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Expert Q&A:
When will my 4-month-old be ready for a walker?

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Linda Jonides
Answered by Linda Jonides R.N., C.P.N.P.
"I have worked as a pediatric nurse practitioner (P.N.P.) for over 30 years," says Linda Jonides. "I continue to thoroughly enjoy forming new relationships with parents and newborns and working with them through infancy, childhood, and adolescence."

Linda Jonides is a pediatric nurse practitioner in a private pediatric practice in Ann Arbor, Michigan. She received her Diploma in Nursing and Certificate as a Pediatric Nurse Practitioner from The Johns Hopkins Hospital. She is a past recipient of the Michigan PNP of the Year Award. She has a B.S. in Nursing from Eastern Michigan University. She has published articles and lectured on childhood obesity, infant colic, role of the P.N.P., growth and development issues, and infectious diseases. She was an author of "Clinical Insights Column," published biannually in the Journal of Pediatric Health Care for nine years. Jonides is past president of NAPNAP. Currently, she is a steering group work member of NAPNAP's HEAT (healthy eating and activity together) project. One outcome of this group's work is the clinical practice guideline, "Identifying and Preventing Overweight in Childhood," that was published as a supplement to the March/April '06 issue of the Journal of Pediatric Health Care.

Ms. Jonides has been married to John, a university professor, since 1971.
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Question


When will my 4-month-old be ready for a walker?

Answer


Your baby must be quite strong and progressing very well with regard to his large muscles. Some parents do start to use walkers for their infants at his age, or more often at 6 months or later. However, despite the fact that many parents use walkers, there are important concerns about their use.

First, these devices actually hinder the process of learning to walk. They do help to strengthen muscles in the lower legs, but they don't do a good job of strengthening the muscles in the upper legs and hips that are used most in walking. In fact, babies sometimes lose their desire to walk because they can get around so easily with the aid of the walker.

Second, walkers can present a safety hazard. Since the walker aids the child's mobility at a much earlier age, the child can then get to places, such as stairways, that are a common source of accidents. Every year, injuries associated with walkers lead to numerous emergency room visits. It's true that recent versions of walkers, such as Exersaucers, have a broader base and don't tip over as easily as older walkers, but they still cause many accidents.

So, if you do choose to use a walker, let your baby use it only for short periods while you watch him carefully. Make sure your baby has opportunities to develop all of his muscles by allowing him to be in other positions as well, such as sitting, lying on his tummy when he's awake and you're with him, being on his back, etc. Always be aware of possible safety hazards when he's in the walker and at all other times.
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