Physical Development

My Toddler Has Poor Balance Skills

Medically reviewed by Dr. Sarah Chen, MD, FAAP · Board-Certified Pediatrician

Content reviewed against published AAP, CDC, NIH guidelines

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Your baby's physical development is unique, and concerns about my toddler has poor balance skills, here is what you need to know.

The short answer

Balance develops gradually throughout the toddler and preschool years. Standing on one foot briefly does not typically develop until age 3-4, and walking along a balance beam is a 4-5 year skill. Toddlers naturally have less developed balance than older children, and most apparent balance concerns are simply age-appropriate.

Key takeaways

  • Balance develops gradually throughout the toddler and preschool years. Standing on one foot briefly does not typically develop until age 3-4, and walking along a balance beam is a 4-5 year skill. Toddlers naturally have less developed balance than older children, and most apparent balance concerns are simply age-appropriate.
  • Usually normal when: Your toddler is under 3 and has balance typical for their age.
  • Call your doctor if: Your child's balance has suddenly worsened.
  • Varies by age — see the age-by-age breakdown below
Supervised tummy time is recommended daily from the time the baby comes home from the hospital to help prevent flat head syndrome and to strengthen neck and shoulder muscles.
Back to Sleep, Tummy to Play, American Academy of Pediatrics (AAP)

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What Parents Should Know

According to AAP, CDC, NIH guidelines, balance develops gradually throughout the toddler and preschool years. Standing on one foot briefly does not typically develop until age 3-4, and walking along a balance beam is a 4-5 year skill. Toddlers naturally have less developed balance than older children, and most apparent balance concerns are simply age-appropriate. At 12-18 months, new walkers have limited balance, which is completely normal. Your toddler uses a wide stance, arms up, and careful stepping to maintain balance. Falls are frequent and expected. Balance improves rapidly with walking practice during this period. It is generally considered normal when your toddler is under 3 and has balance typical for their age. However, you should contact your pediatrician promptly if your child's balance has suddenly worsened.

Sources: [1], [2], [3]

Normal vs. Concerning

Usually Normal
Worth Discussing
Your toddler is under 3 and has balance typical for their age.
Your child's balance has suddenly worsened.
Your toddler's balance is gradually improving over time.
Your child has dizziness, tilts their head, or seems disoriented along with balance problems.
Your toddler is steady during regular walking but wobbly with challenging balance tasks.
Your child is over 3 and has noticeably worse balance than peers.
Your toddler can recover from stumbles without always falling.
Your child avoids physical activities due to balance concerns.

By Age

What to expect by age

12-18 months

New walkers have limited balance, which is completely normal. Your toddler uses a wide stance, arms up, and careful stepping to maintain balance. Falls are frequent and expected. Balance improves rapidly with walking practice during this period.

18-24 months

Balance is improving but still developing. Your toddler may be able to briefly stand on tiptoes and is getting steadier when walking. They should be able to walk without constantly falling. Challenging balance activities like walking on uneven surfaces are still difficult, and that is normal.

2-3 years

Your child should be able to walk on a variety of surfaces, go up and down small slopes, and start to briefly stand on one foot. Walking along a line on the floor or a wide balance beam may be emerging. If your child seems significantly more unsteady than peers, mention it to your pediatrician.

3-4 years

Most children can stand on one foot for a few seconds by age 3-4 and walk along a wide line. If your child has persistent balance difficulties that interfere with play and daily activities, an evaluation may be helpful. Balance problems can sometimes indicate inner ear issues, vision problems, or coordination disorders.

What to Tell Your Pediatrician

  • Describe when you first noticed my toddler has poor balance skills and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if your child is over 3 and has noticeably worse balance than peers.
  • Mention if your child avoids physical activities due to balance concerns.
  • Let your doctor know if you have noticed any related concerns, such as changes in feeding, sleep, or movement patterns.
  • Bring a list of any questions or observations you want to discuss at the appointment.

What Should You Do?

When to take action

Probably normal when...
  • Your toddler is under 3 and has balance typical for their age.
  • Your toddler's balance is gradually improving over time.
  • Your toddler is steady during regular walking but wobbly with challenging balance tasks.
  • Your toddler can recover from stumbles without always falling.
Mention at your next visit when...
  • Your child is over 3 and has noticeably worse balance than peers.
  • Your child avoids physical activities due to balance concerns.
  • Your child frequently falls during simple walking on flat surfaces after age 2.
Act now when...
  • Your child's balance has suddenly worsened.
  • Your child has dizziness, tilts their head, or seems disoriented along with balance problems.

What You Can Do at Home

  • Keep track of when you notice my toddler has poor balance skills — noting the time of day, duration, and any triggers can help your pediatrician.
  • Remember that your toddler is under 3 and has balance typical for their age — this is generally within the range of normal.
  • At 12-18 months, focus on observation rather than intervention unless your pediatrician advises otherwise.
  • Provide plenty of supervised floor time and tummy time to support your baby's physical development.
  • While monitoring at home, seek immediate care if your child's balance has suddenly worsened.

