My younger brother is one year and two months old, and he still doesn't want to sit up by himself!
Hello Dr.
Chen: My younger brother is already one year and two months old.
He does not get up to sit by himself when lying down or crawling.
Previously, he had blood tests for creatine kinase, and the levels were slightly elevated at over 400.
I consulted a rehabilitation physician, who suggested that this might be due to a vaccination he received a little over a week ago.
He believes that if it were a true muscle disorder, the creatine kinase levels would be higher.
However, my questions are:
1.
My brother can now pull himself up to stand and walk while holding onto objects.
He can even use one hand to hold onto something while the other hand reaches for furniture that is not connected, for example, holding onto furniture in front with his left hand and furniture to the right with his right hand, then slowly turning and moving towards the right.
He can also squat while holding onto something or slowly sit down while holding onto something! Additionally, he has started to crawl with his belly off the ground, but he still occasionally crawls with his belly on the floor.
Why is he still unable to sit up by himself from lying down or crawling without support? I try to train him to sit up from his side, but he always ends up crying! How should I train him?
2.
What conditions are necessary for a child to learn to sit up independently from lying down or crawling? For example, does he need to have arm strength? How can I train my brother to go from lying down or crawling (prone) to sitting up independently?
3.
I understand that before learning to walk, a child must first learn to stand -> squat -> stand.
Does "standing" refer to standing while holding onto something? And does "squatting" also refer to squatting while holding onto something?
Zhuang Tai Tai, 20~29 year old female. Ask Date: 2013/04/21
Dr. Chen Wayda reply Rehabilitation
It may be due to insufficient core muscle strength.
Training him to sit up from a side position often ends in crying and fussing! There might be other issues with the core.
It is advisable to visit a hospital outpatient clinic for a physician to conduct a proper evaluation and obtain an accurate diagnosis.
Reply Date: 2013/04/21
More Info
Helping a 14-month-old child develop the ability to sit up independently is an important milestone in their physical development. At this age, children are typically exploring their mobility and beginning to master various movements. Here are some insights and tips that can help your brother achieve this goal.
Understanding Developmental Milestones
At 14 months, children are usually expected to be able to sit up independently, crawl, and pull themselves up to a standing position while holding onto furniture. However, each child develops at their own pace, and variations in development are common. It’s great to hear that your brother is already able to pull himself up to stand and is practicing moving between furniture. These are positive signs of his overall motor skills.
Reasons for Difficulty in Sitting Up
1. Muscle Strength: Sitting up independently requires a certain level of muscle strength, particularly in the core, back, and legs. If your brother is not yet able to sit up from a lying or crawling position, it may be due to insufficient strength in these areas.
2. Balance and Coordination: Sitting up also requires good balance and coordination. Your brother may still be developing these skills, which can take time.
3. Comfort and Confidence: Sometimes, children may resist certain movements due to discomfort or a lack of confidence. If he cries when you try to help him sit up, it may indicate that he is not yet comfortable with the movement or is feeling frustrated.
Tips for Encouraging Sitting Up
1. Tummy Time: Continue to encourage tummy time, as it helps strengthen the muscles needed for sitting. You can make it more enjoyable by placing toys just out of reach to motivate him to reach and move.
2. Assisted Sitting: When he is lying down, gently assist him by guiding his body into a sitting position. You can do this by supporting his back and encouraging him to use his arms for balance.
3. Play in Sitting Position: Encourage him to play while sitting. Use cushions or pillows to support him as he learns to balance. This will help him get used to the sitting position.
4. Use of Furniture: Since he is already pulling himself up, encourage him to use furniture for support while practicing sitting. For example, have him sit on the edge of a couch or bed with support, allowing him to practice balance.
5. Strengthening Exercises: Engage him in activities that strengthen his core and back muscles. For instance, you can play games where he reaches for toys while sitting, or encourage him to lean forward and back while sitting.
6. Positive Reinforcement: Celebrate small achievements. When he makes progress, even if it’s just a little, provide positive reinforcement to build his confidence.
Conditions for Learning to Sit Up
To learn to sit up independently, children typically need:
- Core Muscle Strength: Strong abdominal and back muscles are essential for maintaining balance while sitting.
- Arm and Leg Coordination: The ability to use arms and legs to stabilize and shift weight is crucial.
- Balance: Developing a sense of balance is key to transitioning from lying down to sitting.
Clarifying Standing and Squatting
Regarding your question about standing and squatting, yes, the standing you refer to typically involves the child pulling themselves up while holding onto something for support. Squatting can also be done while holding onto furniture, which helps them practice bending their knees and maintaining balance.
Conclusion
In summary, while it’s understandable to be concerned about your brother’s ability to sit up independently, it’s important to remember that each child develops at their own pace. Continue to provide opportunities for him to strengthen his muscles and practice balance in a supportive environment. If you have ongoing concerns about his development, consulting with a pediatrician or a child development specialist can provide additional guidance and reassurance.
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