Figure 143

before the child is able to sit independently. (See Figure 14.5.) First, the therapist provides upper trunk support, then middle trunk support, then support between the scapula and the waist, then support at the waist and finally pelvic support. The support provided at each level keeps the spine and pelvis in proper alignment until the child develops the strength to hold that segment in alignment himself. Appropriate physical therapy can minimize problems with trunk posture. (See Figure 14.6.)

Physical Therapy Services:

• should be concerned with the child's long-term functional outcome;

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