One of the most relevant aspects of the child's development is the beginning of walking. That the little one begins to walk is a unique event for the whole family. Parents, grandparents and uncles look forward to and look forward to this event with great enthusiasm, but what happens when this moment is delayed? What can be the reasons why a baby is slow to walk? Let's see them one by one!
When we talk about monitoring the development of our pediatric patient there are many doubts that we may have and it is therefore our duty as pediatricians or health professionals, look for possible problems related to developmental disorders and not just limit ourselves to the growth evaluation.
It is important to clarify to parents that, in the first place, we must never hurry to march. Many studies have linked the presence of orthopedic problems with the beginning of an early gait in the pediatric patient.
When it comes time to crawl, it is important to remind parents that we must allow them to do this activity for as long as it requires and that the start of the march should be spontaneous, with the initial will of the baby and without any rush. Some parents, for the desire to see them walk, fall into errors as serious as using a walker or forcing them to walk holding them by the hands, practices that should not be done at any time.
Now some experts in the pediatric orthopedic area point out that we can expect the onset of macha in babies with no previous history until 15-18 months of age. It must always be borne in mind that, like all neurodevelopmental processes, we must individualize each patient and if a baby has been slow to sit up or crawl, it will also take time to walk.
The most important thing is always to assess the quality of movement, which is more important than the child's ability to stand on two feet. In such case, if there is a time greater than that which we have specified, or some alteration of the movement, then we must consider the possible causes.
- The baby is very calm
There are quite restless babies, while others, on the contrary, may remain very still for a long time, especially in the case of under-stimulated or overprotected children, in whom it can be very common to see the onset of the March. The main cause is the lack of mobility and the lack of activity, since they are children who go from arms in the arms of their relatives, without ever having the opportunity to exercise on the floor.
- Traumatic history of the beginning of the march
When a baby begins this important developmental activity, we must be cautious in accompanying and supervising them at all times, since a baby who hits himself at the beginning of the march will be much more cautious and timid when it comes to restarting the process again, because there will be lost confidence and therefore may take an uncertain time to do it again.
- Problems related to the baby's anatomy
Evaluating the symmetry of the body should be the initial part of an adequate motor evaluation, in this sense we must observe if the mobilization of its right hemibody is equal to that of the left, as well as evaluating the muscular strength of each of its extremities separately. . At all times rule out the presence of deformities in any of the extremities that may worsen over time.
- Identify the presence of pain in the extremities
All kinds of pain in the child's limbs always require evaluation and follow-up by a specialist in child orthopedics, since they are always associated with anatomical alterations of the same.
- Problems related to muscle tone
There are many alterations that may be present, one of the most important being disorders related to muscle tone, due to lack of tone (hypotonia), exaggerated muscle tone (hypertonia) or hereditary hereditary diseases such as muscular dystrophy.
- Problems related to systemic conditions
In babies who have not walked by 18 months, it is important to detect conditions such as malnutrition, hypothyroidism, cerebral palsy, or a history of infections in the patient (encephalitis, meningitis, or infections such as cytomegalovirus).
In conclusion gait problems are not so frequent and in most cases, fortunately, they resolve themselves. However, we must always insist that every baby must spontaneously start the march. We must never pressure him to walk and we must explain to parents the recommendations to guarantee the baby's safety when walking: supervise him at all times and approximate individual development goals according to the evolution of each baby's development.
If we observe any type of alteration, we must ask for the advice of an expert, who allows us to carry out a proper physical examination, evaluate muscle tone as well as motor coordination and detect any type of anomalies in time, since a timely diagnosis guarantees the correction in time of any type of health problems.
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