
Neurological Balance and Medical Disorders
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- Post-Stroke Rehab & CVA Recovery: Find Therapists for Stroke Rehabilitation
- Ataxia: Causes, Symptoms & Rehab Therapies
- Peripheral Neuropathy: Causes, Symptoms & Rehab
- Delayed Motor Milestones in Children | Early Signs, Causes & Therapy
- Hypotonia (Low Muscle Tone) in Children: Symptoms, Causes & Therapy
- Spina Bifida in Children: Types, Symptoms & Therapy Options
- Tic Disorders in Children: Symptoms, Types & Therapy Support
- Down Syndrome
Delayed Motor Milestones in Children | Early Signs, Causes & Therapy

Authored by: The DrSensory Editorial Team
Reviewed by: 🛡️ DrSensory Clinical Review Board – Doctor of Therapy Rehab Division
Last updated: June 2025
Delayed Motor Milestones in Children: What to Know & How Therapy Can Help
What Are Motor Milestones?
Motor milestones are key physical skills that children typically develop by certain ages. These include gross motor skills(like sitting, crawling, walking) and fine motor skills (like grasping toys or using a spoon).
✅ Gross Motor Examples:
- Lifting the head
- Rolling over
- Sitting up
- Crawling
- Walking
✅ Fine Motor Examples:
- Picking up small objects
- Scribbling
- Using utensils
- Stacking blocks
Every child develops at their own pace, but significant delays in reaching these milestones may signal the need for early intervention therapy.
What Is a Delayed Motor Milestone?
A delayed motor milestone means a child is not developing certain physical skills by the expected age range. Delays can be:
- Mild (catch up with early support)
- Moderate to severe (may indicate underlying developmental or neurological conditions)
Delays may affect:
- Gross motor skills (e.g., late walking)
- Fine motor skills (e.g., poor hand coordination)
- Oral motor skills (e.g., feeding or speech delays)
Common Signs of Delayed Motor Development
- Not rolling over by 6 months
- Not sitting independently by 9 months
- Not crawling by 12 months
- Not walking by 18 months
- Difficulty grasping or manipulating toys
- Poor balance or frequent falls
- Stiff or floppy muscles
- Trouble with chewing or speech (oral-motor delays)
What Causes Motor Delays?
Delayed motor milestones can result from:
- Premature birth
- Low muscle tone (hypotonia) or high tone (spasticity)
- Genetic conditions (e.g., Down syndrome, muscular dystrophy)
- Cerebral palsy or neurological conditions
- Developmental Coordination Disorder (DCD)
- Environmental factors (e.g., limited tummy time)
- Autism Spectrum Disorder (ASD)
- Unknown causes (idiopathic)
Early screening is critical for identifying root causes and tailoring the right interventions.
When to Seek Help From a Therapist
Parents should consider an evaluation if:
- Your child misses two or more key milestones
- Motor skills seem to regress
- There’s asymmetry (e.g., always using one hand/side)
- Feeding, chewing, or speaking appear delayed
- A pediatrician recommends therapy
Early intervention makes a measurable difference in long-term outcomes.
How PT, OT, and SLP Can Help Children with Delayed Motor Skills
Pediatric Physical Therapy (PT)
- Improves core strength, balance, and coordination
- Promotes crawling, standing, walking, jumping
- Teaches safe movement strategies
- Uses play-based approaches for engagement
Pediatric Occupational Therapy (OT)
- Enhances fine motor skills like grasping, writing, using scissors
- Supports self-care skills (dressing, feeding)
- Recommends adaptive tools and toys
- Addresses sensory processing difficulties
Pediatric Speech-Language Pathology (SLP)
- Treats oral motor delays that impact speech and feeding
- Improves muscle tone and control in the mouth, lips, and tongue
- Builds early communication skills
How DrSensory Supports Families and Therapists
DrSensory connects families with verified pediatric therapists who specialize in early intervention. Our platform also helps therapists build their online presence and reach more families.
✅ Search by therapy type (PT, OT, SLP)
✅ Filter by location, condition, and age group
✅ View detailed therapist profiles with experience, specialties, and clinic info
✅ Schedule with in-person or virtual providers
Are You a Pediatric Therapist or Clinic?
