As a pediatric physical therapist, one of the most common phrases I hear from concerned parents is:“I’m not sure if I should be worried yet.” It’s a sentiment that’s completely understandable. Gross motor development varies from child to child, and it’s natural to wonder whether your little one is simply “on their own timeline.” But here’s the truth we’ve seen time and time again:
When it comes to your child’s gross motor development, early intervention is one of the most powerful tools we have.
What Is Early Intervention?
Early intervention refers to therapy services (like physical therapy, occupational therapy, or speech therapy) provided to infants and young children who are showing signs of developmental delays. These services can begin as early as a few weeks old — and in many cases, they make a significant difference in how a child moves, plays, and engages with their environment.
Why Timing Matters
The first few years of a child’s life are a time of rapid brain development and neuroplasticity — which means their brain is incredibly adaptable and responsive to learning new skills. When we introduce therapeutic movement strategies during this critical window, kids often make progress faster and with fewer compensations than they might later in life. In other words: The earlier we support your child, the more opportunity they have to thrive.
Signs to Watch For
As a parent or caregiver, you’re the expert on your child — and if something feels “off,” it’s worth trusting your gut. Here are a few red flags that may warrant a conversation with a pediatric physical therapist:
- Not meeting motor milestone checkpoints: Enjoying tummy time by 3 months, Rolling by 6 months, Sitting by 8 months, Crawling on hands and knees by 10 months, Standing by 12 months, Walking by 16 months
- Consistent head tilt or flat spots on the head as early as 3-4 weeks
- Toe walking that continues once child is independently walking and impairs balance and walking ability
- Difficulty with balance or coordination and inability to keep up with peers
- Limited movement or favoring of one side of the body
- Frequent tripping or falling
You don’t have to wait for a formal diagnosis or a doctor’s referral to ask questions, attend one of our parent and me classes, or schedule an evaluation. In Texas, you can access physical therapy services directly.
Common Misconceptions
There are a few myths we often hear that can cause delays in seeking help:
“They’ll grow out of it.” - Sometimes that’s true — but not always. Waiting to see can mean missing a key developmental window.
“They’re just lazy.” - Children want to move and explore; they are never lazy. If they aren’t moving, it’s often because something is making it hard.
“They’re just clumsy.” - Frequent falls or coordination issues can point to underlying motor delays that are easily treatable.
How Physical Therapy Helps
Pediatric physical therapy at Milestones At Play uses play-based, purposeful movement to help children build strength, coordination, balance, and confidence. We create fun, individualized plans that feel like play to your child — but are carefully designed to meet your specific developmental goals. With early support, we can often reduce or prevent the need for more lengthy or intensive interventions later on.
Empowering Parents Is Part of the Process
One of our favorite parts and, honestly, one of the most important parts of early intervention is empowering you as a parent or caregiver. We’ll work together so you feel confident supporting your child at home — with practical strategies, activities, and plenty of encouragement along the way.
If you ever have questions or concerns about your child’s gross motor development, a pediatric physical therapist can help guide you with individualized support and activities. And, if you're local to Dallas - we'd love to help!
