Training sitting-to-prone transition

Infants move from sitting to kneeling using different strategies
Typically developing infants learn to transition from sitting to prone and prone kneeling almost by accident.  Reaching far forwards and across the body to get hold of a toy throws them off balance and consequent forward reaching (protective extension of the upper extremity) to  stop themselves falling over.  

With practice the infant learns to control shifting the center of mass forwards  which allows the for the redistribution of weight onto knees and hands.   As is often the case in transitions between positions, the infant learns to first  produce and then control momentum of the trunk. (See The day will learned to roll)

Reach far forwards, rotate trunk and move into kneeling  
Here you see Will (7 months)  rotating the trunk and reach across to get hold of a toy, loose his balance, put his reaching hand on the mat, move into prone kneeling and then into prone. This transition is is not very controlled. 

Will 7m2w transition to prone.jpg   Will 7m2w transition to prone 1.jpg   Will 7m2w transition to prone 2.jpg

Video: Will 7 months 



Lean straight forwards when hips are widely abducted  

Sometimes an infant will initiate a transition to prone by leaning far forwards. This is often the case if the infant tends to sit with the hips in wide abduction/external rotation. 

Max 13m tower game 5.jpg   Max 13m tower game 2.jpg

The transition from sitting to prone kneeling may be triggered by reaching to the side, loosing balance in the process, and initiating protective extension in the arms to prevent a fal. 

M13m sit-to-prone-kneel 3.jpg    M13m sit-to-prone-kneel 4.jpg   M13m sit-to-prone-kneel 5.jpg   

Using a step to make the transition easier 

Roan at 11 months was not yet able to move from sitting into the crawling position. 

Here you see how she can twist and reach for toys placed behind her, but get stuck and instead of going up onto her hands and knees she turns back to sitting. 

R 11m sitting rotation 5.jpg   R 11m sitting rotation 6.jpg   R 11m sitting rotation 8.jpg   R 11m sitting rotation 9.jpg

 A low block allows Roan to get onto her hands and knees 

The next series of pictures shows how Roan uses the block to provide some support for her trunk and manages to lift herself up onto her knees. 

R 11 m sit to kneel at block 1.jpg   R 11 m sit to kneel at block 2_1.jpg   R 11 m sit to kneel at block 3.jpg   R 11 m sit to kneel at block 4.jpg 

We then spent a good 10 minutes playing in this position. My job was to provide a succession of toys to keep her interensted and reaching in different directions.  She was especially interested in the spinning tops.  

Max works hard to reach a desired toy

M13m sit-to-prone-kn-block.jpg   M13m sit-to-prone-kn-block 1.jpg  

 M13m sit-to-prone-kn-block 2.jpg   M13m sit-to-prone-kn-block 4.jpg

Video: Sit to prone kneeling at a foam block 




Sit-to-kneel over a bolster  or caregiver legs

 Another ways to encourage the sit-to-prone transition is let the infant reach across a bolster of adult leg. The bolster provides some support for the weight of the head and torso as the infant shifts the weight forwards onto the arms. 

R 11m prone kneeling 2.jpg.  R 11m prone kneeling 4.jpg  R 11m prone kneeling 5.jpg

Video: Roan moving from sitting to prone kneeling