The next sequence of pictures illustrate a good example of Ramon Cuevas’s quest for new exercises (1972) to provoke and control the standing position  without touching the child’s hands. The case is a Down syndrome child of 16 months old; the first picture shows his reaction to standing with hand support (very inclined), the following pictures illustrate the child’s reaction after Ramon releases his hands and provide support by both legs. The child slowly begins to extend the trunk by himself until reaching total vertical standing as shown in the last picture.

Once again, the child’s reaction to the new maneuver demonstrates that distal support provokes automatic responses, thus the child can experience the real sensation of being erect with full weight bearing and hands free, with the final result of increasing the main human postural reaction without promoting wrong compensation of hand support.

The left picture shows the little Down syndrome girl of 2 ½ years old in a standing position holding the frame with both hands plus the hands of the therapist placed on top of her hands. The next picture illustrates the reaction of the child after the therapist removes his hands and tries to slide the frame to provoke steps, so, the conclusion is that holding the child by the hands, does not lead to motor progress.