Motor Skills for Success Part 1: Exercises for Your Infant or Toddler

Even before babies are born, parents are programmed to think about how to help their children grow and succeed. The reality is that every child is different. Some children are very internally motivated to move and gain skills, while others need more external motivations and engagement. The foundational motor skills that are developed in the first year of life lay the groundwork for higher-level motor skills and learning.
In this installment of our two-part series on infant and toddler motor skills, I will 1) include occupational therapy exercises that are intended to help provide ideas around developing these essential developmental skills from birth, 2) identify why they are so important, and 3) share what to avoid when trying to facilitate motor development.
The good news is, many of the games we love to play with our little ones will help to foster this development. Play is crucial for development and learning, and you as caregivers will recognize some of the games you play at home in this list (yes, even tummy time!)
Antigravity positions: Most motor skills, both gross motor and fine motor, require what is referred to as postural control. The ability to maintain and move in and out of antigravity positions (think moving up into the air, or against gravity) is the foundation for strong postural control. Antigravity motor development starts as an infant, as they begin to gain the strength to flex their core and bring their arms and legs to midline (toward their stomachs) when lying on their back (also known as happy baby pose). The opposing antigravity position would be tummy time, or positions where extension of the trunk and neck are required. We will review tummy time later in this article. Although there are many reasons babies and children may avoid playing on their back or dislike tummy time, these skills are essential to motor development, and modifications may be necessary; however, engaging children in these postures should not be avoided or overlooked. Let’s look at supine and prone antigravity positions:
Supine (lying face up against gravity): Most parents are familiar with infant activity gyms that include dangling stimulation for the infant to look at and attempt to bat or grab. The goal of this developmental toy is to develop antigravity engagement of arms and legs at midline which engage the core, as well as the visual system to develop visual tracking.
Try these games with younger children, or children that are not mobile or walking. Each of these activities can be modified for any age.
Modifications: This activity can be altered, depending on what your children engages with most. If they like tickles, that can be the external motivation they need. If lying flat on their back is too difficult, do the same activities at an incline by using a wedge or if the child is on your lap, bend your knees and lean your body back so they don’t have as far to raise their feet.
Modifications: This, too, can be done on an incline to minimize gravity. If the child needs assistance at first, you can help bring their limbs into midline, so they see what is on their foot.
Prone positions (lying with tummy down)
Mastering motor control in this position is the foundation for good postural control, balance, and stability. Here are some suggestions for making tummy time more manageable and engaging. In this position the goal is to help promote neck extension so looking down at an electronic device or a book isn’t ideal. Placing the book up on a vertical surface may help. Some additional tips:
As you can see, there’s a lot to think about! The good news is that most of these activities are a natural progression for little ones, so knowing what to look for and/or how to support these motor skills. Check back next week where we’ll cover sitting independently, crawling, and walking.