14 mo old hitch crawling help

I started seeing this patient at 10 months old, referral for not crawling yet. He was able to roll in all directions but was generally fussy about rolling. Worked a ton on core and glute strength. He’s now crawling but with a LLE hitch technique.

He’s been consistently crawling like this for probably a month and a half. I’ve worked on continued strengthening, correcting the crawl pattern, stretching hip flexors and rotational stretching . I’m at a loss of what else to do and I’ve seen no improvement. It doesn’t help that the family is not assisting at home with follow over of these skills.

He still cannot perform supine>sit without rolling into prone to get sitting (no surprise here, as most hitch crawlers I’ve seen present this way). So I will continue to see him until he is more consistently performing supine>sit independently without compensation.

But at this point, I’m afraid I’ll have to discharge him dt lack of progress with his crawling. He’s progressing to walking nicely and presents with no other neuro deficits or diagnoses. I guess I’m just disappointed - wondering if any peds therapists have some helpful tips ??