Running
Evidence-Based Therapy to Build Running in Early Childhood
Running in early childhood is built through evidence-based physiotherapy and occupational therapy using task-specific, repetition-rich, play-based practice that develops postural control, lower-limb strength, dynamic balance and reciprocal coordination — the foundations of the flight phase. Approaches draw on motor-learning and dynamic-systems theory. A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre under qualified clinician care.
Running is not simply faster walking — it is a coordinated leap of postural control, power and motor planning that therapy can systematically build.
In short
Running in early childhood is built through evidence-based motor approaches that develop the underlying gross-motor foundations — postural stability, lower-limb strength, reciprocal coordination and the brief flight phase that distinguishes running from walking. Physiotherapy and occupational therapy use task-specific, repetition-rich, play-based practice grounded in motor-learning and dynamic-systems principles. The aim is graded mastery: from confident walking, to fast walking, to true running with control and recovery.The science & the approaches
- Task-specific practice (motor learning theory) — running improves when children practise running-like tasks at the right challenge level, with high repetition and meaningful variability. Chasing games, start-stop drills and obstacle paths drive cortical and cerebellar adaptation.
- Strength and power conditioning — graded squat-to-stand, jumping, hopping and stair work build the hip-extensor and ankle plantarflexor power that the flight phase demands.
- Dynamic balance and postural control — single-leg stance, uneven-surface play and direction changes develop the anticipatory control needed for the airborne moment.
- Reciprocal coordination drills — arm-leg dissociation and rhythmic stepping refine the alternating pattern.
- Environmental scaffolding (dynamic-systems) — adjusting terrain, slope, speed cues and target distances shapes emergent running without over-cueing.
- NDT and structured play for children with atypical tone, integrating handling with active practice.
When to refer
Refer for gross-motor assessment if a child is not walking independently by 18 months, not attempting to run by ~24 months, runs with persistent toe-walking, frequent falling, marked asymmetry, or regression of acquired skills — the last warranting prompt paediatric review.The Pinnacle way
A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care — never from an app or form. Your structured AbilityScore® profile guides a graded physiotherapy plan, with running milestone targets built into everyday play.Trusted sources
CDC developmental milestones (HealthyChildren.org); WHO motor-development guidance; EACD early-childhood motor consensus — paraphrased.Next step — Want a precise gross-motor profile for your young patient? Refer to a Pinnacle physiotherapy assessment.
This is general information, not a diagnosis — a clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre under qualified clinician care.
What to watch
Watch for not walking independently by 18 months, no attempt to run by ~24 months, persistent toe-walking while running, frequent falling, marked left-right asymmetry, or loss of previously acquired motor skills — regression warrants prompt paediatric review.
Try this at home
Build running through play: short chase games, start-and-stop 'red light, green light', gentle slopes and target sprints to a favourite toy develop power, balance and the flight phase without drilling.
Trusted sources
Developed by SETU Consortium · Pinnacle Blooms Network · Last reviewed 2026-06-10 · reviewed every 540 days
This is general information, not a diagnosis. A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care.
Frequently asked
At what age should a child begin running?
Most children attempt a stiff, fast walk that becomes recognisable running between about 18 and 24 months, with smoother, controlled running emerging through the third year. Ranges vary, so persistent difficulty beyond 24 months merits a gross-motor check.
Which therapy discipline leads running development?
Physiotherapy typically leads, focusing on strength, balance and coordination, with occupational therapy supporting motor planning and sensory regulation where these affect movement. Both use task-specific, play-based practice.
Is running practice safe to build through play alone?
For typically developing children, graded play is the ideal vehicle. For children with atypical tone, asymmetry or developmental concerns, a clinician-guided plan ensures practice is at the right challenge level and movement patterns develop safely.