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Published on: May 17, 2024
Association Between Baby Walker Use and Infant Functional Motor Development
Piotr Janusz1, Dagmara Pikulska, Natalia Kapska
1Spine Disorders, Department of Spine Disorders and Pediatric Orthopedics, Poznan University of Medical Sciences, Poznan, Poland (Dr Janusz), Department of Spine Disorders and Pediatric Orthopedics, Poznan University of Medical Sciences, Poznan, Poland (Drs Kotwicki and Shadi), Poznan University of Medical Sciences, Poznan, Poland (Mss Pikulska, Kapska, Kaniowska, Darcz, Ekwińska, and Stachowiak and Mr Bykowski).
Baby walker use may impact infant motor development, with users being three times more likely to skip crawling. Gait disorders were similar in both walker and non-walker groups.
Area of Science:
- Pediatrics
- Developmental Pediatrics
- Motor Development
Background:
- Baby walkers are common mobility aids for infants.
- Concerns exist regarding their potential impact on infant motor milestones and development.
- Previous research has yielded mixed results on the effects of baby walker use.
Purpose of the Study:
- To investigate the association between baby walker usage and infant motor development.
- To assess the impact on the quality of gait in children.
- To determine the potential for lower extremity deformities related to baby walker use.
Main Methods:
- An anonymous survey was distributed to 6874 parents/guardians.
- Data collected included baby walker use, child's motor development, and incidence of lower extremity deformities and gait disorders.
- A total of 969 questionnaires were returned for analysis.
Main Results:
- Baby walkers were utilized by 15.6% of the surveyed children.
- Children who used baby walkers were significantly more likely to have omitted crawling (a key motor milestone) compared to non-users (10.7%).
- The incidence of gait disorders was comparable between children who used baby walkers and those who did not.
Conclusions:
- Baby walker use shows a potential association with altered infant motor development pathways.
- Infants using baby walkers demonstrated a threefold increased likelihood of not crawling compared to their peers.
- No significant difference in gait disorders was observed, suggesting specific developmental impacts rather than general gait abnormalities.

