The Problem with Pikler: Balancing Old and New Perspectives on Infant Movement

The Problem with Pikler: Balancing Old and New Perspectives on Infant Movement

20 Nov 2024

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This informal CPD article, ‘The Problem with Pikler: Balancing Old and New Perspectives on Infant Movement’, was provided by Little Cub Nurture Hub, who offer Baby Room education and training for practitioners which focus on infancy and are in-line with the Early Year’s Framework.

Dr. Emmi Pikler’s approach to infant development, known as the Pikler method (1), emphasises free movement and minimal adult intervention, encouraging babies to reach motor milestones independently. Developed in the mid-20th century, Pikler’s philosophy suggests that infants benefit most when given freedom to explore movement on their own, fostering physical, cognitive, and emotional development. Although Pikler’s approach has influenced early childhood education globally, evolving insights highlight the need to adapt these principles to today’s childcare landscape.

For Early Year’s Professionals, adaptations are especially important as babies are spending more time in childcare settings with the new 9-month childcare entitlement. Practitioners play a critical role in creating enriched developmental experiences that consider both Pikler’s foundational ideas and contemporary recommendations for infant movement.

Core Principles of the Pikler Approach

Pikler’s philosophy focusses on giving infants the autonomy to explore their surroundings without adult interference. She believed that, when placed in a safe environment, infants would naturally progress through movement stages—rolling, crawling, sitting, standing—without the need for adults to position or guide them. Pikler saw this approach as essential for building physical strength, confidence, and self-awareness.

The main aspects of the Pikler approach include:

Respect for Autonomy: Encouraging infants to move and develop at their own pace to promote independence.

Minimal Intervention: Advising against propping, positioning, or guiding infants to sit, stand, or walk prematurely.

Observational Engagement: Caregivers focus on observing infants, responding only when necessary to foster a calm, secure environment.

Advocates of the Pikler method believe it nurtures physical and emotional development by enabling infants to trust their own capabilities and experience mastery over their bodies. However, these principles are increasingly challenged by updated research on motor development and modern childcare practices.

Modern Shifts in Infant Developmental Contexts

Over recent decades, the environment for infant care has evolved with updated guidance on caring for babies in the first year.

Recent changes include: The “Back to Sleep” Campaign and Tummy Time Emphasis (2). The “Back to Sleep” campaign of the 1990s significantly reduced the risk of Sudden Infant Death Syndrome (SIDS) by encouraging parents to place infants on their backs to sleep. While effective for SIDS prevention, this sleeping position also limited infants’ time on their tummies, leading to possible delays in neck, shoulder, and core muscle development. 

The modern NHS recommends 30 minutes of tummy time daily during awake hours to build essential motor skills. The EYFS framework (3) also includes tummy time as standard practice, underscoring its importance in fostering physical development in nursery and childminding settings.

Impact of Insufficient Tummy Time on Development

Without sufficient time spent in a prone position, infants may struggle with neck and shoulder strength, making it harder for them to reach motor milestones such as rolling, crawling and sitting. 

According to a 2018 study in the Journal of Pediatric Physical Therapy (4), “Infants who lack tummy time may experience delays in developmental milestones, particularly in areas involving strength, coordination, and mobility.” These delays can have lasting effects, potentially impacting an infant’s posture and balance as they grow, leading to challenges in coordination that may affect their physical activities later in childhood.

Tummy time is crucial for a range of reasons, significant ones include:

Motor Skill Development: Tummy time strengthens core muscles necessary for mobility, forming the foundation for skills like crawling, sitting, and eventually walking. Babies with limited tummy time may struggle with gross motor tasks and need additional support to meet typical physical milestones.

Postural and Cognitive Development: Tummy time encourages head lifting, which not only builds neck strength but also supports postural control and spatial awareness. These skills are linked to cognitive development, as infants learn to process and interact with their environment more effectively and prevents the infant developing flat spots and from developing twisted neck syndrome.

1. Increased Use of Containers

The rise of “containers” like car seats, bouncers, and swings has become prevalent, offering convenience but often restricting movement, which can delay the development of critical skills like rolling, crawling, and walking. Practitioners can adapt Pikler’s principles by balancing container use with ample floor time, where infants can practice natural motor skills and work on essential muscle development.

2. Impact of Screen Time on Developmental Milestones

Increasing screen exposure can contribute to sedentary behaviour, potentially slowing the development of critical motor skills needed to reach milestones like rolling, sitting, and crawling. Screen-based activities are primarily visual and cognitive, lacking the physical engagement infants need for gross motor development. This shift has prompted experts to blend Pikler’s autonomy-focused approach with interactive play to encourage more hands-on movement.

Sudden Infant Death Syndrome (SIDS)

Critiques of the Pikler Approach in Light of Modern Research

While Pikler’s method offers valuable insights, modern research suggests that a minimal-intervention approach may overlook critical areas of motor development. 

Importance of Tummy Time for Motor Development: Tummy time is essential for building core strength and achieving motor milestones such as crawling and sitting. The EYFS framework integrates tummy time, while the NHS recommends "at least 30 minutes of tummy time spread throughout the day"(5). Combining tummy time with free exploration aligns with both the Pikler philosophy and modern motor development needs.

