Physical Therapy Exercises For 3 Month Old: Posterior Pelvic Tilt
this blog contains affiliate links
Hello, Proactive Parents! I'm Dr. Lauren Baker, think of me as your pediatric physical therapy bestie, to help you learn tips and tricks to help your littles move with confidence and ease.
Today, I'm excited to share a simple yet powerful strategy to support your baby's early development, particularly focusing on those little ones from birth to about four months old, the exercise/activity is called a “posterior pelvic tilt,” but mainly looks like you propping your little’s bum on your foot or another style of prop.
It sound really simple and it is, but it can have such a large gain and especially helpful for newborns and babies who may struggle with tummy time. You can do this physical therapy exercise on newborns 0-3 months olds, and even some 4 month olds. This exercise is great for general mobility, posture, and preparing for rolling.
Understanding the Importance of Posterior Pelvic Tilt
Let's dive into why helping your baby engage their lower abdominal muscles and work on rounding their back is so crucial. This technique is especially beneficial if you've noticed that your baby tends to arch their back a lot. The posterior pelvic tilt is the direction in which the pelvis or bottom is moving in, when a pelvis tilts “posteriorly,” it rounds the back and flexes the spine.
You can think of this like holding a bowl of water, if you tilt the bowl away from your body, the water flows away from you. If you tilt the bowl toward your body, the water flows toward you. If you tilt your pelvis forward/away from you, your back arches – if you tilt your pelvis backwards/toward you, your back flexes.
Babies need their pelvis to tilt both by themselves as well as by others. Babies who struggle with tolerating a pelvic tilt, specifically a posterior pelvic tilt may be at risk for struggling with milestones such as grabbing their feet, sitting independently, or crawling — all of which require a posterior pelvic tilt.
Why Focus on Babies Zero to Four Months Old?
In this newborn to early infant stage, babies are developing rapidly. Teaching them to flex their spine and tilt their pelvis up is essential. This supports them in tolerating other positions better, including tummy time, because they are engaging their core muscles in a posterior pelvic tilt and that allows for them to have a stronger trunk from which to lift their head, when they switch onto their bellies. It also prepares them for mini milestones like grabbing their feet, which comes around five months old.
The Challenge of Extension Posture in Babies
Some babies, particularly those who have had issues like reflux or certain in-utero positions, may favor extending their backs. This habit can be disadvantageous for their overall physical development. So, if you notice your baby resisting this natural pelvic tilt, it's beneficial to introduce some intentional, beneficial activities or reach out to a Pediatric Physical Therapist if they are struggling. See our list of in home pediatric physical therapists here.
Simple Strategy for Encouraging Posterior Pelvic Tilt
This is an easy activity that requires minimal effort from parents but offers significant benefits for your baby. You can use your foot, leg, a folded-up bath towel, or a pillow to prop up your baby's bottom. This position helps them relax into a gentle posterior pelvic tilt, aiding in belly relaxation.
Important Safety Note:
Always supervise your baby when using any external prop like a towel or pillow. Never leave them unattended in this position.
This position involves the baby lying on their back and then helping them round their back, by placing their pelvis on your foot or another prop. Holding this sustained flexed posture can help them relax into this position as well as increase core strength through isometric (one static position) strengthening, which tends to be an easy way for newborns to four month old babies to strengthen their muscles.
Make sure to watch the video below to see exactly how it is done safely with a baby:
TIMESTAMPS:
1:13 age of baby in video and why this position / exercise is important for 3 month olds and newborns.
3:29 posterior pelvic tilt physical therapy exercises for 3 month old
TOY IDEAS:
Toys for Babies Newborn-Rolling
Integrating Play and Development
While your baby is in this propped position, you can introduce various activities. From batting at toys to a gentle abdominal massage, these interactions not only enhance their physical development but also foster a deeper connection between you and your little one. See the toy idea links listed above for examples of good ideas of toys that can be utilized in this position. Any vertical hanging toys, like from a baby gym, or small, light toys that babies can safely hold in their hands such a teether toys or crinkle toys.
Duration for Maximum Benefit
Aim to keep your baby in this position for one to five minutes, depending on their comfort and tolerance. This duration is sufficient for them to relax into the posture and reap the benefits. If a baby is enjoying this position they can continue to stay in it for longer as long as they are supervised directly. Babies who struggle in this position may need to only stay in it for 10-15 seconds at a time, but be introduced to it more frequently in short bursts throughout the day until they can tolerate a full minute.
Personalized Tips and Tricks
As a pediatric physical therapist, I've worked with many babies and understand that each little one is unique. If you're seeking more tailored advice or have specific questions, I'm here to help through online parent consultations or by leaving comments directly below the youtube video.
Preparing for Future Milestones
Remember, these early exercises are foundational for upcoming milestones like rolling and improved tummy time tolerance. By incorporating these simple strategies into your daily routine, you're setting the stage for your baby's continued growth and development.
Curious About Learning More on Tummy Time, Rolling, or Both?
The absolute best book for parents on tummy time and rolling is: Tummy Time and Learning to Roll: A Baby Development Book for Ambitious Parents and Pediatric Healthcare Providers to Help Babies Learn to Roll Independently. The book comes with a free online video course to help parents fully understand how to complete the different exercises, printable checklists to know exactly where your baby is at, and when to reach out for additional help.
This book was written by Dr. Lauren Baker, PT, DPT, ATC, MTC, who is a Pediatric Physical Therapist in Boise, Idaho, trained in helping parents learn how to help their babies move and master their milestones. She loves teaching parents how to see how their babies are moving as well as how to influence those movements though play positions and exercises to help babies move with confidence and ease.
Tummy Time and Learning to Roll is the first book in the Proactive Play series written by Pediatric Physical Therapist Dr. Lauren Baker in order to help Ambitious Parents and Pediatric Healthcare Providers learn how to help babies master tummy time and learn to roll. It is meant to help ambitious parents understand baby development from birth to six months (tummy time to rolling).
