# When should I worry about Gross Motor Delay at 18–24 months?

Canonical: https://pinnacleblooms.org/ask/when-should-i-worry-that-my-18-to-24-month-old-might-have-gross-motor-delay
Publisher: Pinnacle Blooms Network / Bharath Healthcare Laboratories Private Limited

By 18 months most toddlers walk independently; by 24 months they should walk steadily, begin running, squat and climb low furniture. Seek a developmental check if your child is not walking by 18 months, is unsteady or behind by 24 months, strongly favours one side, or loses a skill. A single late milestone in a thriving child is usually fine — a pattern of delays signals the time for a friendly assessment.

*Watching your toddler find their feet is one of parenthood's quiet joys — and noticing when they need a little extra support is wisdom, not worry.*

## In short
Between 18 and 24 months, most toddlers are walking confidently, beginning to run, and starting to climb and squat to pick things up. It's worth a developmental check if, by **18 months**, your child is not yet walking independently, or if by **24 months** they cannot walk steadily, climb onto low furniture, or are clearly behind where they were a few months ago. One slightly late skill in an otherwise active, growing child is usually fine — a pattern of several delays, or any loss of skills, is the signal to seek a friendly assessment rather than wait.

## What gross motor progress looks like at this age
By 18–24 months, you'd typically expect a toddler to:
- Walk well on their own, and begin to run (even if a bit wobbly)
- Pull or push toys while walking
- Squat down to pick up an object and stand back up without using hands
- Begin walking up stairs holding a rail or your hand
- Climb onto and off a low sofa or chair
- Kick or throw a ball with growing control toward the second birthday

**Worth a gentle check if you notice:**
- Not walking independently by 18 months
- Walking only on tiptoes most of the time, or very stiff or floppy legs
- Frequent falling well beyond the early wobbly phase, or never gaining steadiness by 24 months
- One side of the body used much more than the other (favouring a hand or leg)
- Losing a movement skill they once had — this always warrants prompt review
- Motor delay alongside delays in speech, play or social connection

Remember that toddlers progress at their own pace, and prematurity is counted using corrected age. A single late milestone in a thriving, curious child rarely means a problem — it's the overall pattern that matters most.

## When to act sooner
Any *loss* of skills, marked floppiness or stiffness, or strong one-sided preference deserves a prompt medical review, not a wait-and-watch approach. For everything else, an early developmental assessment simply gives you clarity and, where helpful, a head start with support — early movement help is gentle, play-based and effective.

## The Pinnacle way
Early support for [gross motor delay](/gross-motor-delay) builds strength, balance and confidence through play, and our [physiotherapy](/physiotherapy) team makes it joyful rather than clinical. A clinical [AbilityScore®](/ask/what-is-the-abilityscore-and-how-is-it-calculated) and any diagnosis are formed only at a Pinnacle Blooms Network centre under qualified clinician care — never from an online checklist. Pinnacle serves 4.95 lakh+ families through 70+ centres and 700+ therapists across 4 states.

## Trusted sources
CDC's developmental milestone guidance and AAP's HealthyChildren resources describe expected movement skills for 18–24 months and flag not walking by 18 months and loss of skills as reasons to check in. WHO's Nurturing Care framework supports early, family-centred developmental monitoring.

**Next step —** If any of these signs sound familiar, [book a developmental assessment](/physiotherapy) at your nearest Pinnacle centre for clear, reassuring answers.

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

## Sources
- CDC — Developmental milestones (18–24 months): https://www.cdc.gov/child-development
- AAP HealthyChildren — Toddler movement and development: https://www.healthychildren.org
- WHO — Nurturing Care Framework: https://nurturing-care.org

## Connected topics and perspectives
- Conditions: https://pinnacleblooms.org/ask/conditions
- Parent: https://pinnacleblooms.org/ask/lens/stakeholder/parent
- Toddler-18-24: https://pinnacleblooms.org/ask/lens/age/toddler-18-24
- Motor: https://pinnacleblooms.org/ask/lens/domain/motor
- Concern: https://pinnacleblooms.org/ask/lens/intent/concern
- Screen: https://pinnacleblooms.org/ask/lens/lifecycle/screen
- Special Education: https://pinnacleblooms.org/ask/lens/route/special-education
- Early Clarity: https://pinnacleblooms.org/ask/lens/empowerment/early_clarity

