{"h1":"ICHI Health Interventions for Gross Motor Delay in Young Children","faq":[{"a":"No. ICHI classifies interventions, not conditions, and uses a Target–Action–Means structure. Gross motor delay maps to a coordinated set of intervention codes — therapeutic exercise on movement functions, mobility and gait training, postural and balance work, coordination training, and caregiver education — selected to match the individual child's assessed profile.","q":"Is there a single ICHI code for gross motor delay?"},{"a":"They are complementary WHO classifications: ICD-11 records the condition or aetiology where known, ICF describes the functioning and activity limitations, and ICHI codes the interventions delivered. Used together they produce an interoperable record that links what is wrong, how it affects function, and what is being done about it.","q":"How does ICHI relate to ICF and ICD-11 for a child with motor delay?"},{"a":"No. ICHI is a standardised vocabulary for describing interventions, not a prescription or decision tool. The indication for a particular intervention rests on individual clinical assessment by a qualified therapist or clinician; ICHI then provides the shared coding to document and track it.","q":"Does ICHI tell me which intervention a specific child needs?"}],"lang":"en","slug":"which-ichi-health-interventions-apply-to-gross-motor-delay-in-young-children","title":"ICHI Health Interventions for Gross Motor Delay","entity":{"key":"motor-delay","kind":"condition","name":"Gross Motor Delay","slug":null},"lenses":[{"kind":"stakeholder","label":"Therapist","value":"therapist"},{"kind":"domain","label":"Motor","value":"motor"},{"kind":"intent","label":"Support","value":"support"},{"kind":"lifecycle","label":"Screen","value":"screen"},{"kind":"route","label":"Occupational-Therapy","value":"occupational-therapy"},{"kind":"empowerment","label":"Family Empowerment","value":"family_empowerment"}],"parent":{"key":"conditions","label":"Conditions"},"related":[{"lang":"en","slug":"which-icf-functioning-domains-does-gross-motor-delay-affect-in-early-childhood","title":"ICF Functioning Domains Affected by Gross Motor Delay"},{"lang":"en","slug":"what-is-the-icd-11-classification-for-gross-motor-delay","title":"What is the ICD-11 classification for Gross Motor Delay?"},{"lang":"en","slug":"which-standardised-tools-are-used-to-assess-gross-motor-delay-in-early-childhood","title":"Which standardised tools assess gross motor delay in early childhood?"},{"lang":"en","slug":"what-is-gross-motor-delay-and-what-are-its-icd-11-features-in-early-childhood","title":"What is Gross Motor Delay, and what are its ICD-11 features in early childhood?"},{"lang":"en","slug":"which-ichi-health-interventions-apply-to-fine-motor-delay-in-young-children","title":"ICHI Interventions for Fine Motor Delay in Young Children"},{"lang":"en","slug":"what-does-current-research-show-about-early-intervention-outcomes-for-gross-motor-delay-in-children-under-7","title":"Early Intervention Outcomes for Gross Motor Delay Under 7"}],"summary":"ICHI does not assign a single code to gross motor delay; it maps a coordinated set of interventions along its Target–Action–Means structure — therapeutic exercise for movement functions, mobility and gait training, postural and balance work, coordination training, and caregiver education. ICHI standardises what is done; the indication still rests on individual clinical assessment, best paired with ICF and ICD-11.","answer_md":"*A clinician's first question with a late-walking toddler is rarely \"what's the label?\" — it's \"which interventions, coded and trackable, move this child forward?\"*\n\n## In short\nThe **WHO International Classification of Health Interventions (ICHI)** describes interventions along a Target–Action–Means axis, so gross motor delay maps not to a single code but to a coordinated set: therapeutic exercise and training of body movement functions, activities targeting mobility and gait, postural and balance work, and caregiver education. ICHI is a classification framework — it standardises *what* is done, not a prescription of *which* child needs *what*; that clinical reasoning still rests on assessment of the individual child. Pair ICHI coding with the WHO **ICF** functioning model and **ICD-11** for a complete, interoperable record.\n\n## How ICHI maps to gross motor delay\nICHI organises each intervention as a **Target** (the entity acted on), an **Action** (the deed), and a **Means** (the method/equipment). For gross motor delay in young children, the relevant clusters typically include:\n\n- **Functions of movement** — interventions targeting muscle power, tone, motor reflex and involuntary movement functions; therapeutic exercise to build strength and control.