This book is a mix of easy-to-follow and more in-depth information than is typically found in baby development books because Dr. Baker believes parents deserve to have all the information at their fingertips.
This book breaks down each piece of movement in checklists so that parents know what their babies need for tummy time and rolling. It also covers what areas might limit a child with rolling, why it is so important, and when to seek help from a pediatric PT.
This book comes with colored photos and easy-to-follow demonstration videos that can help parents implement safe, strategic play-based exercises with their babies in 20 minutes per day.
A Great Resource For:
Parents and Pediatric Healthcare Providers of babies 0-6 months
Parents of babies who are struggling with tummy time, rolling back to belly, belly to back, or only to one side
Access to simple, easy-to-follow videos of play positions and exercises
Learning the four pillars of movement needed in order to master rolling
240+ Color Photo Examples of:
Tummy Time, Sidelying, and Back Play
Developmental Toys and Equipment
Hand Placement and Strategic Play Positions
Common Areas of Restriction or Weakness
When To Reach Out For Help
What If You Want Extra Help?
If you have concerns about their movement, remember, you can always reach out to a pediatric physical therapist. It's your right as a parent to advocate for your child's development. Sometimes, a few tips and tricks are all you need to get your baby moving better.
We're here to support you and release those parent worries. If you are looking for in home pediatric physical therapy, check our listing of therapists for one in your area.
For those eager to learn more or seeking personalized guidance, I offer online video parent consultations internationally, which can be scheduled by clicking here. I am dedicated to answering questions and providing tailored play activities for each unique developmental journey.
When Should Babies Receive Pediatric Physical Therapy?
Parents can call and schedule with a Pediatric Physical Therapist at any time, for any concern in all fifty states without a referral from their Pediatrician.
Pediatric Physical Therapy is medically indicated in all babies who are not rolling in all four directions by six months (back to belly over their right arm AND left arm + belly to back over their right arm AND left arm).
Pediatric Physical Therapy is medically indicated if you notice a flat spot on the back of an infants head (possible plagiocephaly), a tilt of their head consistently to one side (ear to shoulder - possible torticollis), or a rotation preference of their neck (consistently look only to the right or left - possible torticollis).
Many Pediatric Physical Therapists including Dr. Baker, can successfully treat flat spots (Plagiocephaly) without a helmet with a combination of therapy and positioning strategies if seen prior to 4 months (0-3 months is ideal). Dr. Baker uses the Baby Begin Method of repositioning.
Flat spots can be due to in-utero positioning, rotational preference (right sided flatness most common) and babies are at an increased risk for flatness if they are male, were breech, multiple birth, premature, have difficulty with tummy time, or are in containers > 2 hr/day.
Final Thoughts:Your Role in Your Baby's Development Journey
Your involvement in these early stages of your baby's development is invaluable. By using these strategies, you're not only addressing immediate concerns like a tendency to arch the back but also paving the way for a smoother developmental journey ahead, especially helping your baby develop hand/eye coordination, hand/foot coordination, cross body coordination which involves development of both sides of the brain, and core engagement.
As always, feel free to reach out for more guidance and to become a part of this empowering movement in proactive parenting. Together, we can ensure our little ones move with confidence and ease from the very start! Hopefully, this exercise is a perfect place to start to incorporate proactive play into your time with your baby, providing moments of connection in the early stages as well as building them a solid foundation for rolling.
Prevent Avoidable Motor Delays: How To Test Your Baby's Trunk Mobility
this blog contains affiliate links
Hello! I'm Dr. Lauren Baker, a pediatric physical therapist. Today, I'm thrilled to share insights on one of the most crucial aspects of your baby's development - trunk rotation. This aspect of movement plays a pivotal role in milestones like rolling, sitting, crawling, and walking and it’s one of the least known aspects of movement and baby development in the parent world. Today, we are going to change that!
Why Is Upper Trunk Rotation Important?
Upper trunk rotation is essential for your baby's overall mobility. It's the foundation for many activities, including the ability to roll over, going from lying on the ground to sitting up, going from sitting to crawling, and it is even needed when we walk.
When we talk about trunk rotation, we're referring to the upper half of the body moving independently from the lower half, this of sitting in a chair and twisting your shoulders to look behind you (your upper half is moving but your lower half isn’t). This movement is crucial for maintaining our position against gravity, for getting in and out of positions, and for combining motions which we need for complex movements like walking and crawling.
Assessing Trunk Rotation in Babies
To ensure your baby is developing symmetrically and has mobility equally side to side, it's vital to assess their upper trunk rotation. When doing this, we're looking for equal movement on both sides. A limitation on one side can affect how your baby moves, potentially leading to preferences that might impact their development down the line.
Tightness in one direction can also lead to avoidance of movement in that direction, which is often why you see babies choose to only roll to one side (if we know what is limiting them, we can help them fix it! And then they can roll equally to both sides).
Baby Mobility Exercises: Enhancing Trunk Rotation
To encourage healthy trunk rotation in your baby, first try to see if your baby’s upper trunk can go equally in both directions. While they are sitting between your legs, gently move their upper body from forward to the right, stopping when you feel resistance (this is as far as you should go) and then forward to the left, again stopping when you feel resistance.
Watch the video below start to finish for the most comprehensive explanation and demonstration or click on the hyperlink to go directly to the exercise to watch in order to make sure you do it correctly!
TIMESTAMPS:
1:27 why upper trunk rotation and baby trunk rotation is important
4:52 straddle baby trunk rotation assessment
5:17 ring sit baby trunk rotation assessment
6:23 baby between parent's legs baby trunk rotation assessment
TOY IDEAS:
Trunk Weakness in Babies: Spotting and Addressing It
If you notice that your baby struggles with trunk rotation (typically you will feel resistance or they will express displeasure in that direction) or they seem to favor one side, it might indicate trunk weakness or tightness. Weakness and tightness are often companions, as a tight muscle is also a weak muscle, so sometimes when we increase the range and resolve the tightness, we then have to strengthen those muscles.
