Childhood Diseases

Posted by: Worried Dad | 2007/04/28


Almost 4 year old's gross motor skills

I am worried about my son's gross motor development. My wife doesn't think there's a problem, but I think she just doesn't want to admit it.
Some background, my son only crawled just before he turned 1, he started walking at 16 months.
He was diagnosed with low musle tone as a baby, but according to my wife it has resolved itself.
Now he is 3 years and 9 months old, and he can not do what other kids his age can do. He can't walk down stairs by himself, and on his own, will go and sit down on his bum and slide down.
He can't jump on 1 leg, and can hardly jump with both. He can't undress himself yet, although he somhow manages with his pants, but not his tops.
He has no balance, and co-ordination and seem very clumsy, if he runs, he seems floppy.
He also has very flat feet according to me, and h walks on the inside of his feet.
His fine motor skills are excellent, and he is a very clever little boty, excellent with puzzles etc.
Should I be worried? Or is he just not a 'sporty' child?
What are the gross motor milestones for a 4 year old, and what are danger signs?
Thank you for reading my long story.

Expert's Reply



Thank you for an excellent description of your son's development. Many boys are rather clumsy at this age so it is always difficult to decide whether there is actually a problem or not.The good news here is that your son is very clever and also his fine nmotor skills are good.The best approach to this situation is usually to have your child evaluated by an occupational therapist with paediatric experience. I am sure that either your paediatrician or your GP will be able to refer you for an assessment.

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user comments


Posted by: Jule | 2007/04/29


I heard swimming is very good exercise for children with low muscle tone. Maybe you should give it a try. Take him for lessons.

Reply to Jule

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