You are treating a 13-month-old child who is not yet sitting independently. He requires support at the hips to sit on the floor, and your goal for him is to sit indendently. Focusing on function, which intervention strageties would be most appropriate?
A) Playing in prone to strengthen his trunk muscles and floor sitting activities while playing with toys with decreasing amounts of physical assistance provided
B) Strengthening activities, such as having the child perform assisted sit-ups and sitting on a therapy ball
C) Using pillows around the hips and trunk to completely prop the child into a supported poistion in sitting to play
D) Reducing tone and active range of motion

Question

Quizplus · Accepted Answer

Passively sitting with pillows will not improve the function of sitting nor will tone reduction or range of motion. Although strengthening the abdominal muscles might be appropriate, it is more appropriate to strengthen the trunk extensors and have the child practice sitting with gradual fading of support.

You Are Treating a 13-Month-Old Child Who Is Not Yet