However, if you do not notice your baby has tightness when doing the upper trunk screen, but they do still show a preference, they could have weakness in the muscles that are needed to go in the direction they are avoiding. Weakness can be associated with tightness or it can be the only thing affecting the child.
It's important to be aware if your baby is experiencing trunk weakness. Signs of this can include a lack of balance in sitting, difficulty in holding themselves up (normal sitting age is 6-9 months), or favoring one side (if their little body forms a “C” shape in lying down or sitting). If you notice any of these signs, incorporating specific exercises can help strengthen their trunk muscles, see the youtube core strengthening playlist here.
What Is a Baby's Trunk, and Why Is Its Control Vital?
The trunk is the body's core, including the chest and abdomen. Trunk control is essential for stability and forms the basis of all movement. A strong trunk enables your baby to explore the world more confidently. Babies need full mobility of their trunk in order to build or access the full strength of their core, which is why assessing upper trunk rotation in infants is so important.
Regularly assessing your baby's trunk control (strength and mobility) can provide valuable insights into their development. Look for whether they have mastered rolling back to belly (right and left), belly to back (right and left), how well they hold themselves up when sitting, their reactions to gentle movements (do they throw themselves back or collapse forward when sitting), and their ability to engage in playful activities that involve twisting, such as bringing both hands to one side in sitting.
Crossing the Midline: A Cognitive and Physical Milestone
An interesting aspect of trunk rotation is its connection to cognitive development. When babies learn to cross the midline (bringing both hands from one side of the body to the other), they're not only enhancing their physical abilities but also strengthening neural pathways in the brain.
These pathways help with future academic milestones such as reading and writing. When babies have trunk tightness, they might avoid crossing midline in one or both directions, which can decrease their opportunities to develop and strengthen these pathways. This can lead to them being at a disadvantage compared to their same age, non-restricted peers.
Pediatric Physical Therapy Exercises for Babies
Incorporating pediatric physical therapy exercises into your baby's routine can be a game-changer. Simple activities like rolling over exercises and trunk control exercises can boost their development significantly.
Making sure that you resolve any tightness by completing the associated releases/stretches is equally important. If you ever find that the tightness is not resolving or you need assistance, reaching out to a local pediatric physical therapist can be the best, most effective thing for you and your baby. See our list of mobile pediatric physical therapists here.
Trunk Movement in Infants: Encouraging Healthy Development
Encouraging various trunk movements is key to your baby's development. This includes exercises that promote rotating, an easy switch in most families routines is to place toys to the side of the child instead of always in front.
This encourages the child to reach to the side and also bring both hands to the side (rotating at their trunk) in order to manipulate or grab the toy. It’s okay to start with the easy side and then build up to adding in the hard side (or assisting with the hard side and letting them do the easy side). Each of these movements contributes to a well-rounded and robust physical development.
Curious About Learning More on Tummy Time, Rolling, or Both?
The absolute best book for parents on tummy time and rolling is: Tummy Time and Learning to Roll: A Baby Development Book for Ambitious Parents and Pediatric Healthcare Providers to Help Babies Learn to Roll Independently. The book comes with a free online video course to help parents fully understand how to complete the different exercises, printable checklists to know exactly where your baby is at, and when to reach out for additional help.
This book was written by Dr. Lauren Baker, PT, DPT, ATC, MTC, who is a Pediatric Physical Therapist in Boise, Idaho, trained in helping parents learn how to help their babies move and master their milestones. She loves teaching parents how to see how their babies are moving as well as how to influence those movements though play positions and exercises to help babies move with confidence and ease.
Tummy Time and Learning to Roll is the first book in the Proactive Play series written by Pediatric Physical Therapist Dr. Lauren Baker in order to help Ambitious Parents and Pediatric Healthcare Providers learn how to help babies master tummy time and learn to roll. It is meant to help ambitious parents understand baby development from birth to six months (tummy time to rolling).
This book is a mix of easy-to-follow and more in-depth information than is typically found in baby development books because Dr. Baker believes parents deserve to have all the information at their fingertips.
This book breaks down each piece of movement in checklists so that parents know what their babies need for tummy time and rolling. It also covers what areas might limit a child with rolling, why it is so important, and when to seek help from a pediatric PT.
This book comes with colored photos and easy-to-follow demonstration videos that can help parents implement safe, strategic play-based exercises with their babies in 20 minutes per day.
A Great Resource For:
Parents and Pediatric Healthcare Providers of babies 0-6 months
Parents of babies who are struggling with tummy time, rolling back to belly, belly to back, or only to one side
Access to simple, easy-to-follow videos of play positions and exercises
Learning the four pillars of movement needed in order to master rolling
240+ Color Photo Examples of:
Tummy Time, Sidelying, and Back Play
Developmental Toys and Equipment
Hand Placement and Strategic Play Positions
Common Areas of Restriction or Weakness
When To Reach Out For Help
What If You Want Extra Help?
If you have concerns about their movement, remember, you can always reach out to a pediatric physical therapist. It's your right as a parent to advocate for your child's development. Sometimes, a few tips and tricks are all you need to get your baby moving better. We're here to support you and release those mama worries. If you are looking for in home pediatric physical therapy, check our listing of therapists.
For those eager to learn more or seeking personalized guidance, I offer online video parent consultations internationally and Pediatric Physical Therapy in Boise, ID and the Treasure Valley – by clicking to the appointment tab or by clicking here. I am dedicated to answering questions and providing tailored play activities for each unique developmental journey.
Final Thoughts: Empowering Your Baby’s Journey
Remember, every baby develops at their own pace, and what's important is providing them with opportunities to explore and strengthen their abilities. By incorporating these simple exercises and being mindful of their trunk rotation, you're setting your baby up for a lifetime of confident movement, as well as decreasing the risk of difficulty with crawling on hands and knees.
