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Developing Upper Body Stability in Pediatrics Print

Goals:

- To develop increased shoulder stability in preparation for more demanding fine motor activities.
- Improve trunk stability and control.

Instructions:

    Position the child in PRONE on a peanut ball or vestibular ball.  If the trunk’s stability is poor, provide more support by placing the child’s upper trunk on the surface of the ball.  If the child is able to demonstrate increased trunk control (able to lift trunk off the ball’s surface in extension), place the child’s lower trunk on the surface of the ball while the upper part of the body extends over and the arms/hands on the floor support the weight of the upper body.

    Set up toys, manipulative, activity boards for the child to manipulate on the floor.  Make sure that the child alternately bears weight on the arms and hands.  The child can do this by playing and manipulating the toys or objects with one hand while the other hand supports the trunk.  At times, the child may also bear weight on the elbows while she/he does manipulatives or assemblies with both hands (as seen in illustration).  Provide stability and support by holding the child at lower back to prevent from falling off the ball.

    Allow the child to extend her/his back by encouraging her/him to look up or reach up for something.  This way, extensors are strengthened when the child extends the trunk and legs.  And by keeping the elbows extended, the child also strengthens the shoulders and improves elbow and wrist stability.  At the same time, proprioceptive inputs are received when in this position.
 

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“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

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“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

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"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY



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