1. Rolling &
Crawling/Creeping
Prepared by :
Aina Nabilah Bt Nasurudin
Aini Najihah Bt Nasurudin
Aifaa Anira Bt Anuar
Wan Nur Amalina Bt Wan Mohd Kamaron
NoorHisyam Bin Roslee
Sulaimi Aisar Bin Sukri

2. Rolling

3. Introduction
 Definition:
Move forward along a surface by revolving
on an axis or by repeatedly turning over
 It requires a certain level of control over
the head, neck and trunk

4. Therapeutic Goals of Rolling
 Strengthening of trunk muscles
 Increasing the patien’ts ability to roll
 Mobilizing the trunk, scapula, shoulder ,
hip

5. Human development sequence of
rolling




2 months
- the first sign of voluntary rolling appear with the
infant turning from its side to its back.
4 months
- the infant can roll from a supine position to the side
and from the prone position to the side.
6 months
- the infant matures and gains greater control of the
hips and shoulders,more advanced abilities such as
rolling from supine to prone.
8 months
- the most difficult task, rolling from the prone to the
supine position.

6. Mat Activities

The mat program involves the patient in activities
incorporating both movements and stability

They range from single movements to complex
combinations requiring both stabilization and motion

The activities are done in different positions for function
and to vary the effects of reflexes or gravity

7. Mat activities of rolling

Rolling is both a functional activity and
an exercise for the entire body

Rolling occur because of facilitation from
the scapula or pelvis.

Combinations of scapula, pelvis, neck or
extremity motions are used to facilitate
rolling.

8. Rolling (Supine to Prone)
Scapula in anterior depression


Roll forward with trunk flexion.
Facilitate with neck flexion
Pelvis in anterior elevation


Roll forward with trunk flexion.
Facilitate with neck flexion

9. Rolling (Prone to Supine)
Scapula in posterior elevation


Roll back with trunk extension.
Facilitate with neck extension
Pelvis in posterior depression


Roll back with trunk extension.
Facilitate with neck extension

10. Crawling & Creeping

11. Introduction
 Crawl:
Act of moving the body along slowly and close to
the ground on the hands and knee
 Creeping:
Slow movement by dragging the prone
body along the ground

12. Creeping Pattern
 Head move
ipsilaterally with the
hand
 Leg move alternately
with the hand

13. Type of crawl







The belly crawl - babies begin crawling by keeping their
tummy against the floor as they move.
The classic crawl – baby alternates arms and legs, getting
the arm on one side to hit the floor at
the same time as the leg on the
opposite side.
The bear crawl – baby walks on all fours, arm and leg
unbent
The crab crawl – baby pushes with arm instead of pulls.
The leapfrog crawl – baby makes a bridge with his arms
and legs and then thrust forward.
The roll – some babies get so good at rolling that it become their
primary way to get around.
The most common style of crawling is classical crawl

14. Human development sequence of
crawling/creeping


6-8 months- the infant’s first purposeful efforts at prone locomotion
( creeping )
- infant creep using their arms and legs to
drag the body along a surface.
- the abdomen remains in contact with the surface.
- their leg and back muscles are stong enough to avoid
them from falling when they get on their knees and
hands.
8-10 months - occurs 2 months after crawling.
( crawling ) – crawl movement involve moving in a prone
position on hands and knees with the abdomen clear
of the surface.

15. Mat activity of crawling
In the crawling position patients can exercise their
trunk, hips, knees and shoulders.
Types of exercise : Balancing in crawling
Therapist must give resistance at scapula or
pelvis, at the neck, and in addition to leg and
arm motion.

16. Balancing in crawling

17. Crawling movement