Total Motion Release Technique: How To Teach Baby To Roll Over Back To Belly
this blog post contains affiliate links
Hello everyone! I'm Dr. Lauren Baker, your pediatric physical therapy bestie, and I'm thrilled to share with you some insights from my world of helping babies move better.
In my recent YouTube video, I dove into a Total Motion Release Technique designed for little ones and in this blog post, I hope to empower you, and all proactive parents, with the knowledge and skills to assist your babies in achieving fluid, confident movements as they begin to master rolling back to belly AND belly to back.
The Importance of Rolling: A Developmental Milestone
Rolling over is more than just a cute trick; it's a crucial developmental milestone for babies. It involves complex coordination and strength, marking a significant step in your child's growth journey.
However, some babies develop a preference for rolling in one direction, often due to tightness in their lower or upper trunk. This is where Total Motion Release (TMR) techniques can help, because sometimes the mobility limitation is the only thing holding a baby back from rolling in all four directions.
TMR: A Different Approach to Mobility
TMR is fascinating because it approaches mobility differently than traditional stretching. Instead of elongating tissues, TMR focuses on shortening them to promote relaxation and improve range of motion.
It is amazing for babies, because often babies don’t understand that their body is safe when they feel that resistance that can occur with traditional stretching.
Often, they will counter-intuitively tighten up when they feel that resistance of a tight muscle and thus limit the mobility that we are able to achieve. One of the more strange things that confuses parents with TMR, is that we interestingly, only work on the 'tight' or 'easy' side, which might seem counterintuitive, but it yields remarkable results.
My Experience with a Special Little Client
In my video, I demonstrated TMR with a baby experiencing right-sided lower trunk tightness, hindering her ability to roll over her right arm from back to belly. Using TMR, we focused on the right side, holding it for a few minutes, followed by vestibular exercises like gentle bouncing (while she was being held).
This combination not only addresses the tightness but also helps the baby's body integrate and understand the new range of motion. Once we finished both of those, we worked on rolling over, which you will be able to notice in the video that is much better directly afterward.
One of the core principles of TMR, is that you not only want to increase range of motion (that both sides of their bodies can go the same distance) but also that you make it functional by working on a skill directly afterward, like in this case: rolling.
In the video, I also demonstrate what it would look like to work on the other side if a baby was experiencing tightness on the left side.
Engaging the Baby: The Art of Distraction
Working with babies means expecting the unexpected! Not all babies are calm during therapy sessions, and that's perfectly normal. The key is to keep them engaged and happy. This might mean playing with their toes, singing songs, or introducing different toys.
The goal is to maintain their comfort while working on the techniques. In the video, you can watch as I use a few of my favorite techniques to keep this little one engaged and calm.
Assessing and Addressing Tightness
Identifying which side to work on is crucial. I often find that if a baby struggles to side bend on one side (think the “I’m a little teapot” motion), the opposite side might be tighter.
In the video, I demonstrated how to assess this on both sides, so that you have everything you need to screen your own baby. The TMR technique I used involved gentle side bending, moving their pelvis toward their elbow, ensuring not to push beyond the baby's natural resistance [make sure to watch the video or check out my book linked below to see exactly what to do!].
The Rewarding Outcome
The transformation post-TMR is always fun to watch. The baby I worked with showed a significant improvement in her ability to roll smoothly from back to belly and vice versa. She became more motivated and engaged in her movements, which is exactly what we aim for.
If I could educate parents on ANY milestone and encourage them to take just ONE seriously that could have the biggest impact on their child’s overall progress toward movement it would be rolling.
Often if a baby does not roll in all four directions, they are at a risk for struggling with crawling, but if they use all four directions of rolling they are at a much lower risk of struggling with future milestones.
TIMESTAMPS:
0:00 introduction
1:09 why babies need to roll in both directions belly to back and back to belly
2:38 how total motion release (TMR Release) is different than traditional stretching to increase mobility for babies to learn how to roll over back to belly
4:37 TMR Release Lower Trunk Sidebend to increase baby's ability to roll over back to belly
6:20 assessing which side to complete in lower trunk sidebend TMR release
8:07 example of TMR Release Lower Trunk Sidebend in Supine to help parents learn how to teach baby to roll over back to belly
12:53 improvement in teaching baby to roll over back to belly
15:17 how to work 1:1 with Dr. Lauren Baker, PT
TOY IDEAS:
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Black and White Rattles - https://amzn.to/3wnhKuE
Sensory Stick Teether - https://amzn.to/3D26pEn
Teething Rings - https://amzn.to/3HkLOxu
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Teething Ring With Shapes (Girl) - https://amzn.to/3QRVEKv
24 Pack Teething Rings - https://amzn.to/3ku1eqb
Freezer Safe Teething Rings (Fruit) - https://amzn.to/3WsdYuS
Pacifier - https://amzn.to/3WvWmOt
Curious About Learning More on Tummy Time, Rolling, or Both?
The absolute best book for parents on tummy time and rolling is: Tummy Time and Learning to Roll: A Baby Development Book for Ambitious Parents and Pediatric Healthcare Providers to Help Babies Learn to Roll Independently. The book comes with a free online video course to help parents fully understand how to complete the different exercises, printable checklists to know exactly where your baby is at, and when to reach out for additional help.
This book was written by Dr. Lauren Baker, PT, DPT, ATC, MTC, who is a Pediatric Physical Therapist in Boise, Idaho, trained in helping parents learn how to help their babies move and master their milestones. She loves teaching parents how to see how their babies are moving as well as how to influence those movements though play positions and exercises to help babies move with confidence and ease.
Tummy Time and Learning to Roll is the first book in the Proactive Play series written by Pediatric Physical Therapist Dr. Lauren Baker in order to help Ambitious Parents and Pediatric Healthcare Providers learn how to help babies master tummy time and learn to roll. It is meant to help ambitious parents understand baby development from birth to six months (tummy time to rolling).
