{"id":1553,"date":"2014-01-09T09:31:26","date_gmt":"2014-01-09T09:31:26","guid":{"rendered":"http:\/\/veipd.org\/earlyintervention\/?p=1553"},"modified":"2020-11-05T19:56:02","modified_gmt":"2020-11-05T19:56:02","slug":"toddlers-weeble-wobble-and-fall-down-when-is-it-cause-for-concern","status":"publish","type":"post","link":"https:\/\/www.veipd.org\/earlyintervention\/2014\/01\/09\/toddlers-weeble-wobble-and-fall-down-when-is-it-cause-for-concern\/","title":{"rendered":"Toddlers Weeble, Wobble and Fall Down – When Is It Cause for Concern?"},"content":{"rendered":"

Toddlers.\u00a0 They weeble, they wobble and they fall down.\u00a0 A lot!\u00a0 The question is really, how often is too often?\u00a0 Toddlers are still remarkably unstable and often over-\"Manconfident.\u00a0 Two year olds are much more confident with their physical abilities but they don\u2019t have a very good idea about when to stop.\u00a0 They love to run, swing, climb, and ride on toys they can push with their feet, but they can easily get it wrong so bumps and minor falls are common. The <\/span>average two-year-old falls 38 times a day.<\/b>\u00a0 \u00a0It will take time before the toddler achieves the skills, strength, balance and rhythm of a secure walker.\u00a0 In fact, pediatricians say it is normal for toddlers to fall, even on flat ground, until 4 years old.<\/span>\u00a0 Toddlers are learning how to coordinate their movements for this new skill of walking.\u00a0 I like to remind my families that the first time they learned to ski or roller skate they fell a lot too!<\/span><\/p>\n

In a study of 130 toddlers (12 and 19 months old), the researchers found that the toddlers fell on average 17 times an hour.\u00a0 If they were new walkers, they fell an average of 69 times an hour.\u00a0 The toddler\u2019s height and flexibility make short falls relatively harmless.\u00a0 \u00a0Thankfully, most bumps require a kiss and maybe even some ice to make the boo-boo better.<\/p>\n

There are several other reasons that a toddler can fall<\/b>:<\/h2>\n
    \n
  1. Toddlers grow at a rapid rate, and shoes that fit one day may not fit the next.\u00a0 If the toddler\u2019s shoes are too small<\/b>, he can suddenly start tripping, falling, or having other issues walking or running about.<\/li>\n
  2. If a toddler has had a sudden growth spurt<\/b>, he will need to find a new center of balance.\u00a0 This might mean more spills as he figures out how to move his new, suddenly taller body.<\/li>\n
  3. Most toddlers are farsighted and have trouble judging distances.4<\/sup>\u00a0 If your toddler seems to constantly \u201cover-step\u201d stairs or misjudges picking up toys, he may need to be seen by an ophthalmologist, as these behaviors may indicate vision concerns<\/b>.<\/li>\n<\/ol>\n

    Here a few ideas you can share with families to help decrease injuries<\/b> while still allowing the toddler to explore their environment.<\/h2>\n
      \n
    1. Childproof with walking in mind<\/b>.\u00a0 Check for sharp corners on counters and coffee tables.\u00a0 Check for unstable end tables and chairs.\u00a0 Watch for dangling cords from electronics and blinds.\u00a0 Keep drawers, doors and appliances closed when the toddler is moving.<\/li>\n
    2. Avoid extra-hard surfaces<\/b>.\u00a0\u00a0 Try to avoid surfaces like concrete, brick, tile, slate, and stone floors or hold your toddler\u2019s hand while he walks over these harder surfaces.<\/li>\n
    3. Bare feet<\/b>!\u00a0 Bare feet are preferred, especially when walking around the home.\u00a0 If a toddler wears socks use nonslip bottoms.\u00a0 If using shoes, make sure they fit properly and have good traction.<\/li>\n
    4. Try not to overreact.\u00a0 <\/b>Avoid rushing to your child and making a big deal every time he falls.\u00a0 It can make him unnecessarily fearful of falling and can discourage him from exploring.<\/li>\n<\/ol>\n

      As early interventionist, what other ways can you encourage families to let their toddlers safely explore their environment?\u00a0 Have you ever provided a fall log to a family?<\/strong><\/p>\n

      \n

      References:<\/b><\/p>\n

        \n
      1. Toddler Health: Bumps, Bruises, & How to Tell if it\u2019s More Serious.\u00a0 http:\/\/smartmomma.com\/Toddler\/bumps_and_bruises_toddler.htm<\/a><\/li>\n
      2. Miller D.\u00a0 (November 1999).\u00a0 Toddler falls: When should you worry?\u00a0 http:\/\/www.cnn.com\/HEALTH\/children\/9911\/10\/head.falls.wmd\/<\/a><\/li>\n
      3. Adolph KE, Cole WG, Komati M, Garciaguirre JS, Badaly D, Lingeman JM, Chan G, and Sotsky RB.\u00a0 n.d. How do you learn to walk? Thousands of steps and dozens of falls per day.\u00a0 Psychological Science. <\/i>1-14.\u00a0 http:\/\/www.psych.nyu.edu\/adolph\/publications\/Adolph%20EtAl%20HowDoYouLearnToWalk.pdf<\/a> (PDF, New Window)<\/li>\n
      4. Clumsiness (Frequent Falls & Bumps).\u00a0 http:\/\/www.whattoexpect.com\/toddler\/behavior\/clumsiness.aspx<\/a><\/li>\n<\/ol>\n

        This information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.<\/p>\n

        \n

        \"KimKim Lephart, PT, DPT, MBA, PCS is a dynamic pediatric physical therapist with nearly 20 years of experience.\u00a0 She is board certified Pediatric Clinical Specialist.\u00a0 She is a team player who enjoys the collaborative model of working with parents, teachers, occupational, speech and vision therapists to meet a child\u2019s individual therapeutic needs.\u00a0 She has worked with children in a variety of clinical settings including private clinics, school systems, home health, outpatient rehabilitation, aquatics, and early intervention programs.\u00a0 She currently works for Rappahannock Rapidan\u2019s Early Intervention Program.\u00a0 Of all of Dr. Lephart\u2019s accomplishments both professionally and personally, she is most proud of her four children.\u00a0 She is a busy mother of children ranging in ages from high schooler to pre-schooler<\/p>\n","protected":false},"excerpt":{"rendered":"

        Toddlers.\u00a0 They weeble, they wobble and they fall down.\u00a0 A lot!\u00a0 The question is really, how often is too often?\u00a0 Toddlers are still remarkably unstable and often over-confident.\u00a0 Two year olds are much more confident with their physical abilities but they don\u2019t have a very good idea about when to stop.\u00a0 They love to run, […]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_s2mail":"yes","footnotes":""},"categories":[139,10,12,14],"tags":[43,46,48,50,68,77,79,80,112,125],"class_list":["post-1553","post","type-post","status-publish","format-standard","hentry","category-all","category-engaging-collaborating-with-families","category-intervention-visits","category-practical-strategies-for-intervention","tag-daily-routines","tag-development","tag-early-childhood","tag-early-intervention","tag-infants","tag-motor-development","tag-natural-environment","tag-natural-learning-opportunities","tag-strategies","tag-toddlers","clearfix"],"yoast_head":"\nToddlers Weeble, Wobble and Fall Down - When Is It Cause for Concern? - Early Intervention Strategies for Success<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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