ROLLING PROGRESSION

NONSEGMENTAL ROLLING

• SUPINE GOING TO SIDE LYING

• LOG ROLLING - FOLLOWING OF ALL BODY

SEGMENTAL ROLLING

• 6 MONTHS AGE

• THERE IS DEVELOPMENT OD INTRA-AXIAL ROTATION

• BODY RIGHTING

ROLLING PRONE TO SUPINE PROGRESSION

• ACCIDENTAL ROLLING FROM PRONE TO SUPINE

• WHILE PERFORMING LIFTING BACKWARD ACCIDENTALLY ROLLING FROM PRONE TO SUPINE

• LEADING WITH UPPER EXTREMITIES

• LEADING OF LOWER EXTREMITY

• 4-5 MONTHS - ACCIDENTAL ROLLS

• ABILITY TO ROLL - DEMONSTRATE DISSOCIATION OF RIGHT AND LEFT.

VOLOTIONAL ROLLING - 5-6 MONTHS

SITTING PROGRESSION

• SUPPORTED SITTING

  • PHYSIOLOGICAL FLEXION

  • FULL SPINAL EXTENSION

PROPPED SITTING (5 MONTHS)

• CHILD MAY ATTEMPTS TO PROP WITH HIS UPPER EX.

• SUPPORTING HIS UPPER EXTREMITY WILL CREATE A LARGE BASE OF SUPPORT

• PELVIS IS PERPENDICULAR TO SUPPORTING SURFACE.

RING SITTING

• RELY LESS ON UPPER.EX

• PRIMARY LIFT HIS HANDS FROM THE SURFACE WHERE HE SITS

• TAKE NOTE THAT THERE IS A HIGH GUARD POSITION OF UPPER EX TO ENHANCE TRUNK STABILITY.

OTHER INDEPENDENT SITTING POSTURE

HALF-RING SITTING

EXTEND OF LOWER EX.

LONG SITTING

MATURE LONG SITTING WITH NARROWED MEDIOLATERAL

• CLOSING OF LEGS

CLIMBS IN HIGH CHAIR

BILATERAL USE OF HANDS IN MIDLINE

INTRA-AXIAL ROTATION

SITTING INDEPENDENTLY - CERVICAL AND LUMBAR LORDOSIS

SIDE SITTING

• DISSOCIATION OF LOWER EX.

CLIMBING

• ABDUCTION WITH TRUNK FLEXION

LOCOMOTION IN SITTING

• HITCHING - SCOOTING OF FOOT TO MOVE