I know a person whose kid has ADHD and was constantly running carelessly into random directions, failing to immediately react to their mother shouting them to stop. There was so much spontaneous and uncontrolled running here and there that the only option seemed to be to constantly hold their hand.
Eventually the kid’s mother came to the conclusion that the kid will have more freedom if she’s kept on a leash instead of having to hold hands. The time they had to use the leash didn’t end up being many months, either. In the case of that family it was definitely a choice that increased the psychological well-being of the child and supported their development of motor skills.
You can never know what the reasons are, so go careful with judging!

I’m terribly sorry to my spider friends. You see, I’m an ADHD creature and that means there aren’t really much of routines to learn. Must be frustrating for them!