AIM:
To train weight shift (lateral) in preparation for sitting (II).
Rationale:
An important component of sitting independently is being able to shift body weight without falling. Task-related training is set up so the patient can practice with manual guidance from the therapist if necessary.
Equipment:
- Adjustable height plinth
Key Points:
- Patient is positioned in sitting with 100% thigh support, feet shoulder-width apart, knees directly over feet, ie, no hip external rotation and ankles plantargrade
- Patient shifts weight sideways
- Therapist is positioned behind or to the side of the patient and provides manual guidance at the shoulders if necessary
Common Errors:
- Therapist is too far away from patient to ensure safety
- Affected leg falls into external rotation
- Patient shifts weight forwards (by flexing at the hips) instead of shifting weight sideways
Progression and Variety:
- Decrease/remove manual guidance
- Reduce thigh support
- Increase amplitude of movement
- Increase speed of movement