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Bright Futures in Practice: Physical Activity

EARLY CHILDHOOD

Why Isn't Charlie Developing Motor Skills?

Charlie Spooner, a quiet 4-year-old boy, and his mother are going to see Dr. Higgs, the family physician. Dr. Higgs notices that Charlie is content to sit in a chair and gaze at whomever is speaking. He has no interest in getting up and looking around or playing with the toys in the room. Charlie's mother is concerned that Charlie is lagging behind his sister in motor skill development.

Dr. Higgs reassures Charlie's mother that boys usually take longer than girls to develop motor skills. Dr. Higgs discovers that Charlie and his sister go to different child care providers. Charlie's provider does not promote physical activity, and the children are allowed to spend hours watching television and playing with toys that do not require much physical activity. On the weekends, Charlie's parents run and bike; however, they place him in a stroller or bike seat. Charlie's mother and father wonder why their child does not seem interested in running or learning how to ride a bike.

Dr. Higgs explains that Charlie needs the opportunity to try out various activities that are appropriate for his skill level. Dr. Higgs suggests that rather than focusing on running and biking, Charlie's parents should encourage him to try other activities (e.g., playing with a ball, climbing, jumping) and to make these activities fun. Dr. Higgs also provides two additional suggestions: (1) changIng child care providers to one who promotes physical activity and (2) allowing Charlie to participate in organized, supervised activities (e.g., gymnastics programs, play groups). Charlie's mother agrees to give these suggestions a try.

Dr. Higgs explains that Charlie needs the opportunity to try out various activities that are appropriate for his skill level.

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