This book is a mix of easy-to-follow and more in-depth information than is typically found in baby development books because Dr. Baker believes parents deserve to have all the information at their fingertips.
This book breaks down each piece of movement in checklists so that parents know what their babies need for tummy time and rolling. It also covers what areas might limit a child with rolling, why it is so important, and when to seek help from a pediatric PT.
This book comes with colored photos and easy-to-follow demonstration videos that can help parents implement safe, strategic play-based exercises with their babies in 20 minutes per day.
A Great Resource For:
Parents and Pediatric Healthcare Providers of babies 0-6 months
Parents of babies who are struggling with tummy time, rolling back to belly, belly to back, or only to one side
Access to simple, easy-to-follow videos of play positions and exercises
Learning the four pillars of movement needed in order to master rolling
240+ Color Photo Examples of:
Tummy Time, Sidelying, and Back Play
Developmental Toys and Equipment
Hand Placement and Strategic Play Positions
Common Areas of Restriction or Weakness
When To Reach Out For Help
What If You Want Extra Help?
If you have concerns about your baby’s movement, remember, you can always reach out to a pediatric physical therapist. It's your right as a parent to advocate for your child's development.
Sometimes, a few tips and tricks are all you need to get your baby moving better. We're here to support you and release those mama worries. If you are looking for in home pediatric physical therapy, check our listing of therapists.
I am on a mission to educate parents on proactive ways to aid their babies' movement development. If you've found this topic intriguing and wish to learn more about Total Motion Release or other strategies to assist your baby's rolling and other milestones, I encourage you to reach out for a consultation. Together, we can ensure that your little one embarks on their movement journey with confidence and ease.
For those eager to learn more or seeking personalized guidance, I offer online video parent consultations internationally and Pediatric Physical Therapy in Boise, ID and the Treasure Valley – both of which you can book by going to the appointment tab or by clicking here. I am dedicated to answering questions and providing tailored play activities for each unique developmental journey.
Final Thoughts
As a pediatric physical therapist, I find immense joy in helping little ones discover their full movement potential. Remember, every baby is unique, and their journey to milestones like rolling, sitting independently, and crawling will be just as individual.
Your involvement and understanding of techniques like TMR can make a significant difference in their development. Proactive Parents truly can influence how their children move when given the right amount of information and being shown how all the movements they are focusing on helping their littles achieve fit together.
I hope this post has given you a better understanding of how Total Motion Release can benefit your baby. I'm here to be your guide and support in this wonderful, albeit sometimes challenging, journey of parenthood. Let's help our little ones move with confidence and joy!
Guiding Your Baby's First Movements: Pediatric Physical Therapy Activity for Newborns to 3-Month-Olds
In this blog post, we're delving into an essential topic for new parents: physical therapy exercises for newborns and 3 month-old babies.
👋Hi I am Dr. Lauren Baker, a Pediatric Physical Therapist and I created this YouTube video to provide insights for parents seeking to support their baby's early physical development, especially getting babies in proactive play positions that can help them build the muscles they need for their next season of milestones, in this case, rolling (4-6 months).
The activity we are going over today, works on flexing the spine and tilting the pelvis, which are needed so that the baby can be ready for rolling, sitting, and crawling. This activity and exercise is especially important for babies who tend to arch their backs or who have experienced reflux or unique in utero positions.
These conditions can lead babies to prefer an extended posture, which we need to gently correct to aid their overall development. By gently guiding babies through these exercises, parents can help break the habit of extension, which can be disadvantageous for babies.
The bonus is this exercise takes almost no actual brain power from parents and is super easy to slip into their normal day without much thought.
The exercise in today’s video involves propping the baby's bottom up on a parent's foot, leg, or a folded bath towel while supervised. This simple yet effective position helps babies relax into a posterior pelvic tilt, a fundamental posture for further developmental progress.
The posterior pelvic tilt or rounding of the baby’s back will also support development for later mini milestones such as grabbing their feet while on their and back rolling to their sides. It's an activity that parents can easily integrate into their daily routine, requiring minimal effort but offering significant benefits.
If babies struggle with tilting their pelvis or look uncomfortable when placed in this position, it is important to decrease the length of time to their tolerance, even if their tolerance is only at 5-10 seconds before they kick out of the position. Completing this position/exercise frequently but in low amounts of time, can increase tolerance through gentle familiarization.
If a baby continues to avoid this position, they are at risk for potential difficulty with rolling, sitting, or crawling as all of those positions also require a rounding of the spine and tilting of the pelvis. If a baby cannot tolerate this position when they are a newborn, they may struggle once more challenges of gravity and positioning occur.
In order of ease & activities that require this same positioning of the body:
Posterior Pelvic Tilt/Rounding of spine (this exercise)
Lying on their side
Rolling back to side
Rolling back to belly
Sitting
Crawling
This exercise is great for newborns to 3 month olds, but I have also utilized it in my Pediatric Physical Therapy practice with babies who are 4-7 months if they are struggling with rolling or sitting. This premise is also utilized in other activities for littles who are struggling with crawling or walking, but this exercise isn’t the best because usually by 8 months they are too wiggly to stay on their back :).
The video demonstrates how this position not only promotes physical development but also provides opportunities for interactive play. Parents can incorporate grabbing and abdominal activation by helping the baby play with their feet, making the exercise both beneficial and enjoyable for the baby.
It is recommended to maintain this position for one to five minutes, allowing the baby to comfortably acclimate to it. Longer durations (more time) allow the baby to develop abdominal muscle strength (ability to get the body part to the position without letting gravity force it to the ground) AND endurance (ability to hold a body part in a position for a long period of time) as well as hand/eye, hand/foot coordination.
The approach I utilize is all about empowering parents with the knowledge and skills to facilitate their baby's development through strategic play and movement activities. I believe through proactive play that we can help babies avoid preventable motor delays and help parents connect more deeply with their babies.
