Building Strength from the Centre: Core Exercises for Babies with Down Syndrome

May 12 / Nikita Oosthuizen
When we think about helping babies move, we often focus on big milestones like rolling, sitting, or crawling. But behind every successful movement is core strength—the muscles in your baby’s tummy, back, and hips that support balance, posture, and movement.

For babies with Down syndrome, building a strong core is especially important because low muscle tone (hypotonia) can make these early movements more challenging. The good news? Simple, playful exercises can help your little one develop the core strength they need to explore, grow, and thrive.
Why Core Strength Matters

A strong core helps your baby:

  • Sit independently without support
  • Roll, crawl, and eventually stand with more control
  • Reach, grasp, and play with both hands
  • Develop better postural control for feeding and communication

Think of the core as the engine that powers every movement your baby makes. Strengthening it early lays a foundation for all the motor milestones ahead.

Core Strengthening Exercises You Can Try at Home

Here are fun, simple activities that naturally engage your baby’s core muscles:

1. Tummy Time

Place your baby on their tummy for short, frequent sessions throughout the day. Encourage reaching for toys placed just out of reach. Make it fun: get down on the floor, make eye contact, sing, or shake a rattle. Tip: Start with 3–5 minutes and gradually increase as your baby grows stronger.

2. Supported Sitting

Sit your baby on your lap or use a soft cushion to prop them up. Offer toys at midline so they reach forward, twist, and shift their weight. This helps engage abdominal and back muscles for stability.

3. Rolling Games

Gently guide your baby from back to tummy and tummy to back. Encourage them to push with their arms and legs. Use a favorite toy to motivate movement. Tip: Rolling helps coordinate the trunk muscles and prepares your baby for crawling.

4. Bicycle Legs

Lay your baby on their back and gently move their legs in a cycling motion. This engages the core and strengthens hip and abdominal muscles. It also helps with digestion and can be calming after meals.

5. Sitting and Reaching

Once your baby can sit with support, place toys slightly out of reach to encourage leaning, twisting, and reaching. These movements strengthen the oblique muscles along the sides of the body.

6. Play on an Exercise Ball

With your baby lying tummy-down on a small exercise or therapy ball, gently rock them forward and backward or side to side. This stimulates balance, coordination, and core activation. Always ensure you have a secure grip and are close to the floor for safety.

Tips for Success

  • Keep sessions short and frequent—babies tire quickly. Follow your baby’s cues—if they seem uncomfortable or fussy, take a break.
  • Make it playful—sing, smile, and use toys to keep your baby engaged.
  • Track progress—notice small gains like holding head up longer, reaching farther, or leaning with control.


When to Seek Extra Support


If you notice your baby struggles with head control, rolling, sitting, or reaching even with practice, consider:

  • Speaking with a paediatric physiotherapist or occupational therapist
  • Asking about specialized exercises or equipment for babies with low muscle tone
  • Checking out online resources or professional communities for guidance
  • You’re not alone, and professional support can make a big difference in helping your baby gain strength safely and effectively.


In Closing


Core strength is more than just muscles—it’s your baby’s foundation for exploring the world. With playful, consistent practice, your little one can gain the control, balance, and confidence they need for every milestone ahead. Remember: every push, reach, and roll counts. Celebrate each little win—they all add up to big progress!

For Parents and Parents-to-Be of Children with Down Syndrome

Discover everything you need to know in one free platform, including:

- Clear, easy-to-read guides and flyers
- Early intervention modules to support your child’s development
- Baby sign language and other practical tools
- A supportive online parent community
- Blog articles and stories from other families
Disclaimer: The information provided on Small Steps Online is for educational purposes only and is not a substitute for professional medical, therapeutic, or developmental advice. Always consult with qualified healthcare providers, therapists, or relevant professionals regarding your child’s specific needs and situation. The September Institute and Small Steps Online are not liable for any outcomes resulting from the use or misuse of the information shared here.
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