This is a common protocol for all the children with developmental disability like Cerebral palsy, Down syndrome but always consult with your Occupational Therapist before starting any treatment plan.
Place the child in side lying position. Shake a rattle above & behind the child’s head and gently roll the child onto his or her back. Continue until the child begins to initial the movement independently. You can also use tactile cues by touching the child’s back.
Place the child on his or her stomach, resting the forearms on the floor .raise the child to a position on his or her hands and knees by supporting around the trunk. You can also place a towel under the stomach and trunk and pull up on both ends. Gradually use less assistance to get the child to raise onto all fours.
Hold the child’s hand and pull him slowly to a sitting position five times. The next five times pull until his or her arms are straight, pause, and say, “Get up”. If the child does not pull after 3 sec, continue pulling him to a sitting position for the five attempts. Give the child your index fingers to hold, straighten his arms, then say, “Get up” and allow the child to pull to a sitting position.
Place the child in sitting position & give some reach out activity. (Foreword & sideways reach)
While the child is standing at a couch/bench, place a toy just out of the child’s reach and encourage him to get the toy.
Place the child in standing position next to stable supporting object, the child should free his body from support & maintain for 5 seconds.
Walking can be started with or without walker (walking frame) depends upon child’s ability to walk.
From back laying position, with feet flat on the floor & arm folded across the chest, the child should complete three to five sit- ups in 30 seconds.
Place the child in prone lying position & child will lift his chest & head with the extension both arms. Maintain this position for 30 seconds.
Keep the child in long sitting position in which both leg should be straight, abducted & foot should be in neutral position. You should also promote prone position for your child