2. INTRODUCTION..
Developed by professor Klapp.
Developed in germany to mainly treat scoliosis.
It is a non surgical method established with aim of
correcting spinal curvature by streching and strengthening.
They are mainly used for mobilization of trunk and can
improve co-ordination of movements and endurance of
muscles.
After achieving stability in prone kneeling, patients can
begin to practice lifting a hand or knee from floor to balance
on three legs.
Resistance can be added further.
Flat pads may be used to protect knees from pressure.
3. Principle of this exercise is to spread weight on four
limbs which causes rotation to spine and
simultaneous stretch.
4. TYPES OF CRAWL:
Dog’s crawl.
Low dog crawl.
Arm stretch crawl.
Low ‘S’ crawl.
Leg shift crawl.
6. Dog crawl
Starting position: Prone kneeling.
Technique: from prone kneeling, one of the upper limb is
drawn upwards and simultaneously contralateral lower
limb. This causes lateral bending of spine.
• This is repeated onto the next side.
The lateral bending is reversed by moving opposite hand
and knee forward.
• Movement on one side only can be produced by return
to the starting position.
Uses : c shape scoliosis.
proprioception.
10. Low dog crawl
-Starting position: inclined prone kneeling, shoulders
abducted, elbow flexed, hands beneath the elbow.
Chest is pressed to the ground, and head is lifted.
11. -Alternate limbs are moved.
-Rotate the spine and head to the opposite side so as to
get a stretch and return to the starting position.
-Repeat onto next side.
-Patient can practice this in circular manner or in forward
direction.
-This is more tough to perform than dog’s crawl and
therefore require proper guidance.
-Uses: c shaped scoliosis.
kyphosis deformity in thoracic spine.
13. Technique: The chest is well pressed to the
ground.
-thighs are vertical throughout the movement.
- Patient moves forward by taking small steps
with the knee and sliding the hands forwards
along the ground.
Uses: increase extension of thoracic spine.
correct kyphosis
strengthen upper back.
14. Low ‘s’ crawl
Starting position: prone kneeling
This is designed to straighten spine in case of
scoliosis by strong contraction of muscle on
convex side and by stretching the muscles on
concave side.
From starting position, arm on concave side of
thoracic curve is stretched forward and leg on
lumbar concavity is stretched backward.
A short step is taken forward and movement is
repeated.
17. Leg shift crawl
Starting position: inclined prone kneeling.
Technique: one knee is moved forward, arms are moved
from forward from the shoulder then one leg is lifted in
line with the trunk.
This position is held for a moment and then leg is lowered
and knee is brought about forward.
This exercise creates a stronger force over muscle and
helps in correcting scoliosis.
