The manual was designed to provide an overview of the Developmental Physical Management program used at the University of Alabama in classes for infants and children with multiple disabilities. The multidisabled child may be affected by one or more of the following problems: slow development, lack of normal integration of basic reflexes, abnormal muscle tone. Theory, basic assumptions, and the developmental sequence of instruction are discussed. Charts are presented which detail activities with the following aims: (1) normalizing muscle tone, (2) integrating basic reflexes, (3) facilitating desired muscle groups, (4) facilitating contraction, and (5) developing equilibrium are presented. Twenty-three techniques or uses of equipment are discussed, including vestibular stimulation, platform shoes, rubbing with towels, and the flexion seat. Among appendixes are a chart on the development of balance as it relates to reflex maturation, a glossary of terms, and references. (PHR)