## Related question paths

### Understand the subject
- How Does Gross Motor Delay Affect a Child's Daily Life?: https://pinnacleblooms.org/ask/how-does-gross-motor-delay-affect-a-child-s-daily-life
- Is Gross Motor Delay Considered a Disability?: https://pinnacleblooms.org/ask/is-gross-motor-delay-considered-a-disability
- Is Gross Motor Delay Genetic or Hereditary?: https://pinnacleblooms.org/ask/is-gross-motor-delay-genetic-or-hereditary
- What are common myths about Gross Motor Delay?: https://pinnacleblooms.org/ask/what-are-common-myths-about-gross-motor-delay
- What are the types or levels of Gross Motor Delay?: https://pinnacleblooms.org/ask/what-are-the-types-or-levels-of-gross-motor-delay
- What Causes Gross Motor Delay in Children?: https://pinnacleblooms.org/ask/what-causes-gross-motor-delay-in-children
- What is Gross Motor Delay?: https://pinnacleblooms.org/ask/what-is-gross-motor-delay
- What is Gross Motor Delay, and what does it look like in early childhood?: https://pinnacleblooms.org/ask/what-is-gross-motor-delay-and-what-does-it-look-like-in-early-childhood
- What conditions often occur alongside gross motor delay?: https://pinnacleblooms.org/ask/what-other-conditions-often-occur-alongside-gross-motor-delay
- Early Intervention Outcomes for Gross Motor Delay Under 7: https://pinnacleblooms.org/ask/what-does-current-research-show-about-early-intervention-outcomes-for-gross-motor-delay-in-children-under-7
- What is Gross Motor Delay, and what are its ICD-11 features in early childhood?: https://pinnacleblooms.org/ask/what-is-gross-motor-delay-and-what-are-its-icd-11-features-in-early-childhood
- What is the ICD-11 classification for Gross Motor Delay?: https://pinnacleblooms.org/ask/what-is-the-icd-11-classification-for-gross-motor-delay

### Recognise signs & concerns
- Early Signs of Gross Motor Delay at 18–24 Months: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-gross-motor-delay-in-a-18-to-24-month-old
- Signs of motor delay in an 18-to-24-month-old: https://pinnacleblooms.org/ask/what-are-the-signs-of-motor-delay-in-a-18-to-24-month-old
- When to worry about Gross Motor Delay at 12–18 months: https://pinnacleblooms.org/ask/when-should-i-worry-that-my-12-to-18-month-old-might-have-gross-motor-delay
- Is It Normal That My Toddler Isn't Showing Gross Motor Yet?: https://pinnacleblooms.org/ask/is-it-normal-that-my-toddler-is-not-yet-showing-gross-motor
- When should I worry about Gross Motor Delay at 2?: https://pinnacleblooms.org/ask/when-should-i-worry-that-my-2-year-old-might-have-gross-motor-delay
- What signs suggest my child may need support with gross motor?: https://pinnacleblooms.org/ask/what-signs-suggest-my-child-may-need-support-with-gross-motor
- Can Gross Motor Delay Be Cured?: https://pinnacleblooms.org/ask/can-gross-motor-delay-be-cured
- Can Gross Motor Delay Be Prevented?: https://pinnacleblooms.org/ask/can-gross-motor-delay-be-prevented
- Do boys show gross motor delay differently?: https://pinnacleblooms.org/ask/do-boys-show-gross-motor-delay-differently
- Do girls show gross motor delay differently?: https://pinnacleblooms.org/ask/do-girls-show-gross-motor-delay-differently
- Should I be worried my child might have Gross Motor Delay?: https://pinnacleblooms.org/ask/should-i-be-worried-my-child-might-have-gross-motor-delay
- What are the early signs of Gross Motor Delay?: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-gross-motor-delay

### Explore causes & influences
- Are Boys More Likely to Have Gross Motor Delay?: https://pinnacleblooms.org/ask/are-boys-more-likely-to-have-gross-motor-delay
- Are girls more likely to have gross motor delay?: https://pinnacleblooms.org/ask/are-girls-more-likely-to-have-gross-motor-delay
- What causes Gross Motor Delay in young children?: https://pinnacleblooms.org/ask/what-causes-gross-motor-delay-in-young-children
- Early Intervention for Gross Motor Delay: Advancing UNCRPD and the SDGs: https://pinnacleblooms.org/ask/how-does-early-intervention-for-gross-motor-delay-advance-un-child-rights-uncrpd-and-the-sdgs
- Contributing Factors for Gross Motor Delay: https://pinnacleblooms.org/ask/what-are-the-known-contributing-factors-for-gross-motor-delay-in-early-childhood
- Cost-effectiveness of early therapy for Gross Motor Delay: https://pinnacleblooms.org/ask/what-is-the-cost-effectiveness-of-early-therapy-for-gross-motor-delay-in-young-children
- Gross Motor Delay in India: Prevalence & Public-Health Burden: https://pinnacleblooms.org/ask/what-is-the-prevalence-and-public-health-burden-of-gross-motor-delay-among-young-children-in-india

