Delayed Walking in Children: Causes and How Therapy Can Help

Delayed walking is a common concern for parents and caregivers. While most children take their first steps between 12 and 18 months, some experience delays due to various factors. Understanding the causes of delayed walking and the role of physical and occupational therapy can provide clarity and effective solutions for families.

What Is Delayed Walking?


Delayed walking refers to a child not achieving the developmental milestone of walking within the typical timeframe. It’s important to remember that each child develops at their own pace, but walking delays may indicate underlying issues such as:

  • Muscle Weakness or Low Tone

    Conditions like hypotonia can make it difficult for children to support their body weight.

  • Neurological Disorders

    Issues such as cerebral palsy or developmental coordination disorder may delay motor skills.

  • Orthopedic Problems

    Conditions like hip dysplasia or clubfoot can interfere with walking.

  • Premature Birth

    Premature babies may take longer to reach developmental milestones, including walking.

A woman is holding a baby 's hands in a living room.
A doctor is kneeling down next to a young boy sitting on a stool.

How Physical Therapy Supports Delayed Walkers


Physical therapists are experts in movement and mobility. For children experiencing delayed walking, physical therapy focuses on:

  • Strengthening Exercises

    Building core and leg muscles to support

    balance and mobility.

  • Stretching and Range of Motion

    Enhancing flexibility to promote smoother movements.

  • Gait Training

    Teaching proper walking patterns using assistive tools like parallel bars or walkers if needed.

  • Parent Education

    Guiding families on how to encourage walking during daily activities.

With targeted interventions, physical therapy helps children improve their strength, coordination, and confidence in walking.

How Occupational Therapy Can Help


Occupational therapy complements physical therapy by addressing the broader context of a child's daily activities. Occupational therapists work on:

  • Sensory Integration

    Helping children process sensory information, which is vital for balance and coordination.

  • Motor Planning

    Teaching children how to sequence movements effectively for walking.

  • Adaptive Strategies

    Introducing techniques and tools to help

    children overcome challenges in their environment

  • Functional Activities

    Practicing everyday tasks like standing,

    reaching, or stepping to build motor skills in meaningful ways.

Together, physical and occupational therapy provide a comprehensive approach to helping children achieve their walking milestones.

A woman is kneeling next to a little girl laying on the floor.

When to Seek Help for Delayed Walking


If your child is not walking by 18 months or you notice other developmental delays, consulting a healthcare professional is crucial. Early intervention is key to addressing underlying issues and setting your child on the path to success.

Take the Next Step Today


Are you concerned about your child's walking delay? Our experienced physical and occupational therapists are here to help. Contact us today to schedule an evaluation and discover how we can support your child’s developmental journey

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