Dynamic Standing Activities

Dynamic Standing Balance and Activity Tolerance

We have had a lot of request to show activities that increase standing tolerance and dynamic standing activities. We like to incorporate functional reach activities into our treatments. I often have my clients reach into cabinets or book shelves to retrieve items.

These types of activities facilitate weight shifting, side stepping, decreased UE support, and reach outside of base of support. This can also be an opportunity for clients with visual perceptual deficits to work on visual scanning and depth perception. A counter top or bookshelf can be used for unilateral support while promoting standing tolerance and balance.

Just Right Challenge

As a clinician providing skilled care, part of our job is finding the "just right challenge" for our clients.  This makes treatments client-centered and more purposeful.  To challenge our clients, we may have them stand on a balance pad during balance activities or stand in a narrow base of support.  In other cases, our client may need to stand in a wider base of support to maintain his/her balance during the activity.  Documenting progression towards the "just right challenge" justifies medical necessity for treatment and why these exercises can not be performed with a caregiver.

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