Prone on Elbows

  1. Prone-on-elbows posture. (6-9months)
  • The child appears to be bearing his body weight on his elbows and forearms.
  • The child’s elbows are flexed to about 90 degrees, and they are directly under the head of the humerus.
  1. Prone-on-hands posture.
  • The child is bearing weight on his hands.
  • The child’s hands are directly under the head of the humerus, his elbows are extended fully, and his entire chest is lifted off the floor.
  • Typical children shows
  • Sufficient postural stability
  • Arms and legs outstretched
  • Experiments with more movement of trunk in prone
  • Begins to assume quadriped position
  • Tries to move self on floor
  • Atypical children –
  • Preference for supine over prone
  • Inability to roll
  • Inability to sit
  • Lack of motivation to move
  • Compensations to accomplish age appropriate task
  • Treatment

Walking on hands off lap or foam roller

  • This exercise will teach your baby how to move their arms forward which will prepare them for forward motion as they learn to crawl
  • This exercise also strengthens the shoulder girdle and trunk

Four point positioning-

You may use a foam roll or your leg to keep your baby in a four point position

  • When you get her/him into this position, you can rock her front to back
  • Only do what she tolerates.

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