Container Syndrome and the Importance of Floor Play

April 13, 2022

What is container baby syndrome (CBS)?

What is container baby syndrome (CBS)?

Babies that are born healthy and mobile that experience delays from being confined or contained for long periods of time. 


What are containers?

Containers range from a bumbo seat or nursing cushion to a car seat or stroller. Other examples include  swings, bouncy seats, vibrating chairs, or any other device that “contains” a baby and limits their movement.

Most common containers:

  • Carseat
  • Swings
  • Jumparoos
  • Bumbo chairs
  • Highchairs
  • Excersausers
  • Strollers
  • Vibrating chairs


How does this cause developmental delays?

Spending 10 or more hours when asleep on their backs and then further time in a "container" while awake can lead to delays in crawling, rolling, sitting, running, and speech and language. When a child spends time in a "container" it limits their opportunities for tummy time and mobility. Tummy time is essential for developmental of appropriate neck, back, core, arm, and leg musculature to allow for progression through gross motor milestones. Tummy time provides the opportunity to explore and interact with various sensory inputs and visual information.


Children learn through exploration and interacting with their environment. Without the opportunity to do so they will experience motor and cognitive delays.


Possible complications as a result of extended time in containers:

  • Flat head (plagiocephaly or brachycephaly)
  • Facial asymmetry
  • Torticollis: tight neck muscles resulting in a head tilt and rotation preference
  • Decreased movement, strength, and coordination
  • Sensory deprivation
  • Cognitive delays
  • Behavior difficulties
  • Lack of reflex integration
  • Delays in visual motor skills
  • Weight gain or obesity



Tips for avoiding CBS?

  1. Limit time in "containers". Only use car seats for transportation and limit a babies time in other containers such as bouncer or swing for no more than 20 minutes at a time.
  2. When the baby is awake have them on their tummy to interact with toys or in other developmental positions such as sitting (independently if baby is over 6 mos). It is important for your infant to be able to play in all positions (tummy, back, side, supported sitting)!
  3. If your baby has difficulty with tummy time, you can try to get on the floor with them to engage them or lay them on your chest while you are reclined for a modified tummy time.
  4. If a baby falls asleep in a "container" such as a car seat, transfer them to their bed when they get home.


Alternatives to Containers for your Baby:

Parents need time to get things done around the house without having to constantly watch a child. While "container" may be enticing, try a play pen with select toys that are safe for your baby. Other options include using a front or back carrier for short periods of time after your baby is old enough to hold their head up. Cuddle time is also a great alternative to "containers" and gives you time to bond with your baby! Understandably, you will need to place your child in a "container" at some point during the day. The important thing to remember is limiting their time in the "container" and giving them ample opportunity to explore their world with freedom to move during floor play. A good rule of thumb is no more than 20 minutes at a time in a "container" and no more than 1 hour in a "container" during a single day.


Thank you to Miss Mackenzie, physical therapist and member of PMC's pediatric physical therapy team, for sharing her knowledge of Container Syndrome! Your tips are all so helpful!

