Supine developments

Supine developments

Supine stage 1

• Can only maintain supine position for a moment before the position becomes asymmetric
• The body follows head turning in a total body movement

Supine stage 2

• Settles when placed on the back “top-heavy”
• Wb through upper trunk and head
• Posture is asymmetric and difficult turning side to side
• Bottom moves as the head turns, “corkscrew” appearance

Supine stage 3

• Supine position with neutral pelvic tilt symmetric posture but “top-heavy”
• Chin is tucked and the head is midline
• Able to move freely from side to side without movement of the bottom
• Can track objects and make eye contact
• May roll into a prone position

Supine stage 4

• The symmetry of posture and movement is first seen at this level
• Midline play at the chest with hands and feet together
• Posture is symmetric and weight bearing is through the upper trunk and pelvis
• Free pelvic movement beginning
• Can touch knees with flexed hips
• Shift weight laterally and raise leg unilaterally

Supine stage 5

• Independent movement of the shoulder girdle and pelvis
• Pelvis has full ROM so the child can now play with toes
• Legs extended and can roll side to side and return

Supine stage 6

• Can roll into a prone position by achieving a side-lying position and then anteriorly tilting pelvis on the trunk and extending hips.