Analysis of walking performance in children with developmental delay and typically developing children on a standardised walking obstacle course: Challenges and observations

This study aims to analyse and compare the challenges faced by children with developmental delay (DD) and typically developing (TD) peers when walking in a standardised walking obstacle course developed to emulate everyday walking challenges, thereby revealing the specific difficulties faced by children with DD in a real-world walking environment. Children with developmental delay remained unchanged or showed very minimal improvement in time and number of steps even after the practice sessions. Despite efforts or practice, they still struggled with balance, stumbled often, and had trouble staying on the path when walking without guidance. Still, results showed that children who are developing typically can complete the obstacle course smoothly. They walk with steady balance, take consistent steps, and don't stumble or step off the path, showing good control and coordination in their movements. The results showed that children with developmental delay had lesser number of stumbles and steps off the path when with guidance, but walking independently through obstacles remains difficult. The Community-Based Standardised walking obstacle course identified these specific walking difficulties. The study highlights the need for early and focused interventions to help children with DD improve their motor skills, gain confidence, and move more safely in everyday situations.