For the full example on how to complete the exercise including a demonstration on a newborn, see the video below:
Curious about learning more on Tummy Time, Rolling, or Both?
The absolute best book for parents on tummy time and rolling is: Tummy Time and Learning to Roll: A Baby Development Book for Ambitious Parents and Pediatric Healthcare Providers to Help Babies Learn to Roll Independently. The book comes with a free online video course to help parents fully understand how to complete the different exercises, printable checklists to know exactly where your baby is at, and when to reach out for additional help.
This book was written by Dr. Lauren Baker, PT, DPT, ATC, MTC, who is a Pediatric Physical Therapist in Boise, Idaho, trained in helping parents learn how to help their babies move and master their milestones. She loves teaching parents how to see how their babies are moving as well as how to influence those movements though play positions and exercises to help babies move with confidence and ease.
Tummy Time and Learning to Roll is the first book in the Proactive Play series written by Pediatric Physical Therapist Dr. Lauren Baker in order to help Ambitious Parents and Pediatric Healthcare Providers learn how to help babies master tummy time and learn to roll. It is meant to help ambitious parents understand baby development from birth to six months (tummy time to rolling).
This book is a mix of easy-to-follow and more in-depth information than is typically found in baby development books because Dr. Baker believes parents deserve to have all the information at their fingertips.
This book breaks down each piece of movement in checklists so that parents know what their babies need for tummy time and rolling. It also covers what areas might limit a child with rolling, why it is so important, and when to seek help from a pediatric PT.
This book comes with colored photos and easy-to-follow demonstration videos that can help parents implement safe, strategic play-based exercises with their babies in 20 minutes per day.
A Great Resource For:
Parents and Pediatric Healthcare Providers of babies 0-6 months
Parents of babies who are struggling with tummy time, rolling back to belly, belly to back, or only to one side
Access to simple, easy-to-follow videos of play positions and exercises
Learning the four pillars of movement needed in order to master rolling
240+ Color Photo Examples of:
Tummy Time, Sidelying, and Back Play
Developmental Toys and Equipment
Hand Placement and Strategic Play Positions
Common Areas of Restriction or Weakness
When To Reach Out For Help
What If You Want Extra Help?
If you have concerns about their movement, remember, you can always reach out to a pediatric physical therapist. It's your right as a parent to advocate for your child's development. Sometimes, a few tips and tricks are all you need to get your baby moving better. We're here to support you and release those mama worries. If you are looking for in home pediatric physical therapy, check our listing of therapists.
For those eager to learn more or seeking personalized guidance, I offer online video parent consultations internationally and Pediatric Physical Therapy in Boise, ID and the Treasure Valley – by clicking to the appointment tab or by clicking here. I am dedicated to answering questions and providing tailored play activities for each unique developmental journey.
Remember, these early months are crucial for your baby's development. By incorporating these simple physical therapy exercises for your newborn or 3-month-old, you're setting a strong foundation for their future milestones, including rolling and tolerating tummy time.
Stay tuned for more insights from Dr. Lauren Baker, your go-to expert for nurturing your baby's early steps in life. If you have not yet, subscribe to our youtube channel.
Baby Struggling With Rolling Belly to Back? Try This Exercise.
Are you a proactive parent determined to help your baby achieve their developmental milestones?
Dr. Lauren Baker, a pediatric physical therapist, is here to guide you on a journey towards enhancing your baby's mobility and strength. In this blog post, we will explore the importance of tummy time, discuss exercises to help your baby bear weight through their elbows (including how to help them shift their weight onto one elbow!), and discover the secrets to independent rolling. Plus, stay tuned for an exclusive offer to boost your parenting skills with Dr. Baker's book, "Tummy Time and Learning to Roll: A Baby Development Book for Ambitious Parents and Pediatric Healthcare Providers.”
The Significance of Tummy Time:
Tummy time is more than just an adorable photo opportunity; it's a crucial building block in your baby's development. Dr. Baker emphasizes that tummy time strengthens the muscles needed for rolling, crawling, and later, walking. The American Physical Therapy Association recommends that babies engage in 60 minutes of tummy time per day by three months of age. Starting tummy time from day one, lays the foundation for their journey into being able to have the foundational skills they need to roll on their own.
Weight Bearing Through Elbows:
Some parents may notice that their baby prefers pushing through one elbow during tummy time while neglecting the other. This can be due to a variety of factors, including musculoskeletal issues like torticollis, which result in muscle imbalances. The solution? Target the weaker shoulder, focus on it strategically, and bridge the gap between strength and coordination — jump to the exercise.
What if my baby only rolls belly to back in one direction?
Rolling is a multifaceted developmental milestone and it is important that a baby is able to roll belly to back in both directions (over their left arm and over their right arm).
Why is this so important? It's all about symmetry and balance. When babies consistently roll in one direction while neglecting the other, it may indicate a restriction or limitation in the less-favored direction. This condition is referred to as an "asymmetry" in pediatric physical therapy.
Babies don't naturally have a preferred rolling direction; they usually explore both sides equally. If your baby appears to favor one side, it's crucial to address this early. Neglecting one side can lead to potential problems in the future. It’s also important to figure out the underlying reason why a baby is only rolling in one direction, because often there are things parents can do to address it at home easily with access to the right information.
Rolling Exercise to Increase Arm Strength in Babies
To support your baby's transition from belly to back, you must work on weight-bearing through one elbow. This precursor activity paves the way for independent rolling. In the video below, Dr. Baker provides a hands-on demonstration of how to help your baby bear weight through both their left and right elbows while offering valuable insights into their motor development.
