Shoulder Girdle instability

[equiphys]

Hi
i have had good success with fitball programs. starting in prone, walking out onto the hands only as far as they can stabilise, with tummy or pelvis still on the ball (or use a peanut roll if they are really weak) and doing a combination of timed static holds and walk-out/walk-in (with hands) reps/sets. Really concentrating on quality of the position and movement as they are doing it. The further they can progress out from the ball, the more they work on core stability.....better sitting stability for fine motor tasks. Make sure fitball is kid size. This may not be appropriate for the school setting unless they have time set aside for intervention. Otherwise, great home program if parent can be shown exactly what is requried.

[physiok]

Hi!
What type of developmental delay is this? I mean: how is the walking (what age is the child), sitting, long sitting balance and ctrl, general tone, muscle length and strength...
The precision in the hands is greatly influenced by the stability of the shoulder blades, ctrl and coordination of shoulder muscles and strength of the intrinsic muscles of the hand.
Blades stabilizers are often used to hold the upper thorax in hypotonic children, resulting in protracted shoulders with limited AROM end of the range in F and poor coordination, the iliopsoas is then used to hold the LB causing lordosis and loose abdominal muscles, as well as poor balance in sitting. These children usually walk without lifting their knees and can't run fast, they are often intoeing too.

Do a precise assessment of all these and if you still need some help with the treatment I could give you some ideas.

[sunandha]

hi..
i think wheel barrow walking vcan increase proximal stability to a great extent coz weight bearing activities wil definitely result in cocontraction which can increase proximal stability..
otherwise try joint approximation with the shouldre abducted to 90 degrees