Learning to walk
Dear Doctor,
My daughter is currently six months old and loves to stand.
Recently, she has also started to walk forward with our support.
I am concerned about whether this will affect her leg bone development or if she is already ready to start learning to walk.
If walking too early is not good for her, how can we improve this habit? (As soon as we hold her hand, she immediately stands up.) Thank you for your response.
Sincerely,
Mom
Mama, 30~39 year old female. Ask Date: 2004/12/09
Dr. Huang Longde reply Orthopedics
The saying "seven sit, eight crawl" refers to the average age of development for children, but in reality, there is a significant variation in crawling and walking among children, ranging from six months to over two years.
Essentially, we cannot restrict a child's ability to stand and walk; instead, we should create a safe environment that allows them to crawl and stand freely without the need to hold their hands.
As for whether learning to walk too early can cause knee deformities, there is no definitive conclusion.
In fact, children's knees initially develop with an inward bow (genu varum) and gradually return to normal by around two years of age.
Some may even develop an outward bow (genu valgum) and return to normal by the ages of eight to nine.
Reply Date: 2004/12/09
More Info
When it comes to the development of walking in infants, there are several important factors to consider, especially regarding bone health and overall physical development. At six months old, your daughter is exhibiting a natural curiosity and desire to stand and move, which is a positive sign of her developing motor skills. However, it is essential to understand the implications of early walking and how it affects her bone health and overall development.
Firstly, it is important to note that infants typically begin to walk independently between 9 to 15 months of age. However, many babies show interest in standing and may even take steps while holding onto furniture or an adult's hands before they are fully ready to walk on their own. This behavior is completely normal and is part of their developmental milestones. Encouraging your daughter to stand and move while providing support is beneficial for her muscle strength and coordination.
Regarding bone health, infants have softer bones compared to older children and adults. Their bones are still developing and are more flexible, which is crucial for accommodating the various movements they will learn as they grow. Allowing your daughter to practice standing and moving with support will not negatively impact her bone development as long as she is not subjected to excessive strain or pressure. It is essential to ensure that she is practicing in a safe environment where she can explore her abilities without the risk of falling or injury.
If you are concerned about her standing and moving too early, there are a few strategies you can implement to promote healthy development:
1. Limit Unsupported Standing: While it is great that she enjoys standing, try to limit the amount of time she spends in unsupported standing positions. Encourage her to play while sitting or crawling, which helps develop her core and leg muscles without putting too much strain on her bones.
2. Provide Safe Support: When she does stand, ensure that she is supported properly. Use sturdy furniture or your hands to help her maintain balance. This support allows her to practice her standing and stepping skills without the risk of falling.
3. Encourage Crawling: Crawling is an essential part of motor development. It helps strengthen the muscles in her arms, legs, and core, which are crucial for walking later on. Encourage her to crawl by placing toys just out of reach.
4. Monitor for Fatigue: Pay attention to signs of fatigue or discomfort. If she seems tired or frustrated, it may be a good idea to take a break from standing or walking practice.
5. Consult with a Pediatrician: If you have ongoing concerns about her development, it is always a good idea to consult with your pediatrician. They can provide personalized advice based on her growth and development.
In summary, your daughter’s interest in standing and moving at six months is a normal part of her development. As long as she is supported and not overexerted, this early exploration will not harm her bone health. Encourage her to engage in a variety of movements, including crawling and supported standing, to promote a well-rounded development. If you have any concerns, don’t hesitate to reach out to your healthcare provider for further guidance.
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