Frequently asked questions

Is my toddler has poor balance skills normal?
Balance develops gradually throughout the toddler and preschool years. Standing on one foot briefly does not typically develop until age 3-4, and walking along a balance beam is a 4-5 year skill. Toddlers naturally have less developed balance than older children, and most apparent balance concerns are simply age-appropriate.
When should I call the doctor about my toddler has poor balance skills?
Your child's balance has suddenly worsened. Your child has dizziness, tilts their head, or seems disoriented along with balance problems.
When is my toddler has poor balance skills normal?
Your toddler is under 3 and has balance typical for their age. Your toddler's balance is gradually improving over time. Your toddler is steady during regular walking but wobbly with challenging balance tasks.
What causes my toddler has poor balance skills?
Balance develops gradually throughout the toddler and preschool years. Standing on one foot briefly does not typically develop until age 3-4, and walking along a balance beam is a 4-5 year skill. Toddlers naturally have less developed balance than older children, and most apparent balance concerns are simply age-appropriate. Common explanations include: Your toddler is under 3 and has balance typical for their age.. Your toddler's balance is gradually improving over time..
What should I mention to my pediatrician about my toddler has poor balance skills?
You should mention my toddler has poor balance skills at your next visit if: Your child is over 3 and has noticeably worse balance than peers.. Your child avoids physical activities due to balance concerns.. Your child frequently falls during simple walking on flat surfaces after age 2..
Is my toddler has poor balance skills normal at 12-18 months?
New walkers have limited balance, which is completely normal. Your toddler uses a wide stance, arms up, and careful stepping to maintain balance. Falls are frequent and expected. Balance improves rapidly with walking practice during this period.
Is my toddler has poor balance skills normal at 18-24 months?
Balance is improving but still developing. Your toddler may be able to briefly stand on tiptoes and is getting steadier when walking. They should be able to walk without constantly falling. Challenging balance activities like walking on uneven surfaces are still difficult, and that is normal.
Should I go to the ER for my toddler has poor balance skills?
Seek emergency care if your child's balance has suddenly worsened, or if your child has dizziness, tilts their head, or seems disoriented along with balance problems. When in doubt, call your pediatrician's after-hours line for guidance.
Does my toddler has poor balance skills go away on its own?
In many cases, my toddler has poor balance skills resolves on its own, especially when your toddler is under 3 and has balance typical for their age. By 3-4 years, most children can stand on one foot for a few seconds by age 3-4 and walk along a wide line. If your child has persistent balance difficulties that interfere with play and daily activities, an evaluation may be helpful. Balance problems can sometimes indicate inner ear issues, vision problems, or coordination disorders.

References

  1. [1]American Academy of Pediatrics - Movement: 2 Year Olds AAP
  2. [2]CDC - Important Milestones: Your Child By 3 Years CDC
  3. [3]Assaiante C, Amblard B. An Ontogenetic Model for the Sensorimotor Organization of Balance Control in Humans. Hum Mov Sci. 1995;14(1):13-43 NIH

Doctor Visit Checklist

Bring this checklist to your next pediatrician visit to discuss My Toddler Has Poor Balance Skills.

Things to mention

  • Describe when you first noticed my toddler has poor balance skills and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if your child is over 3 and has noticeably worse balance than peers.
  • Mention if your child avoids physical activities due to balance concerns.
  • Let your doctor know if you have noticed any related concerns, such as changes in feeding, sleep, or movement patterns.
  • Bring a list of any questions or observations you want to discuss at the appointment.

Observations to share

  • Your child is over 3 and has noticeably worse balance than peers.
  • Your child avoids physical activities due to balance concerns.
  • Your child frequently falls during simple walking on flat surfaces after age 2.

Urgent signs to report immediately

  • Your child's balance has suddenly worsened.
  • Your child has dizziness, tilts their head, or seems disoriented along with balance problems.

My notes

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Bottom line

Most cases of my toddler has poor balance skills are normal. Talk to your pediatrician if your child's balance has suddenly worsened.

Trust your instincts. If something feels wrong, reach out to your pediatrician. Worrying about your baby means you care — that is a good thing.

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My Toddler Has Poor Balance

Toddlers are naturally clumsy - learning to walk, run, and navigate the world is hard work, and falls are a normal part of the process. Most kids take months to walk confidently and years to have truly good balance. However, if your toddler falls constantly, always to one side, or seems much more unsteady than other kids their age, it's worth having their pediatrician take a look.

My Toddler Seems Very Clumsy

Clumsiness is extremely common and normal in toddlers. Their brains are still developing the neural pathways for coordination, spatial awareness, and balance. Most toddlers appear clumsy compared to older children. However, if clumsiness is persistent, severe, or worsening after age 3, it may be worth evaluating for developmental coordination disorder.

My Toddler Trips and Falls Constantly

Frequent tripping and falling is extremely common in toddlers and is usually a normal part of development. Toddlers are still developing balance, coordination, and spatial awareness while moving at speeds their bodies are not quite ready for. Most toddlers become steadier by age 2-3, though some clumsiness is normal well into the preschool years.

Should I Use Adjusted Age for My Preemie's Milestones?

Yes — for premature babies, developmental milestones should be assessed using adjusted (corrected) age, not chronological age, until at least 2 years of age. Adjusted age is calculated by subtracting the number of weeks your baby was born early from their actual age. For example, a 6-month-old born 2 months early would have an adjusted age of 4 months, and should be assessed against 4-month milestones. Most pediatricians use adjusted age for developmental assessment through age 2-3, and for growth charts through age 2.

Baby-Proofing a Small Apartment

Baby-proofing a small apartment is absolutely possible and focuses on the same key safety principles as any home: securing furniture to walls, covering outlets, locking cabinets with hazardous materials, and ensuring safe sleep spaces. Small spaces actually have an advantage - there is less area to monitor. Focus on eliminating the most dangerous hazards first: falls, poisoning, choking, and burns.

My Baby Seems to Use One Side More Than the Other

Babies should use both sides of their body fairly equally during the first 18 months of life. While slight preferences can be normal, a consistent pattern of favoring one side - using one arm much more than the other, crawling with one leg dragging, or turning the head predominantly one way - should always be discussed with your pediatrician. Early identification of asymmetry leads to the best outcomes.