Most of us know what developmental milestones are, especially if we’ve had children in our lives. Developmental milestones are used to measure how an infant is progressing, developing and using skills to reach the goal of “independence” to be able to sustain and care for one-self. “How does this pertain to Wayne?” For a person who has lost muscle, muscle control, and strength, you start at the beginning, as if you were an infant. It is important to determine what a person can do, in order to help them begin to gain their independence. Luckily, Wayne knows what he has to do, and understands what what happens when he can make movement possible, now it is just developing, and strengthening muscles to just be able to do it. All Wayne’s efforts are now aimed at gaining those skills. For example, Wayne is working on being able to “sit” on his own. Oh, I hear you out there, “what can be so hard about sitting around?” First of all you have to be able to pull yourself to a sitting position (Wayne is not quite there yet), then you have to sustain yourself in that position without falling from one side or the other. Do you know how hard this can be without your “core” muscles, no easy feat!! Just like an infant that hasn’t developed important trunk control, you must position Wayne so he does’t slid out of the chair. He has a lot of ” growing up” to do. And just like proud parents, we will be beaming as he reaches each milestone.