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Pinnacle Blooms Network
Early Signs of Gross Motor Delay at 18–24 Months — Pinnacle Ask answer card with a short explanation and QR link
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YOUR QUESTION. A CLEARER NEXT STEP.

Early Signs of Gross Motor Delay at 18–24 Months

THE SHORT ANSWER

Between 18 and 24 months, possible early signs of Gross Motor Delay include not yet walking independently by around 18 months, frequent falling or very unsteady walking, difficulty rising from the floor without support, not climbing onto a low step or sofa, and legs or trunk that seem markedly stiff or floppy. These are signs to observe and discuss, not to diagnose at home, and a developmental check is the sensible first step — especially if there is a one-sided difference, stiffness, floppiness, or any loss of skills.

Pinnacle Blooms NetworkPublished Content record updated
In this answer 5 sections
  1. In short
  2. Early signs to watch (18–24 months)
  3. When to seek a check
  4. The Pinnacle way
  5. Trusted sources

Some toddlers walk early, some take their time — so how do you tell an unhurried walker from a pattern worth a gentle look?

In short

Between 18 and 24 months, possible early signs of Gross Motor Delay include not yet walking independently by around 18 months, frequent falling or very unsteady walking well past the early-walking stage, difficulty standing up from the floor without pulling on furniture, not climbing onto a low sofa or step, and seeming markedly stiff or floppy in the legs and trunk. At this age these are signs to observe and discuss, not to diagnose at home — there is wide normal variation. If walking and balance are clearly behind, a developmental check is the kind, sensible next step.

Early signs to watch (18–24 months)

Walking and balance

  • Not yet walking independently by about 18 months
  • Walking but falling very often, or walking with a wide, very wobbly or stiff-legged gait well into this period
  • Walks only while holding on, or quickly tires and prefers to be carried for short distances
  • Walking heavily on toes most of the time, or a clear difference between the two sides of the body

Strength and posture

  • Difficulty getting up from the floor to standing without pulling up on furniture or a hand
  • Legs that feel very stiff, or a body that seems unusually floppy or slumped when sitting
  • Tires very quickly with movement, or avoids active play other toddlers enjoy

Bigger movements

  • Not yet climbing onto a low sofa, bed or step
  • Not beginning to attempt running or to walk up a step with support near the second birthday
  • Slow growth — motor skills stay flat over several months rather than steadily building

What shifts this from ordinary unhurried development towards something to assess is a gap that persists or widens, a clear difference between the two sides of the body, any loss of skills your child once had, or marked stiffness or floppiness — these always warrant a prompt check.

When to seek a check

Many healthy toddlers are simply on the later side of normal, and bottom-shufflers in particular often walk a little later and turn out perfectly fine. Consider a developmental check if, near 18 months, your child is not yet walking at all; if walking is very unsteady or one-sided; if your child cannot rise from the floor or climb a little; or if you notice stiffness, floppiness, or any loss of a skill. Because some causes are medical rather than purely developmental, an early professional look helps rule things in or out — and early support never has to wait for a label.

The Pinnacle way

At Pinnacle Blooms Network, we begin with what your child can do — how they move, balance and play — and build strength and confidence from there. Gentle, play-based physiotherapy grows core strength, balance and walking skills, with parents coached as everyday movement partners. A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre under qualified clinician care; nothing here is a diagnosis. You can learn more about Gross Motor Delay and how support works. Across 70+ centres in 4 states and 4.95 lakh+ families served, our aim is steady, strengths-first progress.

Trusted sources

Aligned with WHO and CDC developmental milestone guidance on early movement, American Academy of Pediatrics and HealthyChildren.org resources on walking and motor development, and NICE guidance on when to seek review for delayed walking.

Next step — if this sounds like your little one, book a developmental and motor screen with our clinical team on WhatsApp at +91 91001 81181, and let's understand your child together.

This is general information, not a diagnosis — individual assessment and diagnosis require an appropriately qualified healthcare professional.

CONNECT THE ANSWER TO YOUR CHILD’S DAY

Something to notice. Something to discuss.

What to notice

Not yet walking by ~18 months, very frequent falls or wobbly/stiff-legged walking, trouble standing up from the floor without support, not climbing onto a low step or sofa, a clear difference between the two sides of the body, marked stiffness or floppiness, or any loss of a skill once present.

In everyday life

Make movement playful: set up safe little obstacle courses with cushions to climb over, encourage standing up from the floor by placing a favourite toy just out of reach, and give plenty of barefoot floor time to build strength and balance.

Bring your observations and questions to your child’s professional. Choose activities that suit your child’s comfort, abilities and agreed plan.

Bring your questions to a first visit

Questions families ask

My 18-month-old isn't walking yet — should I worry?

Most children walk between about 12 and 18 months, and some healthy toddlers — especially bottom-shufflers — walk a little later and do perfectly well. If your child is not walking at all by around 18 months, a gentle developmental check is sensible so a clinician can reassure you or offer early support. It is information-gathering, not a diagnosis.

What is the difference between a slow walker and gross motor delay?

A slow walker is steadily building skills and simply on the later side of normal. Signs more suggestive of delay are a gap that persists or widens over months, very unsteady or one-sided movement, marked stiffness or floppiness, difficulty rising from the floor, or losing a skill once gained. A clinician can tell these apart.

Why does walking only on toes matter?

Occasional toe-walking is common in early toddlers. Persistent toe-walking most of the time, especially with stiff legs, is worth mentioning at a developmental check because it can relate to muscle tone or movement patterns that benefit from early support.

Can physiotherapy help a toddler with motor delay?

Yes — play-based physiotherapy builds core strength, balance and confidence with movement, and coaches parents as everyday movement partners. Early support often helps, and it never has to wait for a formal label.

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References behind this answer.

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Content attribution: SETU Consortium · Pinnacle Blooms Network.

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Pinnacle Blooms Network. “Early Signs of Gross Motor Delay at 18–24 Months”. Ask Pinnacle. Record updated 10 June 2026. https://pinnacleblooms.org/ask/what-are-the-early-signs-of-gross-motor-delay-in-a-18-to-24-month-old

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