{"id":10432,"date":"2024-03-25T06:00:08","date_gmt":"2024-03-25T12:00:08","guid":{"rendered":"https:\/\/summit-education.com\/blog\/?p=10432"},"modified":"2024-06-14T13:10:09","modified_gmt":"2024-06-14T19:10:09","slug":"crawling-a-vital-infant-milestone","status":"publish","type":"post","link":"https:\/\/summit-education.com\/blog\/general\/crawling-a-vital-infant-milestone\/","title":{"rendered":"Crawling: A Vital Infant Milestone"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.47&#8243;][et_pb_row _builder_version=&#8221;3.0.48&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.19.10&#8243;]<\/p>\n<h4 style=\"text-align: center;\"><strong>Written By: Dr. Kristen DaCosta, PT, MA, DPT<\/strong><\/h4>\n<div>\u00a0<\/div>\n<div>\n<p><a href=\"https:\/\/summit-education.com\/blog\/?attachment_id=10437\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-10437  alignright\" src=\"https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/KD-1.png\" alt=\"\" width=\"333\" height=\"302\" srcset=\"https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/KD-1.png 828w, https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/KD-1-300x272.png 300w, https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/KD-1-768x697.png 768w\" sizes=\"(max-width: 333px) 100vw, 333px\" \/><\/a>Has anything changed in the human body since our inception? People are living longer, yes, but our physiological form has, for the most part, remained intact and unchanged. So why are doctors saying it\u2019s okay if babies skip crawling? Many people may not know but doctors removed crawling off the developmental milestone checklist. When and why did this happen?<\/p>\n<p>In 2021, the American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC) no longer considers crawling an official milestone. The main reason is they were unable to accurately determine when 75% of babies should begin crawling. As a <strong><a href=\"https:\/\/summit-education.com\/courses\/category\/pediatrics?utm_source=summit_blog&amp;utm_medium=body\">pediatric<\/a> <a href=\"https:\/\/summit-education.com\/courses\/profession\/physical-therapist?utm_source=summit_blog&amp;utm_medium=body\">physical therapist<\/a><\/strong> for over 20 years, I am outraged over this and could not disagree more.<\/p>\n<p>Through focused and committed research, a range of ages could have been determined. Instead, the lack of commitment and focus resulted in the removal of this important milestone from their checklist.<\/p>\n<p>Another main reason the AAP and CDC removed the crawling milestone is societal change (Back to Sleep program, \u201ccontainer syndrome\u201d, technology). Should we accept this? The answer is clear \u2013 NO!! <strong><a href=\"https:\/\/summit-education.com\/courses\/profession\/physical-therapist?utm_source=summit_blog&amp;utm_medium=body\">Physical therapists<\/a><\/strong>, <strong><a href=\"https:\/\/summit-education.com\/courses\/profession\/occupational-therapist?utm_source=summit_blog&amp;utm_medium=body\">occupational therapists<\/a><\/strong>, developmental specialists, and pediatricians should be outraged, and here is why.<\/p>\n<p><strong>Crawling is not only important but also essential!<\/strong> Babies learn through exploration and what better way to explore than crawling on all fours? Crawling is considered the first type of independent locomotion and is vital for the <strong><a href=\"https:\/\/summit-education.com\/course\/CEISKD.1?utm_source=summit_blog&amp;utm_medium=body\">development<\/a><\/strong> of the vestibular, balance, and sensory systems. The benefits are countless and include, but are in no way limited to:<\/p>\n<ul>\n<li>Establishing body awareness<\/li>\n<li>Developing motor planning and problem-solving skills<\/li>\n<li>Increasing core strength<\/li>\n<li>Developing the palmar arch<\/li>\n<li>Improving shoulder stability<\/li>\n<li>Aiding the left and right sides of the body to work together to improve coordination<\/li>\n<li>Enhancing depth perception<\/li>\n<\/ul>\n<\/div>\n<p style=\"text-align: left;\">\n<p style=\"text-align: left;\"><iframe loading=\"lazy\" src=\"\/\/www.youtube.com\/embed\/Oa4HqbVV2zE\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: left;\">\n<div>\n<p>So, where do we go from here? We continue to educate everyone and anyone &#8211; parents, caregivers, families, neighbors, colleagues. We get the word out that crawling continues to play a critical role in a <strong><a href=\"https:\/\/summit-education.com\/course\/CEISKD.1\">child\u2019s development<\/a><\/strong>. We stress the significance of tummy time (when awake and alert), floor time, exploration, language development, cause-and-effect toys, sensory development, and no passive <strong><a href=\"https:\/\/summit-education.com\/course\/ASCRVW.1.1CREDIT\">screen time<\/a><\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<p>Join me for my <a href=\"https:\/\/summit-education.com\/course\/MCTKDA.0424.1?type=brochure#LIVESTREAM\/LW042524.1\"><strong>Live Streams on April 25th and April 26th<\/strong><\/a> where we take a deeper dive into all things <strong><a href=\"https:\/\/summit-education.com\/course\/MCTKDA.0424.1?type=brochure#LIVESTREAM\/LW042524.1https:\/\/summit-education.com\/course\/MCTKDA.0424.1?type=brochure#LIVESTREAM\/LW042524.1?utm_source=summit_blog&amp;utm_medium=body\">Pediatric Rehabilitation<\/a><\/strong>. Explore the courses below and I hope you will join us!