When the pattern improves and then deteriorates again, it is often caused by fatigue and is a signal that it is time to rest or go on to something else. Giving a young child opportunities to move and make choices enhances their learning. Extra support should be given for safety and security while enabling movement. Giving priority to movement helps the child build strength and control. Removing prompts too quickly can cause a child to be fearful.
Health is a major consideration.
Upright positioning and movement help move and clear secretions. However, ear infections, surgery, major seizure episodes etc. can cause a loss in skills. Patience, time and improved health usually help the child regain the skills. It is important not to get discouraged and give up on MOVE activities. When the children are ill or recovering, watch closely for their physical cues to tell you how much activity they can handle.