Value of Varied Sensory Experiences: Research highlights the importance of sensory and movement experiences for brain development. Tummy time offers specific sensory stimuli that promote neural growth. 

Need for Responsive Interaction: Studies on infant emotional development emphasise the role of responsive interaction in managing stress and building attachment. While Pikler’s observational approach is respectful, responsive, active engagement may better support infants' social skills and emotional regulation.

Challenges of Container Culture: In today’s “container culture,” extended time in devices like swings and bouncers impacts posture and strength, delaying motor development. By promoting floor play and limiting container time, practitioners can honour Pikler’s goals while adapting to contemporary infant care challenges.

The Importance of Skilling Up the Workforce

To create a balanced approach that meets the diverse developmental needs of infants, it is essential to skill up the early year's workforce. With increased childcare access and changing recommendations for infant care, practitioners require training to understand the latest insights in infant motor development. Skilled practitioners can know when and how to incorporate tummy time effectively and ensure that each child receives a well-rounded experience that supports their physical, cognitive, and emotional growth.

A skilled workforce is critical because:

Practitioners Can Provide Individualised Support: Infants develop at different rates, and trained practitioners are better equipped to recognise when a child needs extra help with motor milestones, ensuring that no child is overlooked.

Supports Best Practices in Nursery Settings: Training enables practitioners to integrate essential activities, like tummy time and interactive engagement, within the nursery day in a way that honours Pikler's approach but also supports EYFS guidance and NHS recommendations.

Informed Caregivers Influence Long-term Development: Knowledgeable caregivers can create environments that foster lifelong physical skills, from strength and coordination to social engagement, setting a strong foundation for later development.

As the Early Years Educator Journal (2022) notes (6), “Skilling up practitioners with a knowledge of infant motor development allows for better-rounded, responsive care, benefiting both infants and caregivers by fostering an environment where development is supported and celebrated at every stage.”

Creating a Balanced Approach in Nursery Settings

In nursery settings, a blended approach integrating Pikler’s principles with NHS recommendations on tummy time and the EYFS framework creates a holistic developmental environment.

Incorporate Tummy Time with Free Exploration: Practitioners can schedule tummy time throughout the day, ensuring infants build key muscles while experiencing free movement.

Limit Container Time and Prioritise Floor Play: Minimising container use allows infants to develop motor skills on the floor.

Replace Screen Time with Interactive Engagement: Practitioners can reduce screen exposure, promoting physical engagement and active exploration in line with Pikler’s movement emphasis.

Reflective Questions for Practitioners

To help practitioners assess and adapt their approach in light of these insights, consider:

1. How frequently do I incorporate supported tummy time into daily routines? Are there opportunities to increase these sessions to meet NHS recommendations?

2. How do I support babies who don’t like being in the prone position? 

3. How do I balance unstructured floor play into daily routines?

4. Do I create a balance between giving infants autonomy to explore and providing structured activities that promote motor development?

5. Am I mindful of container use, ensuring that infants have enough freedom to practice rolling, reaching, and other skills on the floor?

6. In what ways am I actively engaging with infants through responsive interaction, and how might I integrate more of these moments alongside observational engagement?

Conclusion

The Pikler approach remains valuable for its emphasis on respecting infants’ autonomy and natural development. However, today’s caregiving landscape—shaped by evolving guidelines, the importance of tummy time, and increased container use—calls for a flexible approach.

By blending Pikler’s insights with NHS and EYFS guidelines on tummy time, sensory experiences, and responsive interaction, nursery practitioners can create a balanced environment that supports infants’ diverse developmental needs. This approach can help build a strong foundation for physical, cognitive, and emotional growth in early childcare settings.

We hope this article was helpful. For more information from Little Cub Nurture Hub, please visit their CPD Member Directory page. Alternatively, you can go to the CPD Industry Hubs for more articles, courses and events relevant to your Continuing Professional Development requirements.


REFERENCES

(1)https://pikler.co.uk/about#:~:text=Emmi%20Pikler%20saw%20the%20importance,to%20build%20secure%20trusting%20relationships.

(2)https://www.ncbi.nlm.nih.gov/books/NBK513397/

(3)https://www.gov.uk/government/publications/early-years-foundation-stage-framework--2

(4)https://journals.lww.com/pedpt/fulltext/2018/10000/Physical_Therapy_Management_of_Congenital_Muscular.2.aspx/Low_or_No-Cost_Access_to_Pediatric_Physical_Therapy.aspx

(5)https://www.nhs.uk/live-well/exercise/physical-activity-guidelines-children-under-five-years/#:~:text=Babies%20(under%201%20year)&text=Try%20to%20include%20at%20least,your%20baby%20or%20toddler%20active.

(6)https://link.springer.com/article/10.1007/s13158-022-00323-0

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Little Cub Nurture Hub

Little Cub Nurture Hub

For more information from Little Cub Nurture Hub, please visit their CPD Member Directory page. Alternatively please visit the CPD Industry Hubs for more CPD articles, courses and events relevant to your Continuing Professional Development requirements.

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