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Infant+: Pull to sit PDF Print E-mail
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Tuesday, 17 January 2012 02:19

All ages (infant +): Pull to sit without head lag


Evaluate pull to sit with attention to head lag, until achieved.

What does weakness in pull to sit look like?


If a child has head lag at 4 months, carefully inspect neck flexors and evaluate other age-appropriate motor milestones (e.g., scores on standardized motor screening). Communicate concerns to family and referring provider and re-evaluate within one month.

Tip: When evaluating pull to sit, consider decreased endurance of head control, such as decreased head control when carried, during eating, and when dressing.

Yellow flag

Head lag may present as torticollis.


A child who has significant head lag at 5 months needs further evaluation.

Therapist Response to Red Flag

Communicate specific concerns about head lag (in context of overall development and relevant environmental factors) to the family and referring provider. Encourage a referral to a specialist (consider pediatric neurology) to evaluate weakness.

Specialist Response to Red Flag

Draw a CK and refer for diagnostic workup.

Download a pdf of the Surveillance and Referral Aid for Therapists and Specialists. This Aid includes signs of weakness by age, red flags and warning signs for muscle weakness, and referral recommendations.
Last Updated on Tuesday, 04 September 2012 22:16