How to help your baby reach with one arm to build arm strength needed for rolling belly to back:
Start with the baby on their belly
Place your hand in an open cupped shape blocking their left elbow
Create a c shape with your other hand underneath their right armpit
Rotate their upper trunk to the right while also helping them reach with your pointer finger so they reach for a toy on the ground in front of them
They may need less support at the trunk to rotate and shift their weight over their left elbow and more support at their elbow to reach in front of them with a straight arm or vice versa
Complete for 30 seconds to 1 minute on left elbow and switch
Upper Trunk Rotation:
As babies attempt to roll, they encounter the need for upper trunk rotation. If your little one struggles with this movement, they may avoid lifting one hand to play with toys on their own. Lifting an arm to reach while stabilizing their other arm on the ground, is a precursor activity to rolling from belly to back.
If a baby struggles with upper trunk rotation, make sure to purchase the Tummy Time and Learning to Roll book which walks you through how to screen this motion and exercises directly related to helping improve it on both sides. It also comes with a free video course (details in the book) to help you be able to confidently complete all the motions on your own.
In addition to upper trunk rotation, babies need the ability to shift their weight from both elbows to one elbow. Shifting their weight is complex, because it requires them to hold all their body weight on one limb instead of two – kind of like how standing on one leg is much harder than standing with both feet on the ground.
It’s the same for babies on their belly, but in order to roll from belly to back, they need to first be able to shift their weight to one elbow and reach with their opposite hand for a toy or object without collapsing. If they are able to do this equally on both sides, they are one step closer to rolling belly to back on their own, symmetrically.
Curious about learning more on Tummy Time, Rolling, or Both?
For proactive parents and healthcare providers, Dr. Lauren Baker's book, Tummy Time and Learning to Roll: A Baby Development Book for Ambitious Parents and Pediatric Healthcare Providers to Help Babies Learn to Roll Independently is an invaluable resource. Dive deeper into the world of baby development, understand the intricacies of tummy time and rolling, and empower yourself to support your baby's journey.
This book is packed with easy-to-follow information, checklists, colorful photos, and demonstration videos to make learning how to roll easily accessible for both you and the baby. Don't miss the chance to enhance your parenting skills and boost your baby's development.
The book comes with a free online video course to help parents fully understand how to complete the different exercises, printable checklists to know exactly where your baby is at, and when to reach out for additional help.
This book was written by Dr. Lauren Baker, PT, DPT, ATC, MTC, who is a Pediatric Physical Therapist in Boise, Idaho, trained in helping parents learn how to help their babies move and master their milestones. She loves teaching parents how to see how their babies are moving as well as how to influence those movements though play positions and exercises to help babies move with confidence and ease.
More information on the book:
Tummy Time and Learning to Roll is the first book in the Proactive Play series written by Pediatric Physical Therapist Dr. Lauren Baker in order to help Ambitious Parents and Pediatric Healthcare Providers learn how to help babies master tummy time and learn to roll.
It is meant to help ambitious parents understand baby development from birth to six months (tummy time to rolling). This book is a mix of easy-to-follow and more in-depth information than is typically found in baby development books because Dr. Baker believes parents deserve to have all the information at their fingertips.
This book breaks down each piece of movement in checklists so that parents know what their babies need for tummy time and rolling. It also covers what areas might limit a child with rolling, why it is so important, and when to seek help from a pediatric PT.
This book comes with colored photos and easy-to-follow demonstration videos that can help parents implement safe, strategic play-based exercises with their babies in 20 minutes per day.
A Great Resource For:
Parents and Pediatric Healthcare Providers of babies 0-6 months
Parents of babies who are struggling with tummy time, rolling back to belly, belly to back, or only to one side
Access to simple, easy-to-follow videos of play positions and exercises
Learning the four pillars of movement needed in order to master rolling
240+ Color Photo Examples of:
Tummy Time, Sidelying, and Back Play
Developmental Toys and Equipment
Hand Placement and Strategic Play Positions
Common Areas of Restriction or Weakness
When To Reach Out For Help
What If You Need Extra Help?
If your baby is struggling with rolling or you have concerns about their movement, remember, you can always reach out to a pediatric physical therapist. It's your right as a parent to advocate for your child's development. Sometimes, a few tips and tricks are all you need to get your baby moving better. We're here to support you and release those mama worries.
If you have any questions or want to schedule an online parent consultation with me, you can schedule anytime by clicking to the appointment tab or by clicking here. Or, consider reaching out to a local pediatric physical therapist who can provide insights and guidance.
Let’s embrace the adventure of babies learning to roll and help your little one conquer this exciting milestone! 👶🌟
In this blog post, we've uncovered the importance of tummy time, explored exercises to help your baby bear weight through their elbows including learning how to reach one hand out to play with a toy with support to boost rolling skills. Dr. Lauren Baker is your go-to resource for understanding and facilitating your baby's journey to mobility. With her book in hand, you'll have all the knowledge and guidance you need to become the proactive parent you want to be for your baby. Don't wait; take the first step toward empowering your baby's growth and development today.
To purchase or learn more about the book click here
Baby Tornado: The Fun Exercise to Get Your Baby Rolling!
Welcome to the world of baby rolling, where you’ll be introduced to a fun, effective exercise called the "Baby Tornado." I'm Dr. Lauren Baker, a pediatric physical therapist and author committed to helping proactive parents like you help your baby move better. If you're diving into Google and YouTube searching for answers on how to help your baby roll, fear not! You're more capable than you realize – and all you need is a dash of knowledge and a whole lot of courage to get started.
Why Rolling Is a Big Deal
Rolling might not get the attention it deserves, but it's a critical milestone for your little one. Babies typically master rolling belly to back from three to five months of age and from back to belly from four to six months of age.
Rolling is a complex movement pattern because it is one of the first times babies learn to move their upper and lower trunks separately. Imagine sitting and reaching behind you to grab something off a shelf or table but without moving your pelvis – that is moving your upper half of your body on the stabilized (non-moving) lower half of your body. These motions – moving one part of the body but not the other – are important for complex movement.
When babies roll, it teaches them how to move one part of the body without the other, while lying on the ground. This is the first step for them to learn so they can then master it in sitting once they get to crawling age (it’s how the get in and out of sitting, too!).
