The internal need to step forward within ACL 2.2 is as strong as the need to stand-up within ACL 2.0. Wanting to step forward makes a standing table intolerable. The constant urge to stand and walk can be satisfied by guided and physically supported walking using a forearm support frame, with two people to provide assistance with poor balance. When the opportunity to walk is not provided, the urge to walk cannot be inhibited and they will keep trying. When the opportunity to standup and step forward is restricted by placing them in a nearly horizontal tub or gel chair, their frustrated needs are often expressed by constant yelling. They may be out of bed; but they are not upright, and they know it.