\n- **Mobility and gait** — training in walking, running, climbing, transfers and changing/maintaining body position.\n- **Postural control and balance** — interventions on vestibular and proprioceptive components supporting trunk stability and antigravity control.\n- **Coordination** — training of voluntary movement control and bilateral coordination underpinning gross motor milestones.\n- **Caregiver and environmental means** — education and training of carers, plus advice on assistive products and home environment adaptation, recognising the family as the primary delivery context (per the WHO Nurturing Care Framework).\n\nIn practice the physiotherapist or developmental therapist selects the Target–Action–Means combinations that match the child's profile — a child with low truncal tone and delayed independent sitting draws different ICHI codes from one with toe-walking and a coordination deficit. ICHI gives the shared vocabulary; the assessment gives the indication.\n\n## When to escalate beyond therapy coding\nGross motor delay is a presentation, not a diagnosis. Flag for medical review — not therapy-first — any **regression** of acquired motor skills, **asymmetry** suggesting hemiplegia, persistent **hypertonia or hypotonia**, or loss of milestones, which warrant paediatric neurology input before an intervention plan is finalised.\n\n## The Pinnacle way\nA clinical **AbilityScore®** and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care — never from a code list or an online form. Our therapists translate ICHI-aligned interventions into a measurable, trackable plan across [physiotherapy and gross motor development](/physiotherapy), grounded in the child's baseline from the [AbilityScore®](/ask/what-is-the-abilityscore-and-how-is-it-calculated). Explore how we [partner with clinicians and referrers](/).\n\n## Trusted sources\nWHO International Classification of Health Interventions (ICHI), beta classification with its Target–Action–Means structure; WHO International Classification of Functioning, Disability and Health (ICF); WHO ICD-11; WHO Nurturing Care Framework on the family as the locus of early intervention.\n\n**Next step —** Refer a child with gross motor delay for a [structured developmental assessment](/physiotherapy) and a coded, trackable intervention plan.","canonical":"https://pinnacleblooms.org/ask/which-ichi-health-interventions-apply-to-gross-motor-delay-in-young-children","editorial":{"reviewed_at":"2026-06-11T20:12:18.613642+00:00","reviewed_by":null,"developed_by":"SETU Consortium · Pinnacle Blooms Network"},"alternates":[{"href":"https://pinnacleblooms.org/ask/which-ichi-health-interventions-apply-to-gross-motor-delay-in-young-children","lang":"en","indexable":true}],"dimensions":[{"key":"conditions","label":"Conditions"}],"meta_title":"ICHI Interventions for Gross Motor Delay","meta_robots":"index, follow, max-image-preview:large","everyday_tip":"When coding, anchor each intervention to a functional goal the family can observe at home — 'pulls to stand at the sofa' rather than 'improve lower-limb strength' — so ICHI codes stay tied to real-world progress.","published_at":"2026-06-10T10:52:00.07543+00:00","reading_paths":[{"key":"understand","items":[{"lang":"en","slug":"what-is-gross-motor-delay-and-what-are-its-icd-11-features-in-early-childhood","title":"What is Gross Motor Delay, and what are its ICD-11 features in early childhood?","reason":"Linked from this answer"},{"lang":"en","slug":"what-is-the-icd-11-classification-for-gross-motor-delay","title":"What is the ICD-11 classification for Gross Motor Delay?","reason":"Linked from this answer"},{"lang":"en","slug":"which-icf-functioning-domains-does-gross-motor-delay-affect-in-early-childhood","title":"ICF Functioning Domains Affected by Gross Motor Delay","reason":"Linked from this answer"},{"lang":"en","slug":"what-does-current-research-show-about-early-intervention-outcomes-for-gross-motor-delay-in-children-under-7","title":"Early Intervention Outcomes for Gross Motor Delay Under 7","reason":"Linked from this answer"},{"lang":"en","slug":"how-does-gross-motor-delay-affect-a-child-s-daily-life","title":"How Does Gross Motor Delay Affect a Child's Daily Life?","reason":"Same topic"},{"lang":"en","slug":"is-gross-motor-delay-considered-a-disability","title":"Is Gross Motor Delay Considered a Disability?","reason":"Same topic"},{"lang":"en","slug":"is-gross-motor-delay-genetic-or-hereditary","title":"Is Gross Motor Delay Genetic or Hereditary?","reason":"Same topic"},{"lang":"en","slug":"what-are-common-myths-about-gross-motor-delay","title":"What are common myths about Gross