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From a pediatric occupational therapy perspective, crawling is a very important milestone for MOST children. This is today’s topic and we encourage you to think outside the box, dive into the research, and remember that everyone’s experience is unique.
Make sure you check out all the links below!
Introduction to SPD 1 Hour Training
Primitive Reflex Digital Course
All Things Sensory Podcast Instagram
Ep. 100-104: Primitive Reflex Series
Ep. 149: The Palmar Grasp Reflex
Ep. 176: Everything You Need to Know About Neuroplasticity
Blog: Why Crawling is a Milestone Your Baby Should Meet
Measurement and Analysis of Human Infant Crawling for Rehabilitation: A Narrative Review
Crawling is associated with more flexible memory retrieval by 9-month-old infants
Crawling and Walking Infants See the World Differently
Effect of crawling exercise with wrist-hand orthosis in upper limb after stroke
Crawling is more than just a cute milestone—it plays a foundational role in your child’s development. As pediatric occupational therapy assistants, we've seen firsthand how this early motor pattern builds the groundwork for essential skills that support learning, behavior, and everyday activities.
But here’s the catch: some children skip crawling altogether or adopt atypical crawling patterns—and recent changes to the CDC milestones have left many parents wondering, “Is crawling still important?”
At Harkla, we say yes—and here’s why.
In a 2022 update to developmental milestones, the CDC removed crawling from its checklist. This change caused confusion among professionals and parents alike.
While some children progress without crawling, skipping it can lead to challenges later in life—from poor posture and weak fine motor skills to retained primitive reflexes. Crawling may not be the only way to develop these skills, but it’s one of the most efficient and natural.
Crawling helps integrate reflexes like the ATNR (Asymmetrical Tonic Neck Reflex), STNR (Symmetrical Tonic Neck Reflex), and the palmar Grip Reflex. Without integration, these reflexes can interfere with a child's ability to sit still, focus, and write.
Crawling uses both sides of the body in a rhythmic pattern, helping the brain communicate across hemispheres. This skill is vital for tasks like tying shoes, cutting food, and writing.
From the neck and shoulders to the core and hips, crawling strengthens key muscle groups that support posture, balance, and body control.
Pressing palms flat to the floor builds strength in the hand muscles and arches—critical for handwriting, scissor use, and self-care tasks like dressing.
As children crawl, they look ahead, scan their environment, and track objects—all of which support reading, writing, and safe navigation.
Crawling teaches a child where their body is in space and how to plan movements to overcome obstacles. This lays the foundation for coordination, confidence, and safety.
Crawling provides rich proprioceptive (deep pressure) and tactile input, helping organize the sensory system. It can be calming for children who struggle with overstimulation.
Developing strong core muscles through crawling sets the stage for sitting upright in class, swinging at recess, and participating in sports.
If your child skipped crawling or shows an atypical pattern (like scooting or bear walking), don't panic. Every child is unique—and it’s not too late to help.
Here’s what you can do:
Check for retained reflexes (e.g., ATNR, STNR, Palmar Grasp).
Look atmuscle tone, strength, and coordination.
Rule outvision issues,torticollis, ortongue/lip ties.
Consider an OT evaluation if you're concerned.
Create obstacle courses with cushions, tunnels, and toys.
Crawl while pushing a ball or following a path.
Use a metronome for rhythmic crawling.
Crawl to the dinner table (make it a fun family routine!).
Practice crawling with games like “animal walks” or crawling tag.
Even older kids—and adults—can benefit from crawling exercises. In fact, crawling is sometimes used in stroke rehabilitation to rebuild neural pathways!
If your child:
Avoids using both hands or both sides of the body.
Has difficulty coordinating movements.
Struggles with balance, posture, or fine motor tasks.
…it might be time to speak with an occupational therapist.
Early intervention makes a big difference. The sooner we address developmental challenges, the more successful and confident your child can become.
You're not alone if you’re just starting your sensory journey or feel overwhelmed by developmental milestones. At Harkla, we’re here to guide you every step of the way—with research-backed tools, expert-led courses, and a community that cares.
Every child deserves the chance to thrive. Let’s make that journey together.
BORING, BUT NECESSARY LEGAL DISCLAIMERS
While we make every effort to share correct information, we are still learning. We will double check all of our facts but realize that medicine is a constantly changing science and art. One doctor / therapist may have a different way of doing things from another. We are simply presenting our views and opinions on how to address common sensory challenges, health related difficulties and what we have found to be beneficial that will be as evidenced based as possible. By listening to this podcast, you agree not to use this podcast as medical advice to treat any medical condition in either yourself or your children. Consult your child’s pediatrician/ therapist for any medical issues that he or she may be having. This entire disclaimer also applies to any guests or contributors to the podcast. Under no circumstances shall Rachel Harrington, Harkla, Jessica Hill, or any guests or contributors to the podcast, as well as any employees, associates, or affiliates of Harkla, be responsible for damages arising from use of the podcast.
Keep in mind that we may receive commissions when you click our links and make purchases. However, this does not impact our reviews and comparisons. We try our best to keep things fair and balanced, in order to help you make the best choice for you.
This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast.
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