They can imitate a sequence of bilateral, active upper extremity range of motion (UE ROM) exercises. For the UE ROM, reciprocal pulleys will probably require constant cuing and hand-over-hand assistance or grip assistance aids.

Lower extremity range of motion at the hip may be done while seated, one leg at a time.

The tactile cues used for seated activities in ACL 2.2 may be done with fewer rest periods within ACL 2.4 because their sitting balance is better. Hand-over-hand assistance may sustain attention longer after they have had an opportunity to walk.

Being able to walk unrestricted is what the person enjoys best. Provide the person a safe flat space for them to wander around in. Provide a number of sturdy chairs they can plonk into when they are tired.

Drinks and food are required as they will require a lot of energy to fuel their constant movement. Having a path to follow also helps sustain the person's attention. When they are happily occupied following a path protected from harsh unpleasant weather they may not trying to escape especially if the entrance and exit point are disguised.

In ACL 2.4, it is very difficult to get the person to comply with non-weight bearing orders willingly.

Everyone must be alert to the fact that all objects are apt to be put in their mouth. Objects must be checked to be sure that no small parts can be removed and cause a choking hazard. When an object does capture their attention, they tend to cling to it tenaciously, which gets it dirty and worn out. Ideally, objects need to be cleaned easily and replaceable.

While the caregiver is focusing on safety, the person is focusing on wanting to move around.

The person is apt to ignore family and friends when they come to visit. Left to their choice they will probably continue walking around. Teaching visitors how to provide hand-over-hand assistance while doing seated activities helps prevent exhaustion and maintains contact with loved ones.

The person may choose one favorite word to communicate all of their needs. This maybe "no". Be prepared to use gestures instead of verbal communication.

When these people quietly shuffle around, they are apt to go unnoticed until they are exhausted and dehydrated. An effort should be made to alert everyone to this possibility and provide preventive methods.

Seated activities use sensory cues with hand-over-hand assistance to sustain attention. Clearer preferences with three choices can be expected within ACL 2.4. The hard part is finding cues that will capture their attention. Tactile cues to different parts of the body, finger foods and drinking from a cup that is half full are the cues that are most apt to gain their attention.

A few people like to carry something around or enjoy sitting down to pet or stroke a stuffed animal, a real animal or a doll.

They will spontaneously get up and start walking. Sitting down does not last for long. This puts them at risk of exhaustion and high risks of falls. Surfaces are never check for sturdiness and safety by the person. Caregivers will need to check all chairs surfaces which may be sat on. They do not sit gently either, it is more like a plonk.