Standing Sequence

Question 1

Standing 4 Months

Answer 1

Takes some weight through lower extremities

Question 2

Standing 6 Months

Answer 2

Bears full weight through legs

Bounces when held

Question 3

Standing 8 Months

Answer 3

Stand from kneel with UE support

Initiate LE dissociation (via 1/2 kneel to stand)

Question 4

Standing 9 Months

Answer 4

Early standing
Lean against surface so hands are free
Legs abducted (wide BOS)
Toes alternatively clutch floor and flare upward

Question 5

Standing 10-12 Months

Answer 5

Rise to stand via sole use of LEs
Stand without abdominal support
Begin lateral weight shifts
Cruising: along furniture, between close furniture

Question 6

Standing 12 Months

Answer 6

Attempts forward locomotion initially…

• Lateral weight shifts
• Wide BOS
• High guard
• Hips ER and hips/knees flexed
• Small steps
• Slow speed
• Decreased SLS time

Question 7

Standing 16-18 Months

Answer 7

(16-17) Carries toy during ambulation, pulls toy during ambulation
(18) Ambulates with reciprocal arm swing and heel strike
With assist: ambulates up stairs and down stairs one step at a time
Without assist: creeps up stairs and creeps or scoots down stairs
Begins to walk sideways
Transitions supine to stand
Balance on 1 foot
Step down stairs -> ready to “jump” off bottom stair

Question 8

Standing 24 Months

Answer 8

Lateral weight shifts
Wide BOS
High guard-> mid guard -> low guard
Hips ER and hips/knees flexed-> hips/knees extend with added PF
Small steps -> increased step length
Slow speed -> increased speed
Decreased SLS time -> increased SLS time
Without assist: ambulates up and down stairs one step at a time
Jump of step with 2 feet
Balance on 1 foot for 3 seconds
Kick a large ball
Throw a small ball
Step over low objects
Begin to run (starting and stopping difficult)
Jumping: one foot leaves the ground then the other