π Helping a Young Child with Down Syndrome β Standing Balance with Progressively LESS Support (Everett, age 2y 3m) | Pediatric Physical Therapy (PT) with Amy Sturkey @pediatricPTexercises Thank you to Everettβs wonderful family for continuing to welcome me back! Everett π§π»βπ¦° has Down syndrome, was born almost 2 months premature, had corrective heart surgery β€οΈβπ©Ή, and has a G-tube. At age 2 years - 3 months, heβs gaining confidence and strength in standing, and today we test how little support he really needs. In this session, Everett watches a muted video off-screen while I sit behind him and gradually reduce my physical support β starting high and moving lower and lower down his legs. This helps us understand how much strength, balance, and control he can use independently. β What youβll see in this video Everett can stand with support, but he tends to lean with his chest when heβs near furniture. To better understand his true standing ability, I check which level of support gives him success: In this video, I: Sit on the floor behind him as he stands Start with higher support (upper thighs) Move to lower thighs as he works harder Fade to knee support β more wobble but still success! Add a safety block with my foot to prevent a forward fall Try lower than kneesβ¦ and reach shins! Celebrate his incredible effort and balance This step-down approach helps reveal just how close he is to standing with very minimal help. π Why this helps This progression develops: Balance reactions βοΈ Core and hip activation Upright postural control Early walking readiness πͺπΌ Confidence standing with less adult support ππΎ Lower support means Everett has to do more work β which strengthens the muscles and balance strategies heβll need for walking. π©βπ¦ Practical tips for parents & therapists Stand or sit behind your child for safety Start helping at the hips or trunk Gradually slide your hands lower Watch for wobbling β thatβs balance work happening Keep a foot behind them if they tend to fall forward Stop before they collapse (we want challenge, not fear) Celebrate little victories β lower support = big progress! Great for children who can stand with help but rely heavily on leaning. β οΈ IMPORTANT These videos are educational and not a replacement for in-person pediatric physical therapy. Every child is unique. Please consult a local pediatric therapist for individualized recommendations. πΊ Everett playlist: https://youtube.com/playlist?list=PLAkJbMrHyKjPqgM4rbEV8G1bMdC1Dyzaw π¬ Contact / More info Email: amysturkey@gmail.com Website: https://www.pediatricPTexercises.com π Childrenβs Educational Books (Amazon) P is for Poop and Pee Accidents β https://www.amazon.com/dp/B0BLSRJ483 A is for Anxiety β https://www.amazon.com/dp/B09LXQ3W6V A is for ADHD β https://www.amazon.com/dp/B08QH9H5HR C is for Cerebral Palsy β https://www.amazon.com/dp/B088TSJCYP D is for Down Syndrome β https://www.amazon.com/dp/B079P8HH49 A is for Autism β https://www.amazon.com/dp/B071F4FFTB π Professional PT Books (Amazon) Strengthening Exercises for the Hips β https://www.amazon.com/dp/0998156736 Strengthening Exercises for the Knees β https://www.amazon.com/dp/0998156760 Strengthening Exercises for the Ankles β https://www.amazon.com/dp/B08TX2ZCFD π§π½ββοΈ Captions To turn on captions: click CC. To change language: Settings (βοΈ) β Subtitles/CC. π Subscribe Subscribe to @pediatricPTexercises and tap the π for updates. π Chapters (spaced out appropriately) 00:00 β Intro (music only) 00:06 β Meet Everett 00:15 β Everettβs current standing skills 00:28 β Why support height matters 00:40 β Testing upper-thigh support 00:55 β Trying lower-thigh support 01:10 β Standing with knee support 01:25 β Safety foot placement to prevent falls 01:38 β Attempting support at the shins 01:55 β Why this progression is powerful 02:05 β How to try this with your own child 02:16 β Closing + subscribe π

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