Help Your Child Build the Skills Behind Independent Movement
Children develop movement skills on their own timelines. When a child has ongoing difficulty learning skills such as sitting, moving across the floor, standing, walking, climbing, or running, the more useful question is not simply which milestone is late. It is what physical ability is making that skill difficult. At Meier & Marsh Physical Therapy, our pediatric physical therapists use detailed assessment to assess developmental delays in West Valley City, Tooele in Northpointe, Tooele on Main Street and Grantsville, UT. We identify the strength, balance, coordination, postural control, or movement-planning skills that may be limiting progress and build treatment around what the child is ready to work on next.

Understanding Developmental Delays
A developmental delay means a child is developing certain abilities later than expected for their age. Pediatric physical therapy focuses primarily on gross motor development, including the larger movements children use to control their bodies, change positions, explore their surroundings, and become more independent.
Developmental delays may occur with neurological, genetic, orthopedic, or other medical conditions, and sometimes there is no single identified cause. Normal development also includes variation, so one later milestone does not automatically mean a child needs therapy.
Determining What Is Behind the Difficult Skill
A milestone tells us what the child is not yet doing. The examination tells us more about why the skill is difficult.
Standardized developmental or functional measures may also be helpful. They give us objective information about the child’s current abilities and another way to measure progress over time.
Depending on the child’s age, we may assess:
- Head and trunk control
- Rolling and floor mobility
- Sitting balance
- Transitions into and out of sitting
- Crawling or other floor mobility
- Pulling to stand
- Standing balance
- Early or established walking
- Strength against gravity
- Balance and coordination
- Muscle tone
- Symmetry of movement
- Motor planning
- Age-appropriate gross motor abilities
Building the Missing Pieces of a Motor Skill
Treatment focuses on the physical component that is holding the child back. A child who struggles to sit because trunk control is limited needs a different therapy activity from a child who sits independently but cannot shift weight well enough to move onto hands and knees.
We may use reaching games, floor play, supported standing, climbing, or transitions to practice a specific motor skill. These activities are playful because children learn through movement and interaction, but each activity is selected for a clinical reason.
Teaching Children to Move Between Positions
Motor development is not just about holding a position once an adult places the child there. Independence also requires learning how to get into and out of positions.
A child may stand well when placed at furniture but still have difficulty pulling to stand. In that case, treatment can focus on weight shifting, leg strength, coordination, and the sequence needed to perform the movement without being placed there.
Turning New Skills into Everyday Independence
A movement becomes more valuable when the child can use it during normal life. Therapy therefore progresses beyond performing a skill once in a controlled setting.
A beginning walker may practice moving between surfaces, carrying a light toy, or changing direction. An older child may work on climbing onto playground equipment, getting on and off the floor, or moving through preschool or school spaces with less assistance.
Deciding When Equipment Can Expand Participation
Some children benefit from orthotics, mobility devices, or other supportive equipment while motor skills are developing. Our physical therapists consider equipment when it can improve positioning, provide useful support, or give the child greater access to movement and participation.
When equipment is appropriate, we can coordinate with physicians, orthotists, or other professionals. The purpose is to create more opportunities for independence, not to replace active movement practice.
Giving Families Useful Guidance Without Adding Pressure
Families naturally want to know what they can do at home. Our physical therapists show parents and caregivers how to create simple opportunities for movement that fit into the child’s normal routine.
That might mean placing a favorite toy where the child has a reason to shift weight or arranging play so the child can practice moving between surfaces. These suggestions support therapy without turning every interaction into an exercise session.
Pediatric Expertise Goes Beyond Milestone Charts
Milestone charts can help identify when a skill might deserve closer attention, but they cannot explain what is limiting an individual child. At Meier & Marsh Physical Therapy, our physical therapists use clinical expertise, developmental assessment, and objective measures when appropriate to understand how the child moves and which abilities can help open the door to the next skill.
We measure progress according to the child. The goal is not to force every child through the same developmental sequence or timetable, but to help each child work toward greater motor development, participation, and functional independence within their potential.
Frequently Asked Questions
Give Your Child More Opportunities to Explore and Participate
If you have questions about your child’s gross motor development, a detailed evaluation can provide much more information than comparing milestones alone. It can identify the physical skills that may benefit from support and clarify whether pediatric physical therapy is appropriate.
Contact Meier & Marsh Physical Therapy for pediatric physical therapy for developmental delays in West Valley City, Tooele in Northpointe, Tooele on Main Street or Grantsville, UT. Our team can provide precise, family-centered care that helps children develop movement skills for greater independence, exploration, play, and participation.
Your Next Steps…
- Request An Appointment
- Receive A Custom Treatment Plan
- Work Hard and Progress In Your Recovery
- Recover & Enjoy Life Pain-Free






