Supine developments
Supine stage 1
- Can only maintain supine position for a moment before the position becomes asymmetric
- The body follows head turning in a total body movement
Supine stage 2
- Settles when placed on the back “top-heavy”
- Wb through upper trunk and head
- Posture is asymmetric and difficult turning side to side
- Bottom moves as the head turns, “corkscrew” appearance
Supine stage 3
- Supine position with neutral pelvic tilt symmetric posture but “top-heavy”
- Chin is tucked and the head is midline
- Able to move freely from side to side without movement of the bottom
- Can track objects and make eye contact
- May roll into a prone position
Supine stage 4
- The symmetry of posture and movement is first seen at this level
- Midline play at the chest with hands and feet together
- Posture is symmetric and weight bearing is through the upper trunk and pelvis
- Free pelvic movement beginning
- Can touch knees with flexed hips
- Shift weight laterally and raise leg unilaterally
Supine stage 5
- Independent movement of the shoulder girdle and pelvis
- Pelvis has full ROM so the child can now play with toes
- Legs extended and can roll side to side and return
Supine stage 6
- Can roll into a prone position by achieving a side-lying position and then anteriorly tilting pelvis on the trunk and extending hips.