Motor Delay?","reason":"Same topic"},{"lang":"en","slug":"what-are-the-types-or-levels-of-gross-motor-delay","title":"What are the types or levels of Gross Motor Delay?","reason":"Same topic"},{"lang":"en","slug":"what-causes-gross-motor-delay-in-children","title":"What Causes Gross Motor Delay in Children?","reason":"Same topic"},{"lang":"en","slug":"what-is-gross-motor-delay","title":"What is Gross Motor Delay?","reason":"Same topic"},{"lang":"en","slug":"what-is-gross-motor-delay-and-what-does-it-look-like-in-early-childhood","title":"What is Gross Motor Delay, and what does it look like in early childhood?","reason":"Same topic"}],"label":"Understand the subject","total":14},{"key":"signs","items":[{"lang":"en","slug":"can-gross-motor-delay-be-cured","title":"Can Gross Motor Delay Be Cured?","reason":"Same topic"},{"lang":"en","slug":"can-gross-motor-delay-be-prevented","title":"Can Gross Motor Delay Be Prevented?","reason":"Same topic"},{"lang":"en","slug":"do-boys-show-gross-motor-delay-differently","title":"Do boys show gross motor delay differently?","reason":"Same topic"},{"lang":"en","slug":"do-girls-show-gross-motor-delay-differently","title":"Do girls show gross motor delay differently?","reason":"Same topic"},{"lang":"en","slug":"how-can-a-frontline-health-worker-spot-a-child-with-possible-gross-motor-delay-early","title":"Spotting Possible Gross Motor Delay Early","reason":"Same topic"},{"lang":"en","slug":"should-i-be-worried-my-child-might-have-gross-motor-delay","title":"Should I be worried my child might have Gross Motor Delay?","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-gross-motor-delay","title":"What are the early signs of Gross Motor Delay?","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-gross-motor-delay-in-a-1-year-old-boy","title":"Early Signs of Gross Motor Delay in a 1-Year-Old Boy","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-gross-motor-delay-in-a-1-year-old-girl","title":"Early Signs of Gross Motor Delay in a 1-Year-Old Girl","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-gross-motor-delay-in-a-12-to-18-month-old","title":"Early Signs of Gross Motor Delay in a 12-to-18-Month-Old","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-gross-motor-delay-in-a-18-to-24-month-old","title":"Early Signs of Gross Motor Delay at 18–24 Months","reason":"Same topic"},{"lang":"en","slug":"what-are-the-early-signs-of-gross-motor-delay-in-a-2-year-old","title":"Early Signs of Gross Motor Delay in a 2-Year-Old","reason":"Same topic"}],"label":"Recognise signs & concerns","total":47},{"key":"causes","items":[{"lang":"en","slug":"are-boys-more-likely-to-have-gross-motor-delay","title":"Are Boys More Likely to Have Gross Motor Delay?","reason":"Same topic"},{"lang":"en","slug":"are-girls-more-likely-to-have-gross-motor-delay","title":"Are girls more likely to have gross motor delay?","reason":"Same topic"},{"lang":"en","slug":"how-does-early-intervention-for-gross-motor-delay-advance-un-child-rights-uncrpd-and-the-sdgs","title":"Early Intervention for Gross Motor Delay: Advancing UNCRPD and the SDGs","reason":"Same topic"},{"lang":"en","slug":"what-are-the-known-contributing-factors-for-gross-motor-delay-in-early-childhood","title":"Contributing Factors for Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"what-causes-gross-motor-delay-in-young-children","title":"What causes Gross Motor Delay in young children?","reason":"Same topic"},{"lang":"en","slug":"what-is-the-cost-effectiveness-of-early-therapy-for-gross-motor-delay-in-young-children","title":"Cost-effectiveness of early therapy for Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"what-is-the-prevalence-and-public-health-burden-of-gross-motor-delay-among-young-children-in-india","title":"Gross Motor Delay in India: Prevalence & Public-Health Burden","reason":"Same topic"}],"label":"Explore causes & influences","total":7},{"key":"assess","items":[{"lang":"en","slug":"which-standardised-tools-are-used-to-assess-gross-motor-delay-in-early-childhood","title":"Which standardised tools assess gross motor delay in early childhood?","reason":"Linked from this answer"},{"lang":"en","slug":"how-does-abilityscore-track-progress-in-a-child-with-gross-motor-delay","title":"How AbilityScore tracks progress in Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"how-is-gross-motor-delay-assessed-in-a-young-child","title":"How Gross Motor Delay Is Assessed in a Young Child","reason":"Same topic"},{"lang":"en","slug":"how-is-gross-motor-delay-assessed-in-children-under-7","title":"How Gross Motor Delay Is Assessed in Children Under 7","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-0-100-mean-for-a-child-with-gross-motor-delay","title":"What