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Children with Down syndrome have reduced muscle tone, which can delay development of their motor skills. Children with delays may roll over, sit up, pull up, stand, and walk later than other children their age.

Encourage motor skill development through active play.

• Place toys just out of your child's reach and encourage him or her to get them. But do not frustrate your child by moving the toy when he or she almost reaches it.
• Play pat-a-cake with your baby.
• Place your baby's legs so that they are touching when you are carrying or holding him or her. This will encourage the normal leg positioning that is needed for sitting and walking.
• Encourage physical playing and gentle wrestling with other members of the family.
• Let your child bang pots and slap his or her hands on the table at times.

Guide your baby in playful exercises, which helps him or her learn to walk.

• Move your baby's arms and legs in swimming motions.
• Bounce your baby on your lap while holding him or her in a standing position.
• Help your baby roll over so that he or she can become stronger and more mobile.
• Support your baby in a sitting position, but let him or her lean forward for balance.