The many ways infants use surfaces for support in early standing

I have been reviewing and editing the very many videos of the development of my three grandchildren. And once again I am struck by the way infants, from the first weeks push and pull on surfaces to support or move their bodies. 

R 11m prone kneeling 3_1.jpg   W 5m supine.jpg   R 8m rolling 6.jpg

 In this week's video clip you see Will, aged 8 months, who is new to standing with hand support. I was particularly struck by how he "knows" how to lean on his forearms when he needs to increase his base of support and free  his hands for exploring a toy. 

      Will8m2w standing with support 2.jpg   W 8m stand reach down 516.jpg   W 8m stand reach down 517.jpg   W 8m stand reach down 518.jpg      

And sometimes he leans against available vertical surfaces. 

Will8m2w standing with support 2.jpg   Will8m2w standing with support.jpg

Implications for physical therapy

Infants with developmental delay often do not have a large repertoire of strategies for using body, arm and hand support to support themselves when they first start to practice standing. 

It helps to provide the infant with a variety of support surfaces at different height and in different positions to allow the infant to explore different ways to support themselves and maintain balance. 

R 10m sit to stand 8.jpg   R 13m stand with Pam 11.jpg   R 11m triangle of boxes 6.jpg