4 Coming to Sit

Question 1

What is the intervention for LE sequencing, and LE weakness

Answer 1

lateral leg movement, single leg

Question 2

What is occuring when the LE lag behind/do not engage inmovent with coming to sit?

Answer 2

• LE sequencing, LE weakness (hip abductors, Hip flecors)

Question 3

What is occuring when the trunk does not lift off surface and/or UE’s do not assist the trunk lift?

Answer 3

Poor sequencing of Trunk UE and LE

Question 4

What is the intervention for poor sequencing of trunk UE LE

Answer 4

• sidelying to sit: Alternate way to rise after a rull roll onto slide
• Trunk elevation by UE extension: elevating trunk using shoulder and elbow ext

Question 5

What is occuring when the trunk lifts and shows difficulty shifting pelvis into full WB position?

Answer 5

• poor sequencing of Trunk UE LE and reduced somatosenation around ischial tuberosities

Question 6

What is the intervention for poor trunk UE LE and redued somatosensation?

Answer 6

Weight on hip and hold

for baancing trunk on one side of hip

Question 7

What are contextual to sitting postural control?

Answer 7

Environment

• Arm support (Table)
• Size of support surface
• Distance of object (apa)
• Feet on floor vs feet off floor

Question 9

What are the 3 requirements to static sitting postural control?

Answer 9

Orientation of body segments

Orientation to support surface

Orientation to vertical

Question 10

What is the intervention for orientation to vertical

Answer 10

• Visual feed back
  
  • Tape lines
  • Head light to target
• Somatosensory feedback
  
  • kinesiotape
• customized seating systems

Question 11

Where is bw equally distributed on the BOS?

Answer 11

Ischial tuberosities and thighs

Question 12

What is the intervention for orientation to support surface?

Answer 12

Active weight shifting with approximation through iliac crests and ischial tuberosities

exaggerated pelvis movements to align pelvis in all planes

Seat surface to differnt compliances

mirror feed back

custom seat cushion

Question 13

What are the 3 components to oritentation to vertical?

Answer 13

• Optical righting
• Head righting
• Equilibrium reaction (somatosensory)

Question 14

What are the interventions for oritentaiton to vertical?

Answer 14

• shifting LOG during sitting activities
• Visual feedback
  
  • tape/lines
• Approximation once aligned appropriately