Rolling & Rolling & Crawling/CreepingCrawling/Creeping

Prepared by :Prepared by :Aina Nabilah Bt NasurudinAina Nabilah Bt NasurudinAini Najihah Bt NasurudinAini Najihah Bt Nasurudin

Aifaa Anira Bt AnuarAifaa Anira Bt AnuarWan Nur Amalina Bt Wan Mohd KamaronWan Nur Amalina Bt Wan Mohd Kamaron

NoorHisyam Bin RosleeNoorHisyam Bin RosleeSulaimi Aisar Bin SukriSulaimi Aisar Bin Sukri

RollingRolling

IntroductionIntroductionDefinition:Definition:

Move forward along a surface by Move forward along a surface by revolving on an axis or by repeatedly revolving on an axis or by repeatedly turning overturning over

It requires a certain level of control It requires a certain level of control over the head, neck and trunkover the head, neck and trunk

Therapeutic Goals of Therapeutic Goals of RollingRolling

Strengthening of trunk musclesStrengthening of trunk muscles Increasing the patien’ts ability to rollIncreasing the patien’ts ability to rollMobilizing the trunk, scapula, Mobilizing the trunk, scapula,

shoulder , hipshoulder , hip

Human development sequence Human development sequence of rollingof rolling

2 months 2 months - the first sign of voluntary rolling appear with - the first sign of voluntary rolling appear with

the infant turning from its side to its back.the infant turning from its side to its back. 4 months4 months - the infant can roll from a supine position to - the infant can roll from a supine position to

the side and from the prone position to the side.the side and from the prone position to the side. 6 months6 months - the infant matures and gains greater control - the infant matures and gains greater control

of the hips and shoulders,more advanced of the hips and shoulders,more advanced abilities such as rolling from supine to prone.abilities such as rolling from supine to prone.

8 months 8 months - the most difficult task, rolling from the prone - the most difficult task, rolling from the prone

to the supine position. to the supine position.

Mat ActivitiesMat Activities

The mat program involves the patient in activities The mat program involves the patient in activities incorporating both movements and stabilityincorporating both movements and stability

They range from single movements to complex They range from single movements to complex combinations requiring both stabilization and combinations requiring both stabilization and motionmotion

The activities are done in different positions for The activities are done in different positions for function and to vary the effects of reflexes or function and to vary the effects of reflexes or gravitygravity

Mat activities of rollingMat activities of rolling

Rolling is both a functional activity Rolling is both a functional activity and an exercise for the entire bodyand an exercise for the entire body

Rolling occur because of facilitation Rolling occur because of facilitation from the scapula or pelvis.from the scapula or pelvis.

Combinations of scapula, pelvis, Combinations of scapula, pelvis, neck or extremity motions are used neck or extremity motions are used to facilitate rolling.to facilitate rolling.

Rolling (Supine to Prone)Rolling (Supine to Prone)

Scapula in anterior depressionScapula in anterior depression

Roll forward with trunk Roll forward with trunk flexion.flexion.

Facilitate with neck flexionFacilitate with neck flexion

Pelvis in anterior elevationPelvis in anterior elevation

Roll forward with trunk Roll forward with trunk flexion.flexion.

Facilitate with neck flexionFacilitate with neck flexion

Rolling (Prone to Supine)Rolling (Prone to Supine)

Scapula in posterior elevationScapula in posterior elevation

Roll back with trunk Roll back with trunk extension.extension.

Facilitate with neck Facilitate with neck extensionextension

Pelvis in posterior depressionPelvis in posterior depression

Roll back with trunk Roll back with trunk extension.extension.

Facilitate with neck Facilitate with neck extensionextension

Crawling & CreepingCrawling & Creeping

IntroductionIntroduction

Crawl:Crawl:

Act of moving the body along slowly and Act of moving the body along slowly and close to the ground on the hands and kneeclose to the ground on the hands and knee

Creeping:Creeping:

Slow movement by dragging the proneSlow movement by dragging the prone

body along the groundbody along the ground

Creeping PatternCreeping Pattern

Head move Head move ipsilaterally with ipsilaterally with the handthe hand

Leg move Leg move alternately with the alternately with the handhand

Type of crawlType of crawl

The belly crawl - babies begin crawling by keeping their The belly crawl - babies begin crawling by keeping their tummy against the floor as they move.tummy against the floor as they move. The classic crawl – baby alternates arms and legs, getting The classic crawl – baby alternates arms and legs, getting the arm on one side to hit the floor at the arm on one side to hit the floor at the same time as the leg on thethe same time as the leg on the opposite side.opposite side. The bear crawl – baby walksThe bear crawl – baby walks on all fours, arm and legon all fours, arm and leg unbentunbent The crab crawl – baby pushesThe crab crawl – baby pushes with arm instead of pulls.with arm instead of pulls. The leapfrog crawl – baby makes a bridge with his arms The leapfrog crawl – baby makes a bridge with his arms

and legs andand legs and then thrust forwardthen thrust forward.. The roll – some babies get so good at rolling that it become The roll – some babies get so good at rolling that it become

their their primary way to get around.primary way to get around. The most common style of crawling is classical crawlThe most common style of crawling is classical crawl

Human development sequence of Human development sequence of crawling/creepingcrawling/creeping

6-8 months- the infant’s first purposeful efforts at prone 6-8 months- the infant’s first purposeful efforts at prone locomotionlocomotion

( creeping ) ( creeping ) - infant creep using their arms and legs to- infant creep using their arms and legs to drag the body along a surface.drag the body along a surface. - the abdomen remains in contact with the surface.- the abdomen remains in contact with the surface.

- - their leg and back muscles are stong enough to their leg and back muscles are stong enough to avoid avoid

them from falling when they get on their knees them from falling when they get on their knees and and

hands.hands. 8-10 months - occurs 2 months after crawling.8-10 months - occurs 2 months after crawling.

( crawling )( crawling ) – – crawlcrawl movement involve moving in a prone movement involve moving in a prone position on hands and knees with the abdomen position on hands and knees with the abdomen

clear of the surface.clear of the surface.

Mat activity of crawlingMat activity of crawling

In the crawling position patients can In the crawling position patients can exercise their trunk, hips, knees and exercise their trunk, hips, knees and shoulders.shoulders.

Types of exercise :-Types of exercise :- Balancing in crawlingBalancing in crawling

Therapist must give resistance at scapula or Therapist must give resistance at scapula or pelvis, at the neck, and in addition to leg pelvis, at the neck, and in addition to leg and arm motion. and arm motion.

Balancing in crawlingBalancing in crawling

Crawling movementCrawling movement