Climbing stairs while changing upper extremities position

Updated: Jul 8

7 years old patient with right Hemiplegia.



The patient was asked to descend the stairs, collect a hoop from the floor with both of his hands, climb up the stairs while lifting both of his hands up, and thread the hoop through the pole.


Holding an item above the head stretches the patient’s Facia Lata, and helps recruit his Glutei. In addition, the change in the patient’s CoM increases the level of difficulty - both in maintaining balance and movement planning.


1. Patient descends the stairs reciprocally, holding the handrail with his left hand.


2. Patient bends over to lift the hoop. He first uses only his left hand, but then corrects himself, and uses both hands.


3. Patient climbs up with his hands above his head, which helps recruit muscles around the pelvis. In addition, it prevents the hand from getting into a tone pattern due to the effort.


4. Patient uses both hands to thread the hoop through the pole.


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


Video Guide 11