Motor skills development in children with Down syndrome covers both large movements (gross motor) and small, precise ones (fine motor). Low muscle tone and flexible joints shape the timeline, but with support most children reach these skills.
Gross motor skills
Rolling, sitting, crawling and walking build on core and limb strength. Tummy time, supported sitting and floor play all encourage this. Physiotherapists guide families on activities that build stability without rushing.
Fine motor skills
- Reaching and grasping objects.
- Transferring toys between hands.
- Later, self-feeding, stacking and early drawing.
Play is therapy
Everyday play is one of the most powerful ways to build motor skills. Reaching for a favourite toy, splashing at bath time and exploring textures all strengthen coordination.
How therapy fits in
Occupational and physical therapists set achievable goals and adapt activities to each child. See our overview of physical therapy in early childhood for more detail.