Understanding Developmental Milestones
Gross motor milestones follow a predictable sequence driven by neurological maturation. Head control (4 months), rolling (6 months), sitting (9 months), crawling (10 months), pulling to stand (12 months), and walking (12–15 months) are key reference points.
Red Flags for Motor Delay
Loss of previously achieved milestones, significant asymmetry of movement, floppy tone (hypotonia), very stiff or rigid tone, inability to bear weight on legs at 12 months, and no walking by 18 months all require urgent physiotherapy assessment.
Physiotherapy Assessment
Standardized assessments (Bayley Scales, Peabody Developmental Motor Scales, GMFM) objectively quantify the degree of delay and identify specific areas of difficulty. Assessment guides goal setting and treatment planning.
Family-Centred Therapy
Parents and caregivers are coached as the primary therapy providers. Play-based exercises, positioning strategies, and daily routine activities are designed to maximize motor learning opportunities throughout the child's day.