<\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/MCTKDA.0424.1?type=brochure#LIVESTREAM\/LW042524.1?utm_source=summit_blog&amp;utm_medium=body\">Effective Early Intervention<\/a><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/MCTKDA.0424.1?type=brochure#LIVESTREAM\/LW042524.1?utm_source=summit_blog&amp;utm_medium=body\">Treatment of Hypotonia in Children<\/a><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/MCTKDA.0424.1?type=brochure#LIVESTREAM\/LW042524.1?utm_source=summit_blog&amp;utm_medium=body\">Pediatric Kinesiology Taping<\/a><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/MCTKDA.0424.1?type=brochure#LIVESTREAM\/LW042524.1?utm_source=summit_blog&amp;utm_medium=body\">Advancing School-Based Therapy<\/a><\/strong><\/span><\/p>\n<\/div>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<div>\n<p>Visit <a href=\"http:\/\/www.summit-education.com\/cehttps:\/\/summit-education.com\/course\/MCTKDA.0424.1?type=brochure#LIVESTREAM\/LW042524.1?utm_source=summit_blog&amp;utm_medium=body\">summit-education.com<\/a> for more information.<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<p>Centers for Disease Control and Prevention, <a href=\"https:\/\/www.cdc.gov\/ncbddd\/actearly\/pdf\/parents_pdfs\/milestonemomentseng508.pdf\">Milestone Moments Booklet 2021 (cdc.gov)<\/a>. 2021.<\/p>\n<p>Kretch KS, Dusing SC, Harbourne RT, Hsu LY, Sargent BA, Willett SL. Early Mobility and Crawling: Beliefs and Practices of Pediatric Physical Therapists in the United States.\u00a0<em>Pediatr Phys Ther<\/em>. 2024;36(1):9-17. doi:10.1097\/PEP.0000000000001063<\/p>\n<p>Hewitt, Lyndel, et al. &#8220;Tummy time and infant health outcomes: a systematic review.&#8221;\u00a0<em>Pediatrics<\/em>6 (2020).<\/p>\n<p>Grad E. Tummy time in infants. El tiempo en posici\u00f3n boca abajo de los lactantes.\u00a0<em>Arch Argent Pediatr<\/em>. 2023;121(6):e202310119. doi:10.5546\/aap.2023-10119.eng<\/p>\n<p>Mendres-Smith AE, Borrero JC, Castillo MI, Davis BJ, Becraft JL, Hussey-Gardner B. Tummy time without the tears: The impact of parent positioning and play.\u00a0<em>J Appl Behav Anal<\/em>. 2020;53(4):2090-2107. doi:10.1002\/jaba.715<\/p>\n<p>Madigan S, Browne D, Racine N, Mori C, Tough S. Association Between Screen Time and Children&#8217;s Performance on a Developmental Screening Test [published correction appears in JAMA Pediatr. 2019 May 1;173(5):501-502].\u00a0<em>JAMA Pediatr<\/em>. 2019;173(3):244-250. doi:10.1001\/jamapediatrics.2018.5056<\/p>\n<p>Visser, Magrieta Maria and Denise Franzsen. \u201cThe association of an omitted crawling milestone with pencil grasp and control in five- and six-year-old children.\u201d\u00a0<em>South African Journal of Occupational Therapy<\/em>40 (2010): 19-23.<\/p>\n<p>Hewitt L, Kerr E, Stanley RM, Okely AD. Tummy Time and Infant Health Outcomes: A Systematic Review.\u00a0<em>Pediatrics<\/em>. 2020;145(6):e20192168. doi:10.1542\/peds.2019-2168<\/p>\n<p>Xiong QL, Wu XY, Liu Y, Zhang CX, Hou WS. Measurement and Analysis of Human Infant Crawling for Rehabilitation: A Narrative Review.\u00a0<em>Front Neurol<\/em>. 2021;12:731374. Published 2021 Oct 11. doi:10.3389\/fneur.2021.731374<\/p>\n<p>Xiong QL, Hou WS, Xiao N, et al. Motor Skill Development Alters Kinematics and Co-Activation Between Flexors and Extensors of Limbs in Human Infant Crawling.\u00a0<em>IEEE Trans Neural Syst Rehabil Eng<\/em>. 2018;26(4):780-787. doi:10.1109\/TNSRE.2017.2785821<\/p>\n<p>&nbsp;<\/p>\n<h4><strong>About Summit Professional Education<\/strong><\/h4>\n<p>Summit equips therapists with better continuing education courses that provide CEUs while impacting patient outcomes. Find high-quality on-demand CE along with the largest offering of live options \u2014 including live webinars, live streams, and in-person courses. Want to deep dive on a topic? Summit offers hundreds of 6-hour courses for the most in-depth learning!<\/p>\n<p><a href=\"https:\/\/summit-education.com\/courses?utm_source=summit_blog&amp;utm_medium=about\"><strong>Explore CE Courses &gt;<\/strong><\/a><\/p>\n<div>\u00a0<\/div>\n<div id=\"header\" class=\"style-scope ytd-item-section-renderer\">\n<div id=\"title\" class=\"style-scope ytd-comments-header-renderer\">\u00a0<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Written By: Dr. Kristen DaCosta, PT, MA, DPT \u00a0 Has anything changed in the human body since our inception? People are living longer, yes, but our physiological form has, for the most part, remained intact and unchanged. So why are doctors saying it\u2019s okay if babies skip crawling? Many people may not know but doctors [&hellip;]<\/p>\n","protected":false},"author":31,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[1,126,182,127],"tags":[245],"class_list":["post-10432","post","type-post","status-publish","format-standard","hentry","category-general","category-occupational-therapy","category-pediatrics","category-physical-therapy","tag-kdacosta"],"aioseo_notices":[],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/10432"}],"collection":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/users\/31"}],"replies":[{"embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/comments?post=10432"}],"version-history":[{"count":11,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/10432\/revisions"}],"predecessor-version":[{"id":10465,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/10432\/revisions\/10465"}],"wp:attachment":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/media?parent=10432"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/categories?post=10432"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/tags?post=10432"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}