Avoiding obstacles on stairs- coordination and movement planning

Updated: Jun 1, 2020

3.5 years old patient with DCD and developmental delay.

Patient was asked to climb up and down the stairs without stepping on the hoops. Avoiding obstacles simulates real life challenges, requires movement planning and balance.


1. Patient climbs reciprocally and uses both handrails. She uses a wide base of support due to difficulties in movement planning and coordination. This compensation eases the challenge.


2. Patient struggles to choose a leg to step down with. The PT instructs her to use her left leg, but she hesitates and chooses the right leg. This could be due to side weakness or difficulty in coordination.


3. When her left leg is leading, the patient uses internal rotation to compensate her weakness - leaning on the ligaments instead of using her muscles. She also struggles to stand on her right leg while she moves her left leg above the hoop.


A Special thanks to the "Ha'gan Ha'shikumi" and their amazing staff, for sharing their knowledge, thoughts and experience.

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