Join DrSensory to:
✅ Be found by families looking for early intervention
✅ Boost your SEO with a high-authority therapist profile
✅ Showcase your credentials, treatment specialties, and clinic info
✅ Build trust as a verified provider on a family-focused platform
Frequently Asked Questions (FAQ)
What’s the difference between a developmental delay and a motor milestone delay?
A developmental delay refers to lagging in any area—cognitive, language, motor, or social. A motor milestone delay specifically impacts physical movement or coordination.
Can children outgrow motor delays without therapy?
Mild delays may resolve on their own, but early therapy significantly improves outcomes and helps prevent secondary issues like poor posture, low confidence, or frustration with tasks.
Who diagnoses delayed motor milestones?
Typically, a pediatrician first notices delays during well-child visits and refers the child to a pediatric PT, OT, or SLP for evaluation and treatment.
Is therapy covered by insurance?
Yes, therapy is often covered under early intervention programs, Medicaid, or private insurance. Families should check with their provider or therapist to confirm coverage.
Are virtual therapy sessions available?
Yes! Many pediatric therapists on DrSensory offer telehealth evaluations and treatment, especially for fine motor skills and parent coaching.
Can therapy help if a child has multiple delays (motor + speech)?
Absolutely. Children with multiple delays benefit from coordinated care with PTs, OTs, and SLPs working as a team to support whole-child development.
🧠 Motor Milestones Checklist (0–3 Years)
Track Your Child’s Development Month-by-Month
What’s the difference between a developmental delay and a motor milestone delay?
✅ How to Use This Checklist
- This list reflects typical age ranges—some children may achieve skills slightly earlier or later.
- If your child consistently misses multiple milestones or regresses, it’s a good idea to talk with your pediatrician and connect with a pediatric therapist.
- This checklist is not a diagnostic tool, but it helps identify when early intervention may be beneficial.
👶 Birth to 3 Months
❑ Lifts head briefly during tummy time
❑ Moves arms and legs smoothly
❑ Opens and closes hands
❑ Brings hands to mouth
❑ Turns head toward sounds
❑ Grasps finger placed in palm
👶 4 to 6 Months
❑ Pushes up on elbows during tummy time
❑ Rolls from tummy to back and vice versa
❑ Holds head steady without support
❑ Reaches for and grasps toys
❑ Begins to sit with support
❑ Brings hands together to play
👶 7 to 9 Months
❑ Sits without support
❑ Moves from tummy to sitting position
❑ Bears weight on legs when held upright
❑ Transfers toys between hands
❑ Begins to crawl or scoot
❑ Uses raking grasp to pick up small items
👶 10 to 12 Months
❑ Pulls to stand
❑ Cruises along furniture
❑ Stands for a few seconds without support
❑ Picks up small objects with thumb and finger (pincer grasp)
❑ Points with index finger
❑ May take a few independent steps
🧒 13 to 18 Months
❑ Walks independently
❑ Squats to pick up toys and stands back up
❑ Climbs onto low furniture
❑ Stacks two or more blocks
❑ Begins to run
❑ Begins to feed self with fingers and utensils
🧒 19 to 24 Months
❑ Kicks a ball
❑ Begins jumping in place
❑ Walks up and down stairs with support
❑ Scribbles with crayon or marker
❑ Uses both hands to play with toys
❑ Drinks from a cup independently
🧒 2 to 3 Years
❑ Runs with coordination
❑ Throws a ball overhand
❑ Jumps off low step or curb
❑ Pedals tricycle or ride-on toy (by ~3 years)
❑ Builds tower of 6+ blocks
❑ Turns pages in a book
❑ Uses spoon and fork with increasing skill
❑ Dresses with some assistance
📝 When to Talk to a Pediatric Therapist:
- Milestones are significantly delayed
- Your child avoids using one side of the body
- Poor balance, clumsiness, or frequent falls
- Difficulty with feeding, chewing, or drinking
- Your child is not progressing for 2+ months
- You feel concerned, even if others say “wait and see”
🔎 Ready to Find Support?
Explore our Therapist Directory to connect with:
🧍 Pediatric Physical Therapists for movement, walking, coordination
✋ Pediatric Occupational Therapists for fine motor skills, feeding, and sensory needs
🗣️ Pediatric Speech Therapists for oral-motor development and early communication
This page provides general educational content and is not a substitute for professional medical advice. Always consult a licensed provider for diagnosis and treatment.
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More on Neurological Balance and Medical Disorders

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- Delayed Motor Milestones in Children | Early Signs, Causes & Therapy
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