8 Reaching for Feet...9 Arm Position for Head Extension Neck and Back Extension with Stabilization of the Body Neck and Back Extension with Hips Flexed Side-Sitting over Roll Reaching While Prone on Forearms or Prone on Extended Arms Play over Legs...'.. 15 Sidelying, Thorax Rotation Stimulation of Rolling Supine, Hands to Feet Supine, Hand to Opposite Foot Supine, Hands to Knees Supine, Hand to Opposite Knee Elongation with Weight Shift Prone to Sit over Legs Prone to Sit Passive Trunk Rotation Sitting Sideways on Lap, Diagonal Tilt Sitting on Lap, Diagonal Tilt Sitting over Leg, Lateral Tilt for Head Sitting over Leg, Lateral Tilt for Trunk Sitting on Lap, Lateral Tilt Sitting, Lateral Tilt...31 Prone on Ball, Lateral Tilt Sitting on Ball, Diagonal Tilt Sitting on Ball, Tilting in All Directions Sitting on Ball, Forward Tilt...35 Sitting on Ball, Lateral and Backward Tilt Rotation to Hand Support over Roll Rotation from Hand Support to Sit Prone over Roll, Bilateral Reaching Sitting on Roll, Lateral Tilt for Head Sitting on Roll. Lateral Tilt for Trunk Sitting on Roll, Forward and Backward Tilt Sitting at a Table with an Erect Trunk Bench Sitting with an Erect Trunk Sitting, Reaching Forward with an Erect Trunk Sitting on Roll, Reaching to the Side Playing Forward on Roll iii

2 Sitting with an Erect Trunk, Reaching to the Side Sitting with an Erect Trunk, Reaching Backward Side-Sitting Backward Prop-Sitting Sitting on Stool and Reaching Sitting with an Erect Trunk on an Unstable Base Sitting on an Unstable Base, Reaching Forward Sitting on an Unstable Base, Reaching Sideways Sitting on an Unstable Base, Reaching Backward Preparation for Functional Upper-Extremity Activities Hands to Midline Side lying, Hand to Mouth Sidelying, Hand to Head Backlying, Hand to Mouth Backlying, Hand to Head Sitting, Hand to Mouth Sitti ng, Hand to Head Hand to Foot Playing in Sidelying Prone, Reaching Forward...67 Prone, Weight Bearing on Arms with Approximation Prone over Roll, Arm Approximation Forward Acceleration over Roll Weight Bearing on Extended Arms Reaching While Prone over Roll Prone on a Ball Playing Prone on Forearms ting Sideways on Roll Crab Walking...76 Thumb Abduction Ball Rolling Hand Sweep...79 Weight Shift and Protective Extension to Side Bringing Arms Forward in Sitting Supine Lifting Ball Sitting, Reaching for Ball...83 Maintaining Hand on Ball in Front Maintaining Hand on Moving Ball in Front Child Moving Ball in Front Hands to Midline in Sitting...87 Clapping Hands Together Lifting an Object off the Table Moving an Object from Side to Side Using Both Hands Moving an Object Up and to the Side Reaching to Opposite Side Picking Up an Object from the Floor Maintaining Hand on Ball at Side Maintaining Hand on Moving Ball at Side Child Moving Ball at Side...96 iv

3 Touching Specific Areas...97 Arm Circles Pushing Object with Forearm Pushing Object with Hand Holding and Turning Hoop with Both Hands Placing Hoop over Head Placing Arm through Hoop Self-Hand Sweep Hand Activities with Uninvolved Hand Preparation for Functional Standing Dissociation of Legs with Heel Pressure Sidelying, Ankle Dorsiflexion with Knee Extension Sitting, Ankle Dorsiflexion with Knee Extension Heel Pressure with Lateral Weight Bearing Sit to Hands-Knees Hands-Knees to Sit Kneeling Kneeling, Reaching Kneeling, Weight Shift... '.' Kneeling Balance Kneeling to HaH-Kneeling Half-Kneeling to Kneeling Reaching While Kneeling ~ Side Sitting to Kneeling Kneeling to Side Sitting Squatting Hands-Knees, Lifting One Arm Hands-Knees, Lifting One Leg Hands-Knees, Lifting Opposite Arm and Leg Hands-Knees, Lifting Arm and Leg on Same Side Stretching Hamstrings Independently Stretching Hip Adductors Independently Stretching Hip Flexors Independently Stretching Plantarflexors Independently Prone, Knee Extension to Prone, Maintaining Foot Directly over Knee Prone, Full-Knee Extension Prone, Lifting Leg Maintaining Ankle Flexion with Hip and Knee Extended Maintaining Ankle Flexion While Fully Extending Knee Maintaining Ankle Flexion While Rotating Hip Sidelying, Hip Rotation Sidelying, Moving Ball with Knee Sidelying, Holding Ball with Foot Bridging Supine, Bilateral Symmetrical Hip Rotation Supine, Unilateral Hip Rotation Supine, Bilateral Reciprocal Hip Rotation Supine, Bilateral Hip Flexion with Ball v

4 Knees to Nose Supine, Unilateral Hip Flexion...' Supine, Bilateral Knee Extension with Ball Sit to Stand Stand to Sit... 1'51 Scooting Forward in Chair Scooting Backward in Chair Weight Shift Forward Coming to Stand Initiating Stand to Sit Sit to Stand from Chair or Bench Maintaining Standing Balance While Hand is on a Moving Ball Maintaining Standing Balance While Moving a Ball Maintaining Standing Balance with Hands in Midline Maintaining Standing Balance While Clapping Hands Together Maintaining Standing Balance While Reaching to the Opposite Side...' Maintaining Standing Balance While Lifting an Object off the Table Maintaining Standing Balance While Lifting an Object Up and to the Side Maintaining Standing Balance While Making Arm Circles ' Maintaining Standing Balance While Catching and Throwing a Ball Preparation for Ambulation Sidelying, Toe Tapping Sitting, Toe Tapping Sidelying, Lifting Heel Sitting, Lifting Heels Sitting, Moving Foot Sitting, Lifting Ball with Feet Standing, Weight Shift to the Side Side Stepping Stepping Up and Down Step Standing Step Standing, Clapping Hands Step Standing, Arm Circles Standing against the Wall Sideways Standing, Diagonal Weight Shift Forward Standing, Diagonal Weight Shift Backward Stepping Forward Stepping Backward Stepping Forward and Backward Small Knee Bends Marching in Place Standing, Heel Toe Kicking Ball ' Knee Control for Ascending Steps Knee Control for Descending Steps vi

5 < Therapeutic Caregiving Good Positions for Carrying Dressing. Prone on Lap Changing Diapers Stretching for Torticollus Leg-Control Wrap Range of Motion Upper Extremity Range of Motion Shoulder Flexion Shoulder Abduction Shoulder Rotation... ~ Shoulder Horizontal Adduction ; Elbow Flexion and Extension Forearm Supination and Pronation Wrist Flexion and Extension Wrist Abduction and Adduction Finger Flexion and Extension....' Finger Abduction and Adduction MP Flexion and IP Extension (knuckles bent, fingers straight) Thumb Opposition Thumb Extension Thumb Abduction-Adduction Lower Extremity Range of Motion "..-- Hip Extension Hip Flexion Hip Abduction-Adduction Hip Rotation with Hip Straight Hip Rotation with Hip Bent Knee Flexion and Extension Ankle Plantarflexion Ankle Dorsiflexion Ankt e I nversion and Eversion Toe Extension Toe Flexion vii