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- Dr.Joni Redlich PT,DPT
Trunk or core strengthening is a need for children of various diagnoses, including coordination disorders, low tone, cerebral palsy and Down syndrome. In fact most child with developmental differences regardless of diagnosis will benefit from strengthening to the trunk muscles.
Below are some ideas to get started. I have also included some tips to get children to try the activity for longer, to help you gauge progress and also what I call “concrete tips.” These tips are ideas to turn the activity from an abstract play activity to an activity with a clear beginning and end and frequently with visual cues. Making an activity more concrete can help children with attention problems and autism spectrum disorders participate in an activity successfully.
Around the House
Look for natural opportunities during the day for your child to lift or push heavy items. For example, the child can help carry in the groceries, take the milk in and out of the fridge, or push a laundry basket across the room.
Games
1. Rough-housing
This is an under-appreciated activity! Rough-housing requires co-contractions of the joints and core and the use of balance reactions.
2. Airplane
The parent holds the child’s hands, places their feet on the child’s tummy/hips, and lifts them up to fly. The parent can count or sing a song to see how long the child stays up.
3. Wheelbarrow walk 
Hold the child’s feet and have them walk on their hands. It helps to have a visual cue of “walk to Daddy.” to encourage the child to complete the task. This activity can also be done as a handstand, walking feet up against the wall instead of being held by the parent.
4. Statue
The child holds different positions as a “statue” while the parent gently tries to “knock over” the child. Positions can include kneeling, half-kneel (start in kneeling, lift one left up and put one foot on the floor like you are standing up), standing, standing with eyes closed, standing on a pillow or cushion with eyes open or closed. Again,the parent can count or sing a song to see how long the child stays up.
5. Surf Board
Have the child stand on a pillow or sofa cushion and play catch, hit a balloon, or pop bubbles. Counting to 10 repetitions of an activity will help to keep some children engaged.
6. Obstacle courses
Create an obstacle course that includes climbing over, under, and through things. A concrete tip is to use visual cues such as getting a piece of the puzzle, go through the course, and then place it in the puzzle.
7. Scooter games
Square gym scooters can be used in a variety of ways. The child can lie on their belly and use their hands to move, they can sit on the scooter and ride with feet, or they can keep their knees on the scooter and propel with their hands on the floor.
8. “Rock and Rolls”
Have the child sit with knees curled up and arms wrapped around legs. Have them rock back and then sit right back up. The child can also do “egg rolls” in this position rocking side to side.
9. Animal walks
Some examples are crab walk, worm wiggle, bear walk on hands and feet
, stand on one foot like a flamingo and move like a turtle with a pillow as a shell. Take turns choosing the animal and then do the walk together. You can also print out animal pictures or use animal toys to choose an animal if the child would benefit visual choices.
10. Build A Bridge
Have the child lie on their back with their knees bent and feet on the floor. The child will then lift their bottom up off the floor. Roll a toy car under the bridge. Remind the child to keep the bridge open!
Outdoors
There are a never-ending number of things that can be done outdoors to increase trunk strength. Here are just a few ideas.
1. Climbing on the playground
2. Rolling up/down a hill. You can place bowling pins or large blocks at the bottom of the hill.
3. Walking on different surfaces, such as sand or a hiking trail.
4. Riding a bike or scooter.
5. Swinging. Encourage pumping the legs.
These activities are just a few ideas to integrate trunk strengthening into your child’s play. For more assistance modifying activities for your child speak to a physical or occupational therapist for guidance.
Nice list of ideas. Here is a video of another fun idea that a child can do at home incorporating core strengthening with learning http://yourtherapysource.blogspot.com/2009/02/sample-activity-from-play-strong.html
Nice list of ideas. Here is a video of another fun idea that a child can do at home incorporating core strengthening with learning http://yourtherapysource.blogspot.com/2009/02/sample-activity-from-play-strong.html
I like to bring in visual and learning activities into gross motor play. I do prefer to work on slow, sustained movements for trunk strengthening, especially because the kids tend to bring in a lot of compensations into quick movements, like overusing the hip flexors and other quick-firing muscles. I would modify this activity to set up the words close by and have the boy on his hands and knees with his hands on the rolling pin, and have him knock down the named word without moving his knees.
I like to bring in visual and learning activities into gross motor play. I do prefer to work on slow, sustained movements for trunk strengthening, especially because the kids tend to bring in a lot of compensations into quick movements, like overusing the hip flexors and other quick-firing muscles. I would modify this activity to set up the words close by and have the boy on his hands and knees with his hands on the rolling pin, and have him knock down the named word without moving his knees.