Baby
Walkers Delay Motor Skill Milestones
Baby
walkers are designed in part to help babies learn motor skills faster,
but new research says the devices may have the opposite effect.
Babies
who use walkers are likely to crawl, stand, and walk at an older age
than those who do not, says a small study appearing in the British
Medical Journal.
Results
of Recent Study Stir Controversy
A spokeswoman
for the industry that makes walkers dismisses the study as "junk," and
says they help both children and their parents.
In
a survey of 190 infants, researchers at Ireland's University College
Dublin School of Physiotherapy found that, for each 24 hours that babies
toddled along in walkers, their ability to walk independently was delayed
by more than three days.
"Many
parents believe the baby walker will advance standing and walking, but
our research shows they're mistaken," says study author and physiotherapist
Mary Garrett.
Out
of the 190 infants in Garrett's sample group, 102 used walkers. On average,
these children crawled at 5 months, stood independently at 8 months,
and walked unaided at 8.5 months. This was in contrast to their non-walker
counterparts, who crawled at 4.5 months, stood at 7.5 months, and walked
at 8 months.
The
research team calculated the three-day lapse per each 24-hour stretch
from parental reports. Over an 18-month period, parents recorded the
number of hours a day that their offspring scooted around their houses
in their mobile playpens.
Other
investigations have yielded conflicting results about whether walkers
delay gross motor development, but Garrett says the researchers in those
studies made no differentiation between crawling, standing, and walking
with support and unaided mobility.
That
is a crucial difference, Garrett says: "It's walking and standing alone
that was delayed in our study. We found no delay for walking and standing
while holding on."
The
reasons for the slowdown are unclear, but Garrett speculates that babies
in walkers lack the benefits gained from crawling around the floor,
an activity that strengthens the muscles used for walking.
Moreover,
babies who use walkers do not see their legs in action. "It's also possible
that it may be that the absence of information from the muscles to the
central nervous system actually delays the maturation of the mechanism
responsible for generating walking in children," Garrett says.
Are
Baby Walkers a Menace?
The
bottom line, she declares, is baby walkers are a menace. "When you combine
this study with other work that has shown these kids are at significantly
greater risk for injury than kids who don't use walkers, it tells us
that in order to promote good health and normal activity, parents should
not use baby walkers."
Jennifer
Szwalek, vice president of communications at the Juvenile Products
Manufacturers Association, dismisses the study as "more junk
science."
"They're
dealing with a very small sample size and, based on their study, walkers
don't prevent children from ever learning to walk," Szwalek says.
Some
Say Walkers Are Useful
"To
be honest with you," she adds, "the important thing to stress is the
walkers are useful products. They keep children out of trouble and dangerous
situations, and give parents a little freedom."
Garrett
concedes that babies love walkers. She says they offer them independence,
mobility, and speed.
Nevertheless,
she strongly advocates against their use, and advises parents who insist
on buying them to equip their homes with safety devices, such as stair
and oven guards, and locks for cabinets containing harmful substances
or heavy objects.
Walkers
Safer Now Than in the Past
Ever
since revised manufacturing safety standards were implemented in the
United States, injuries related to baby walkers have declined about
60 percent, from roughly 20,100 in 1995 to 8,800 in 1999, according
to the US Consumer Product Safety Commission.
New
models are wider to prevent babies from traveling through most doorways,
and have grips to stop them at the edge of a step.
Stationery
Walkers Are Recommended Instead
Still,
the American Academy of Pediatrics (AAP)
contends that, despite the new and improved design, the devices are
not accident-proof. It recommends parents opt for "stationary walkers,"
which have no wheels but do have seats that rotate and bounce.
Always
consult your child’s physician for more information.
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