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When to worry about Gross Motor Delay at age 2
By around two years, most children walk well and are starting to run and climb. Seek a developmental check if your child is not walking at all by 24 months, has lost a movement skill, or shows very stiff or floppy limbs or favours one side. Most toddlers vary in pace — a check brings clarity, not alarm, and only a clinician can assess what's underneath.
In this answer 5 sections
If your two-year-old isn't yet walking steadily or seems behind on running, climbing and stairs, your instinct to check is a caring one — and a wise one.
In short
By around two years, most children walk well, are starting to run, can kick a ball and are beginning to climb and manage stairs with help. It is reasonable to seek a developmental check if, at 24 months, your child is not walking at all, or if you notice they have lost a movement skill they once had — both of these warrant a prompt review. Many toddlers vary in pace, so a wobble or a late skill alone is rarely cause for alarm — but a clinician check brings clarity and peace of mind, never harm.
What to look for at this age
Gross motor delay simply means the big-movement skills — sitting, standing, walking, running, climbing — are arriving later than expected for a child's age. At around two years, gentle flags worth a check include:
- Not walking independently by 18 months and certainly by 24 months.
- Loss of a skill your child clearly had before — for example, walking that becomes wobbly or stops.
- Very stiff or very floppy limbs, or always favouring one side of the body.
- Tiptoe walking nearly always, or frequent falling well beyond what peers do.
- Little interest in moving, climbing or exploring compared with same-age children.
Remember these are signals to look closer, not conclusions. Toddlers who were early or late on earlier milestones, or who were born premature, may simply follow their own timeline. The point is not to panic — it's to check early, because early support is gentle and effective.
When to act sooner
Do book a check promptly if your child is not walking at all by 24 months, has lost a movement skill, or if you have any worry that one side of the body works less well than the other. Trust what you see day to day — you know your child best.
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 online list or a single observation. Our clinicians build your child's own movement baseline, look for any underlying cause, and shape a plan around their strengths. If movement is the worry, our occupational therapy team can begin gentle, play-based support. The aim is clarity and a way forward — not a label.
Trusted sources
CDC developmental milestones and "Learn the Signs, Act Early" guidance; American Academy of Pediatrics developmental surveillance recommendations; WHO motor development milestone study.
Next step — Trust what you've noticed. Book a developmental assessment with a Pinnacle clinician so any movement worry at two years is reviewed promptly and reassuringly.
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
Act sooner if your two-year-old is not walking at all by 24 months, has lost a movement skill they once had, shows very stiff or very floppy limbs, or consistently favours one side of the body. A late skill alone is usually fine — but these patterns warrant a prompt, reassuring check.
In everyday life
Make a short note this week of what your toddler can do — pulling to stand, walking, climbing onto the sofa, kicking a ball. If any skill quietly fades over the coming weeks, you'll have a clear record to share with a clinician.
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 visitQuestions families ask
Is it normal for a 2-year-old not to walk well yet?
Most children walk independently between 12 and 18 months, and by two years are usually steady and beginning to run. Some healthy toddlers vary in pace, but not walking at all by 24 months is worth a prompt developmental check — early support is gentle and effective.
My toddler walks on tiptoes — should I worry?
Occasional tiptoe walking is common in toddlers learning to move. It becomes worth a check if your child walks on tiptoes nearly all the time, has tight or stiff legs, or cannot stand flat-footed. A clinician can tell whether it's a habit or needs support.
What causes gross motor delay in toddlers?
There are many reasons — from simple variation in development to muscle tone differences, prematurity, or underlying conditions. Only a qualified clinician can identify a cause through a structured assessment, which is why an early check is the most helpful step.
FOLLOW THE SOURCE
References behind this answer.
- Source referenceCDC — Developmental milestones at 2 years
- Source referenceAAP HealthyChildren — Toddler development
- Source referenceWHO — Motor development milestones
References are supplied with this answer. An organisation homepage offers further reading; it does not establish an independent review of this page.
Content attribution: SETU Consortium · Pinnacle Blooms Network.
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