an AbilityScore of 0–100 Means for Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-100-200-mean-for-a-child-with-gross-motor-delay","title":"What an AbilityScore® of 100–200 means for Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-200-300-mean-for-a-child-with-gross-motor-delay","title":"What an AbilityScore of 200–300 means for Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-300-400-mean-for-a-child-with-gross-motor-delay","title":"What an AbilityScore of 300–400 means for gross motor delay","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-400-500-mean-for-a-child-with-gross-motor-delay","title":"What an AbilityScore of 400–500 Means for Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-500-600-mean-for-a-child-with-gross-motor-delay","title":"What an AbilityScore of 500–600 means for Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-600-700-mean-for-a-child-with-gross-motor-delay","title":"What does an AbilityScore of 600–700 mean for a child with Gross Motor Delay?","reason":"Same topic"},{"lang":"en","slug":"what-does-an-abilityscore-of-700-800-mean-for-a-child-with-gross-motor-delay","title":"What does an AbilityScore of 700–800 mean for a child with Gross Motor Delay?","reason":"Same topic"}],"label":"Understand assessment","total":16},{"key":"therapy","items":[{"lang":"en","slug":"which-ichi-health-interventions-apply-to-fine-motor-delay-in-young-children","title":"ICHI Interventions for Fine Motor Delay in Young Children","reason":"Linked from this answer"},{"lang":"en","slug":"how-does-therapy-help-a-child-with-gross-motor-delay-make-progress","title":"How therapy helps a child with gross motor delay progress","reason":"Same topic"},{"lang":"en","slug":"what-does-an-evidence-based-therapy-plan-for-a-young-child-with-gross-motor-delay-include","title":"Evidence-Based Therapy Plan for Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"what-therapy-goals-matter-most-for-a-child-with-gross-motor-delay","title":"What therapy goals matter most for a child with Gross Motor Delay?","reason":"Same topic"},{"lang":"en","slug":"as-a-grandparent-or-caregiver-how-can-i-support-a-child-with-gross-motor-delay-day-to-day","title":"How Caregivers Can Support Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"can-a-child-with-gross-motor-delay-attend-a-mainstream-school","title":"Can a Child with Gross Motor Delay Attend Mainstream School?","reason":"Same topic"},{"lang":"en","slug":"can-a-child-with-gross-motor-delay-attend-a-regular-school","title":"Can a Child with Gross Motor Delay Attend a Regular School?","reason":"Same topic"},{"lang":"en","slug":"can-a-child-with-gross-motor-delay-grow-up-to-live-independently","title":"Can a Child with Gross Motor Delay Live Independently?","reason":"Same topic"},{"lang":"en","slug":"how-can-a-classroom-teacher-help-a-child-with-gross-motor-delay-take-part-and-learn","title":"How a Classroom Teacher Can Support Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"how-can-a-district-early-intervention-programme-identify-and-support-children-under-7-with-gross-motor-delay","title":"How a district early intervention programme can identify and support children under 7 with Gross Motor Delay","reason":"Same topic"},{"lang":"en","slug":"how-can-a-teacher-include-and-support-a-young-child-with-gross-motor-delay-in-a-mainstream-classroom","title":"How can a teacher support a child with Gross Motor Delay?","reason":"Same topic"},{"lang":"en","slug":"how-can-we-support-motor-development-in-a-child-with-gross-motor-delay","title":"How to Support a Child with Gross Motor Delay","reason":"Same topic"}],"label":"Explore therapy & support","total":64},{"key":"home","items":[{"lang":"en","slug":"how-can-i-support-my-child-with-gross-motor-delay-at-home","title":"How can I support my child with Gross Motor Delay at home?","reason":"Same topic"}],"label":"At home & in everyday life","total":1}],"what_to_watch":"Watch for regression of acquired motor skills, marked left–right asymmetry, persistent hypertonia or hypotonia, or loss of previously achieved milestones — these warrant paediatric neurology review before finalising an intervention plan.","authority_links":[{"url":"https://icd.who.int","label":"WHO ICHI and ICD-11 classifications"},{"url":"https://www.who.int","label":"WHO ICF functioning framework"},{"url":"https://nurturing-care.org","label":"WHO Nurturing Care Framework"}],"last_reviewed_at":"2026-06-10T10:52:00.07543+00:00","meta_description":"How WHO ICHI maps to gross motor delay in young children — therapeutic exercise, mobility, balance and coordination interventions via Target–Action–Means.","related_materials":[],"related_techniques":[]}