Basic gear to foster motor development

a baby on his tummy

Supervised tummy time has its perks.

Basic gear

  • Mobile
  • Musical toys
  • Mirrors in the crib or play pen
  • Soft fabric toys with differing sounds and textures
  • Fabric dolls or animals with easy to grab limbs
  • Activity mat
  • Rattles - Lighter rattles for young children; rattles can be played with in any position; can be used to encourage rolling and movement; encourages midline, fine motor and transfer skills; encourages children to reach toward things they can see and hear

Equipment to be used in moderation

It is important for babies to be safe while being transported. Car seats and strollers are necessary equipment but should be used for transport only and not for prolonged periods throughout the day. The pieces of equipment listed below, when used for extended periods of time, decrease exploration of the enviroment, increase pressure at the back of the head, promote poor postural alignment and limit muscle activity that may lead to muscle weakness and delayed gross motor skills.

  • Strollers (with car seat carry along)
  • Car seats (carry along)
  • Bouncy seats

Equipment to avoid

Some equipment that is marketed as beneficial is actually detrimental to your baby's postural development and overall safety and well being. These should never be used due to the detrimentals effects these can have on your child's gross motor development.

  • Johnny Jumper or suspended jumper - Concerns: Child can fall; strangulation may occur; the apparatus could collapse; straps fraying or breaking; screws from device falling on children; increased risk of head trauma; increases vertigo with twirling; whiplash; foot deformities due to not weightbearing symmetrically on toes.
  • Baby walkers - These are banned by the American Medical Association (AMA). They are no longer manufactured or sold in Canada. Concerns: Increased risk of injury secondary to harmful objects or falling down stairs; delayed balance reactions.

    Electomyography (EMG studies show how your muscles activate or work while performing certain activities) studies have shown that babies using walkers may begin walking at similar times as babies not using walkers. However, babies using walkers demonstrated incorrect postures that encouraged their muscles to move in the wrong order.

Exersaucer - Positive aspects: Baby can cruise or stand around outside of toy; can play with toys from the outside of exersaucer to help enhance fine motor skills; can practice pulling to stand on outside of exersaucer.

Concerns: While suspended in bucket seat, baby may keep legs bent or stand stiff legged on their toes (neither position fosters proper body alignment); unequal weight bearing into lower extremities; encourages weight bearing on the inside of the foot which can lead to foot deformities; promotes round neck and back, pelvis tilting backwards during sitting ("slouching posture"); sets up incorrect postural alignment because babies are placed upright before their muscles are ready; babies will hyperextend their backs and drop their stomachs out forward.

Some studies have shown that babies will walk later from being placed in an exersaucer secondary to not experiencing appropriate weight bearing and weight shifting necessary to develop good trunk control and alignment.

The infants show a decreased drive to explore and get from one place to another using gross motor skills; they rely on the saucer for stability instead of using their back and stomach muscles; the saucers promote incorrect weight bearing into hip joint, which is critical for bony development. Infants learn improper alignment and compensatory patterns of movement in standing.

  • Bumbo Seat - Positive aspects: Keeps weight off the back of the child's head. ( This can be achieved in supervised tummy-time activities.)

    Concerns:
    Promotes round neck and back, pelvis tilting backwards during sitting ("slouching posture"); baby is not actively using any of his back extensor muscles; decreased ability to explore their enviroment; Decreased cognitive, social, and overall generalized learning activities.

Toys to avoid:

These toys pose choking and or suffocation hazards:

  • Antique rattles
  • Foam toys
  • Toys with elastic
  • Toys with buttons, bells and ribbons
  • Old wooden toys that may contain lead paint
  • Furry plush dolls that shed
  • Any toys with small parts
  • Loosely stitched or plastic eyes

Tummy time

  • Allows child to develop trunk musculature, especially back extensors and shoulder girdle muscles.
  • Decreases pressure at the back of the head, helpful in preventing a flat head shape.
  • Infants that have sufficient tummy time acquire motor milestones such as creeping and crawling faster.
  • Encourages development of early experiences such as weight shifting, rolling and general mobility and facilitates basic balance reactions through the trunk.

Activities that foster good tummy time:

  • Stroller rides on tummy.
  • Place your baby on their stomach while over your lap.
  • Place baby on tummy on your chest while you are reclined.
  • Carry your baby horizontally. Scoop your hand under your baby's chest so their legs straddle your forearm.
  • Get down on the floor facing the baby with or without toys placed between you.

Toys/equipment that foster good tummy time:

As babies develop, so does their need for play things that fit their growing abilities.

  • "Tummy Time" play mat with toys (Do not use included pillow.)
  • "Pack N Play" with baby placed on tummy
  • 2 in 1 tummy timeplay gym
  • Easy store activity zoo

Things to avoid while placed on tummy:

  • Objects placed under chest or arms will place back in a poor position
  • Baby left unsupervised
  • Pillows/pads or other soft objects under body or face which may interfere with breathing