Babies should roll from their back to their belly in both directions—right and left. If a baby consistently favors one side, it might be due to a restriction in the opposite direction. Asymmetry can lead to issues down the road, so helping your baby roll in both directions is essential.
The Benefits of Rolling for Babies:
Core Strength: Rolling involves complexity in how the muscles work together, particularly in the core (muscles that cover the front, sides, and back of a baby’s trunk). It's one of the first instances where your baby learns to engage and strengthen these crucial muscles in a moving position and not just stationary. This forms the foundation for later milestones like crawling and sitting up.
Spatial Awareness: Rolling teaches your baby about where their body is in space. As they figure out how to transition from their back to their belly and vice versa, they're also learning to navigate their surroundings and learning how they play a role (or roll) in them.
Independence: When babies can roll by themselves, they gain a sense of autonomy and control over their movements. It's an essential part of their journey towards becoming mobile.
Problem Solving: Rolling isn't as straightforward as it seems. Your baby needs to figure out the coordination required to make it happen. This early problem-solving experience lays the groundwork for more complex motor skills later on.
Development of Muscle Balance: Rolling helps your baby balance the use of different muscle groups on each side of their body. This balance is crucial for overall motor development and balance for when they transition to sitting, standing, and walking.
The Baby Tornado Recipe
Before we dive into the tornado technique, ensure your baby has full head control, typically around four to five months. If they're younger or they do not have full head control, you will have to support their head with your hand.
In the video, you'll see me demonstrating the Baby Tornado with two little ones—one around five months and the other closer to eight or nine months. Each baby has its unique challenges, so don't worry if it takes some practice!
For 4-5 month old babies:
Lay your baby on their back facing you with open space going to your right
Place your right hand on the front of what will be the bottom hip (the baby’s left hip) and your left hand (forming a C shape) underneath their right buttocks,.
Flex their right hip from the booty and rotate them over.
You may have to use your left hand onto the back of their left upper back to help go from side to belly if they are not pushing through their left arm to help
Tuck their elbows once they're in tummy time or prone and provide support if needed to keep elbows in place.
For 5-6 month old babies:
Lay your baby on their back facing you with open space going to your right
Place your right hand on the front of what will be the bottom hip (the baby’s left hip) and your left hand (forming a C shape) underneath their right buttocks,.
Flex their right hip from the booty and rotate them over.
Encourage them to push up on their elbow and pivot into prone position.
You may have to shift their pelvis down and toward the right to untuck their left arm
Tuck their elbows once they're in tummy time or prone.
Provide shoulder support in tummy time if needed
Baby Tornado Exercise with an 8-9 Month-Old Baby:
Place your baby on a playmat about four to five feet away from their toy.
Start with the baby on their back and guide them through rolling.
Gently block their shoulder and tuck it under to help them roll from their belly to their back
The baby should be able to control their head and push through their elbow to get from back to belly and belly to back, so you may only need to support at the hips.
Encourage three to five rolls in each direction.
The baby tornado and everything that I have learned in over 10 years as a Physical Therapist are located in the Tummy Time and Learning to Roll: A Baby Development Book for Ambitious Parents and Pediatric Healthcare Providers to Help Babies Learn to Roll Independently. To purchase or learn more about the book click here: https://amzn.to/3Q8dg5U
Curious about learning more on Tummy Time, Rolling, or Both?
The absolute best book for parents on tummy time and rolling is: Tummy Time and Learning to Roll: A Baby Development Book for Ambitious Parents and Pediatric Healthcare Providers to Help Babies Learn to Roll Independently. The book comes with a free online video course to help parents fully understand how to complete the different exercises, printable checklists to know exactly where your baby is at, and when to reach out for additional help.
This book was written by Dr. Lauren Baker, PT, DPT, ATC, MTC, who is a Pediatric Physical Therapist in Boise, Idaho, trained in helping parents learn how to help their babies move and master their milestones. She loves teaching parents how to see how their babies are moving as well as how to influence those movements though play positions and exercises to help babies move with confidence and ease.
Tummy Time and Learning to Roll is the first book in the Proactive Play series written by Pediatric Physical Therapist Dr. Lauren Baker in order to help Ambitious Parents and Pediatric Healthcare Providers learn how to help babies master tummy time and learn to roll. It is meant to help ambitious parents understand baby development from birth to six months (tummy time to rolling).
This book is a mix of easy-to-follow and more in-depth information than is typically found in baby development books because Dr. Baker believes parents deserve to have all the information at their fingertips.
This book breaks down each piece of movement in checklists so that parents know what their babies need for tummy time and rolling. It also covers what areas might limit a child with rolling, why it is so important, and when to seek help from a pediatric PT.
This book comes with colored photos and easy-to-follow demonstration videos that can help parents implement safe, strategic play-based exercises with their babies in 20 minutes per day.
A Great Resource For:
Parents and Pediatric Healthcare Providers of babies 0-6 months
Parents of babies who are struggling with tummy time, rolling back to belly, belly to back, or only to one side
Access to simple, easy-to-follow videos of play positions and exercises
Learning the four pillars of movement needed in order to master rolling
240+ Color Photo Examples of:
Tummy Time, Sidelying, and Back Play
Developmental Toys and Equipment
Hand Placement and Strategic Play Positions
Common Areas of Restriction or Weakness
When To Reach Out For Help
What If You Need Extra Help?
If your baby is struggling with rolling or you have concerns about their movement, remember, you can always reach out to a pediatric physical therapist. It's your right as a parent to advocate for your child's development. Sometimes, a few tips and tricks are all you need to get your baby moving better. We're here to support you and release those mama worries.
If you have any questions or want to schedule an online parent consultation with me, you can schedule anytime by clicking to the appointment tab or by clicking here. Or, consider reaching out to a local pediatric physical therapist who can provide insights and guidance.
Let’s embrace the adventure of babies learning to roll and help your little one conquer this exciting milestone! 👶🌟