Matthews courage, confidence, and joy have grown beyond measure while in therapy
December 15, 2025
Meet Matthew: A kiddo whose courage, confidence, and joy have grown beyond measure while in therapy at PMC. From conquering his fears in the pool to shining at home and school, his progress has been incredible. With trust, hard work, and an amazing therapy team behind him, Matthew is truly thriving. We couldn’t be prou
October 8, 2025
At Pediatric Movement Center, we believe that movement isn’t just about gross motor development—it’s intertwined with confidence, self-esteem, and real-life functional skills. That’s why helping children gain independence in self-care tasks (dressing, grooming, feeding, toileting) is such an essential piece of the puzzle. Empowering your child to participate in self-care doesn’t just free up time for caregivers. It helps children build motor planning, coordination, problem solving, and a sense of accomplishment. Why Self-Care Skills Matter 1. Motor & cognitive integration Tasks like buttoning, tying shoelaces, brushing hair, and managing zippers demand fine motor control, bilateral coordination, sequencing, and problem solving. 2. Boosting confidence and motivation When children are capable of doing things for themselves (even partially), they feel more competent and proud. 3. Reducing caregiver burden As your child becomes more independent, your role gradually shifts toward coaching rather than doing. 4. Supporting transition to school / life Teachers, peers, and daily routines expect kids to manage many of their own care tasks. Early development of these skills smooths transitions. Common Challenges You May See By recognizing common challenges, you are better prepared to break down tasks and scaffold progress more effectively. 1. Dressing (buttons, zippers, socks) Weak finger dexterity, poor grip strength, sequencing difficulties Frustration, avoidance, slow performance 2. Grooming (hair brushing, face washing) Sensory sensitivity, poor bilateral coordination Child resists touching face, hair, water on face 3. Feeding / Utensil use Hand dominance not established, weak wrist stability Spilling, awkward grasp, switching hands 4. Toileting / Hygiene Motor planning, reach, coordination Difficulty wiping, managing clothing, following steps independently Tips & Strategies to Support Self-Care Growth Here are some practical strategies and tips to help your child grow their self-care skills with joy and confidence. 1. Break Tasks Into Smaller Steps For example, rather than asking your child to “get dressed,” break that down: Pull pants up > Hold waistband > Insert one foot > Insert the other foot > Pull up > Zip / snap / button Tip! Label each step with visuals or checkboxes so your child can see the progression. 2. Use Adaptive Tools & Clothing Modifications let your child practice success while their skills build! Choose clothes with large, easy-to-grasp fasteners (e.g. big buttons, magnetic snaps, Velcro). Use looped zipper pulls or zipper tabs to simplify grip. Utensils with thicker grips or angled handles can ease feeding. 3. Practice in Playful, Low-Pressure Ways Turn grooming into a “spa day” — let your child brush a doll’s hair first, then their own. Sing a song while they dress themselves, doing each step in time. Use a mirror so they can see what they are doing and become more aware of hand movements. 4. Encourage Bilateral Coordination & Strength Games and activities that involve both hands—stringing beads, cutting construction paper, playdough work—help build the coordination needed for self-care. 5. Use Visual Schedules & Reminders A picture-based routine board (e.g. “wash face → brush teeth → comb hair → get dressed → go to school”) offers structure and helps children internalize the sequence. Having the steps visible reduces reliance on verbal prompts. 6. Encourage Autonomy (While Supporting) Let your child try, with you ready to assist only when needed. Use open choices (e.g. “Do you want to put on your socks first or shoes first?”) to promote decision-making. Praise attempts, not just successes: “I saw how you tried to button that shirt — great persistence!” 7. Be Patient & Repeat Often Mastering self-care takes time and repetition. Try to incorporate these tasks multiple times a day. Over months, small progress accumulates into real independence. 8. Address Sensory or Motor Barriers If a child resists face washing, brushing teeth, or hair care, sensory sensitivities may be involved. Gentle exposure, gradual desensitization, and input from occupational therapy can ease the process. When to Seek Support from a Therapist If you notice consistent challenges with a task despite practice, our therapy team is ready to evaluate fine motor, coordination, sensory processing, or motor planning components. You might want to consider occupational therapy support if: Your child is older than peers for their age and still not handling basic self-care tasks They become frustrated, shut down, or avoid attempting these tasks You suspect underlying issues like poor fine motor control, motor planning difficulties (dyspraxia), or sensory sensitivities The gap between what the child can do and what’s expected in school life is widening Therapists can perform assessments, design individualized strategies, and coach you (the parent/caregiver) on how to guide progress at home. At Pediatric Movement Center, we’re honored to partner with families on this journey. If you’d like help assessing which areas to focus on, designing a routine, or troubleshooting stalls in progress, reach out. We’d love to support your child’s growth and celebrate every milestone with you Helping your child with self-care skills is not just about independence—it fosters motor development, confidence, and daily life readiness. With patience, scaffolding, and playful opportunities, you’ll watch them grow step by step into more self-reliance.
September 9, 2025
What to Expect: Your Child’s PT Session
August 27, 2025
No-plate dinners mean no dishes and no pressure—everyone builds their own meal. The only challenge? Be ready for a little mess and some planning. To encourage selective eaters to try new foods, it is important to create exposure opportunities in a no pressure environment. No plate dinners and/or grazing tables provide
August 11, 2025
We know that transitioning back to school can bring excitement, challenges, and lots of questions—so we’ve created a comprehensive Fall 2025 campaign to help support your child every step of the way. From therapy tips and healthy lunch ideas to movement routines and fun events, our team is ready to help children of all
July 30, 2025
This summer, have fun in the sun and stay safe in the water! Here are a few tips for caregivers and parents to keep kids safe this summer. Quick Facts: Drowning is the number one cause of injury death in children ages 1-4. Nearly 70% of drownings among children under four occur during non-swim times. Bathtubs are the most common location of drownings inside the home, and more than half of bathtub deaths involve children less than one year old. Drowning is almost always silent, and it only takes seconds.
Show More