Saturday 2 March 2013

How your child learns to walk

Like all skills, learning to walk is a process that occurs in a sequence over a period of years. A child doesn't suddenly stand up and take off with a mature gait. It is not until about seven years of age that a child walks like an adult.

The process

Step One: Before children can walk, they need to learn to balance, such as in sitting, to shift their balance as occurs in crawling, and to develop power in their lower limbs. This is why children about six months of age love to be held standing and flex and straighten their knees, bouncing up and down.

Step Two: Later they learn to pull themselves up to stand using furniture or adult legs. They then prop themselves against furniture, freeing their hands to play with objects. As they get more confident they cruise around the furniture and later become adventurous, stretching to cross gaps.

Step Three: At first they can only get down by letting go and going bump. As their muscle strength and balance improves they lower themselves with control.
Many children begin pulling themselves up to stand at around eight months and take their first independent steps before a year. However, for most, walking independently occurs between 12 and 15 months.

What early walking looks like

At first children walk with their legs wide apart and take rapid short steps. The base makes it hard for them to centre their weight over the foot on the ground as the other leg comes forward. This makes them "toddle", which is why they are known as toddlers. They twist their trunk with each step and hold their arms out in front to help with balance. They strike the ground with their whole foot.

As they get better

In the second year they learn to stop, bend and twist without falling over. At around 18 months they start to run. At around two, toddlers can walk faster with longer, slower steps. They can walk upstairs, holding onto the rail, two feet per step. At about three they are striking the ground with their heel and lifting off from their toe. They are starting to swing their arms alternately. Walking on toes is common up to the age of three. If it persists past then or only involves one foot, have you should have your child assessed by your family doctor.

Pigeon-toed and bandy-legged

Children do not develop "straight" legs until about seven years of age. When children start walking they tend to be bandy-legged, pigeon-toed and look flat-footed. This often gets more noticeable in the first few months of walking but improves by about two years of age. From two years to three and a half years, the legs become more and more knock-kneed. At about six to seven years of age, children develop their adult leg alignment.

Flat footed

Infants have fat pads under their feet. They look flat-footed up until about the age of three. Many older children who are labelled flat-footed, are actually loose-jointed, so that their feet flatten when bearing weight. If such a child develops an arch when standing on tiptoes, he or she is not flat-footed. Most newborn babies have feet that curve in along the inside border. This mostly disappears by 18 months of age and keeps improving throughout childhood.

What constitutes a genuine problem?

It is important to sort out those few children who have genuine problems from the others who fall into the very wide range of normal. If your child's gait and limb development fits the above patterns, they are unlikely to have a problem. You should see your family doctor if the difference that concerns you:
  • persists beyond the normal age
  • is extreme, or affects only one side
  • is associated with other issues such as stiffness, weakness or other developmental problems.
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