Is It Safe for Babies to Use a Walker for Leg Strength Training? - Pediatrics

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Can I let my baby use a walker for training if their legs are weak?


My baby is currently 6 months old.
I don't understand why whenever I hold the baby up to stand, the legs bend down, but when the baby is lying down, the legs are very strong and can kick hard enough to hurt.
So, my husband bought a walker for the baby, thinking it might help strengthen the legs.
However, I've seen many reports suggesting that if a child can avoid using a walker, they should not use one.
We already spent money on it, and my husband insists it will help with leg strength, which leaves me feeling conflicted.
Is it okay to use a walker, doctor?
Additionally, my baby has been having bowel movements 3 to 4 times from 8 AM to midnight, and sometimes up to 5 times a day (the baby is currently consuming 210 cc of formula with 1.5 teaspoons of rice cereal).
Is this frequency of bowel movements too much? Should I take the baby to see a doctor? Thank you, doctor.

Xiao Yu Er, 20~29 year old female. Ask Date: 2005/07/24

Dr. Cai Zhengxian reply Pediatrics


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Reply Date: 2005/07/24

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When it comes to the use of walkers for babies, particularly for those around six months old, there are several important considerations to keep in mind. First and foremost, while walkers may seem like a convenient tool for helping babies develop leg strength and mobility, they can pose significant risks and are generally not recommended by pediatricians and child development experts.

Safety Concerns with Walkers:
1. Injury Risks: Walkers can lead to accidents, as they allow babies to move quickly and reach areas that may not be safe. This can result in falls down stairs or collisions with furniture, which can cause serious injuries.

2. Developmental Delays: There is evidence suggesting that using walkers may actually delay the development of walking skills. Babies in walkers may not learn to balance or coordinate their movements effectively, as they are not engaging their core muscles and learning to stabilize themselves as they would when crawling or standing independently.

3. Muscle Development: While it may seem that walkers help strengthen leg muscles, they can actually promote improper posture and muscle development. Babies need to learn to use their muscles in a natural way, which is best achieved through free movement and exploration rather than being confined in a walker.

Recommendations:
Instead of using a walker, consider alternative methods to encourage leg strength and mobility:
- Tummy Time: This is crucial for developing core strength and coordination. Encourage your baby to spend time on their tummy while awake, which helps build the muscles needed for crawling and eventually walking.

- Assisted Standing: Holding your baby upright while they are supported can help them practice standing without the risks associated with walkers. You can also encourage them to pull themselves up using furniture or your hands.

- Play Mats: Provide a safe space for your baby to explore and practice movements. Soft play mats allow them to roll, crawl, and eventually pull themselves up.

Regarding Your Baby's Bowel Movements:
As for your concern about your baby's bowel movements, having 3 to 5 bowel movements a day can be normal for infants, especially if they are consuming a diet that includes formula and rice cereal. Each baby is different, and factors such as diet, hydration, and individual metabolism can influence bowel habits.
However, if you notice any signs of discomfort, changes in the consistency of the stools (such as diarrhea or hard stools), or if your baby seems unusually fussy or irritable, it would be wise to consult your pediatrician. They can assess whether your baby's bowel habits are within a healthy range and provide guidance on diet and hydration.

In summary, while the intention behind using a walker is to promote leg strength, the potential risks and developmental concerns suggest that it may be better to avoid them. Focus on safe, developmentally appropriate activities that encourage natural movement and muscle development. And regarding your baby's bowel movements, monitoring their overall health and comfort is key, and don't hesitate to seek medical advice if you have concerns.

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