Global Developmental Delay
What is Global Developmental Delay?
Global developmental delay (GDD) is a term used when three areas of a child’s development are delayed and take longer to reach than other children of a similar age; cognitive and social skills, gross motor skills and fine motor skills. This presentation can be due to an underlying condition and tests can be arranged by a paediatrician to detect potential abnormalities. Signs of GDD include delayed milestones from all developmental areas (within the typical time frames as determined by normative data) – these could include delayed smiling, babbling, sitting and crawling, or struggling to use both hands to play with toys and pick up objects. Typically, a health visitor will refer your baby to the appropriate clinicians for further assessment of these three areas. A physiotherapist will assess gross motor skills, an occupational therapist will look at fine motor skills, and cognitive or speech development will be assessed by a speech and language therapist or specialist paediatrician.
Gross Motor Delay (GMD)
When your child presents with a delay in their gross motor skills only (large physical movements), this may be referred to as gross motor delay (GMD).
In babies GMD can present as follows:
Feeling floppy when held or moved
Difficulty dressing or nappy changing due to leg stiffness
Intolerance to tummy time
Inability to weight bear through shoulders and hips
Not holding head up by 2 months
Not rolling by 6 months
Not sitting without support by 9 months
Not crawling by 12 months
Not pulling to stand, cruising or walking by 18 months
Preferring to use one side compared to the other
In toddlers and younger children GMD may include:
Difficulty jumping, hopping, skipping and running
Difficulties with throwing and catching
Difficulties riding a bike
Treatments at Ribble Valley Children's Physiotherapy for Global Development Delay
Our fantastic, expert and qualified team of therapists can help you and your child with therapies to address the specific area of delay which is affecting your child. At Ribble Valley Children's Physiotherapy your child will have an initial assessment with one of our physiotherapists. We will assess your child thoroughly and create a treatment plan tailored towards their needs.
Our treatment plans may include:
Functional play therapy
Whole Body Vibration Therapy
Dynamic Movement Intervention (DMI) Therapy
Advice regarding positioning
Advice regarding footwear and/or appropriate orthoses
Advice regarding exercise frequency and follow up frequency
Onward referral to the appropriate MDT (depending on presentation)
Get in Touch
Our team of specialist physiotherapists are experts in all aspects of physiotherapy for babies and children, and are here to help. Please do not hesitate to contact us with any of your questions or concerns.
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