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Published on: 5/26/2025

What Should Be Considered If a Child Suddenly Loses the Ability to Walk?

When a child suddenly loses the ability to walk, it is important to check for several factors including changes in neuromuscular strength, neurological function, and overall development. An in-depth evaluation helps guide whether this change is due to an underlying disease, a new injury, or a complication of an existing condition.

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Explanation

A sudden loss of walking ability in a child can be alarming and needs careful evaluation. One key consideration is whether there is a change in neuromuscular strength or control. In some cases, there might be an underlying neuromuscular disease that has become more apparent, as discussed in studies reviewing gait and ambulation in children with such conditions. It is also important to evaluate neurological function because conditions that affect the brain or spinal cord can lead to sudden weakness. Additionally, an injury or infection could affect muscle control or nerve health, so a detailed history and physical exam are crucial. In children with previously established conditions like cerebral palsy, any decline in walking skills should prompt a review of therapy, treatment plans, and overall health. Lastly, environmental and psychosocial factors can also influence walking and mobility, so a comprehensive approach that considers the child’s development, recent stresses, or lifestyle changes is essential. This ensures that the proper investigations and referrals are made for timely care.

(References)

  • Eltahir Babiker MO. The boy who stopped walking…. Sudan J Paediatr. 2015;15(1):65-8. PMID: 27493424; PMCID: PMC4949862.

  • Kennedy RA, Carroll K, McGinley JL, Paterson KL. Walking and weakness in children: a narrative review of gait and functional ambulation in paediatric neuromuscular disease. J Foot Ankle Res. 2020 Mar 2;13(1):10. doi: 10.1186/s13047-020-0378-2. PMID: 32122377; PMCID: PMC7052968.

  • Hospodar CM, Hoch JE, Lee DK, Shrout PE, Adolph KE. Practice and proficiency: Factors that facilitate infant walking skill. Dev Psychobiol. 2021 Nov;63(7):e22187. doi: 10.1002/dev.22187. PMID: 34674233; PMCID: PMC8550266.

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