### Understand assessment
- How AbilityScore tracks progress in Gross Motor Delay: https://pinnacleblooms.org/ask/how-does-abilityscore-track-progress-in-a-child-with-gross-motor-delay
- How Gross Motor Delay Is Assessed in a Young Child: https://pinnacleblooms.org/ask/how-is-gross-motor-delay-assessed-in-a-young-child
- How Gross Motor Delay Is Assessed in Children Under 7: https://pinnacleblooms.org/ask/how-is-gross-motor-delay-assessed-in-children-under-7
- What an AbilityScore of 0–100 Means for Gross Motor Delay: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-0-100-mean-for-a-child-with-gross-motor-delay
- What an AbilityScore® of 100–200 means for Gross Motor Delay: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-100-200-mean-for-a-child-with-gross-motor-delay
- What an AbilityScore of 200–300 means for Gross Motor Delay: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-200-300-mean-for-a-child-with-gross-motor-delay
- What an AbilityScore of 300–400 means for gross motor delay: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-300-400-mean-for-a-child-with-gross-motor-delay
- What an AbilityScore of 400–500 Means for Gross Motor Delay: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-400-500-mean-for-a-child-with-gross-motor-delay
- What an AbilityScore of 500–600 means for Gross Motor Delay: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-500-600-mean-for-a-child-with-gross-motor-delay
- What does an AbilityScore of 600–700 mean for a child with Gross Motor Delay?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-600-700-mean-for-a-child-with-gross-motor-delay
- What does an AbilityScore of 700–800 mean for a child with Gross Motor Delay?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-700-800-mean-for-a-child-with-gross-motor-delay
- What an AbilityScore of 800–900 means for gross motor delay: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-800-900-mean-for-a-child-with-gross-motor-delay

### Explore therapy & support
- Can a Child with Gross Motor Delay Attend Mainstream School?: https://pinnacleblooms.org/ask/can-a-child-with-gross-motor-delay-attend-a-mainstream-school
- Can a Child with Gross Motor Delay Attend a Regular School?: https://pinnacleblooms.org/ask/can-a-child-with-gross-motor-delay-attend-a-regular-school
- Can a Child with Gross Motor Delay Live Independently?: https://pinnacleblooms.org/ask/can-a-child-with-gross-motor-delay-grow-up-to-live-independently
- How to Support a Child with Gross Motor Delay: https://pinnacleblooms.org/ask/how-can-we-support-motor-development-in-a-child-with-gross-motor-delay
- How is Gross Motor Delay diagnosed in a child?: https://pinnacleblooms.org/ask/how-is-gross-motor-delay-diagnosed-in-a-child
- How is Gross Motor Delay supported through therapy?: https://pinnacleblooms.org/ask/how-is-gross-motor-delay-supported-through-therapy
- Gross Motor Delay AbilityScore — What to Do Next: https://pinnacleblooms.org/ask/my-child-with-gross-motor-delay-has-an-abilityscore-of-0-100-what-should-we-do-next
- Gross Motor Delay — AbilityScore 100–200: what to do next: https://pinnacleblooms.org/ask/my-child-with-gross-motor-delay-has-an-abilityscore-of-100-200-what-should-we-do-next
- Gross Motor Delay & an AbilityScore of 200–300: What to Do Next: https://pinnacleblooms.org/ask/my-child-with-gross-motor-delay-has-an-abilityscore-of-200-300-what-should-we-do-next
- Gross Motor Delay AbilityScore 300–400: What To Do Next: https://pinnacleblooms.org/ask/my-child-with-gross-motor-delay-has-an-abilityscore-of-300-400-what-should-we-do-next
- AbilityScore 400–500 for Gross Motor Delay — what to do next: https://pinnacleblooms.org/ask/my-child-with-gross-motor-delay-has-an-abilityscore-of-400-500-what-should-we-do-next
- AbilityScore® 500–600 in Gross Motor Delay: what to do next: https://pinnacleblooms.org/ask/my-child-with-gross-motor-delay-has-an-abilityscore-of-500-600-what-should-we-do-next

### At home & in everyday life
- How can I support my child with Gross Motor Delay at home?: https://pinnacleblooms.org/ask/how-can-i-support-my-child-with-gross-motor-delay-at-home