Supporting Growth
and Development

BIRTH TO 2 YEARS

Supporting Growth
and Development

BIRTH TO 2 YEARS

Physical development

Physical growth

Your child may not be shorter than their peers during infancy, but their height difference will become more noticeable over time. Your child’s growth will be tracked during their routine check-ups using achondroplasia-specific growth charts for height, weight, and head size. The charts can be found here.

Motor development

Delayed motor development is common in children with achondroplasia. They may develop certain motor skills (such as rolling over, sitting, crawling, and walking) later than their peers and in a unique way. Before they start walking, many children with achondroplasia get around by supporting their body with their feet and forehead, supporting their body with their heels and bottom, army crawling, logrolling, seat scooting, and more. Although these movements may seem concerning, they are natural and common in children with achondroplasia.

It’s important to let your child
develop at their own pace.

In fact, it could even be harmful to push them to do certain movements, like sitting without support, before they are ready. Some children with achondroplasia start walking independently around 18 or 19 months old, while others do so after the age of 2 years. The achondroplasia-specific developmental timeline (below) can help you and your child's pediatrician monitor your child's milestones.


Achondroplasia-specific developmental timelineDownload PDF

In rare cases, muscle weakness may be caused by neurological problems. If your child has severe muscle weakness, medical guidelines recommend an evaluation by a pediatric neurosurgeon. Remember to talk to your child’s care team if you have any concerns about their development.

Speech development

About one in five children with achondroplasia have delayed speech

A delay in speech can affect children’s ability to communicate with others, including their caretakers and peers. Delayed speech may be caused by hearing loss from repeated ear infections. If your child’s speech is delayed, their hearing should be assessed by an audiologist. Having a speech and language evaluation for your child before the age of 2 years is recommended.

Next section: Daily life with achondroplasia

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