DEVELOPMENTAL MILESTONES:

Age Gross Motor Fine Motor Personal/Social Speech and Language

Flexor tone predominates Hands fisted Habituation and some control of state Cry
In prone, turns head to Grasp reflex State dependent quieting and head
side State-dependent ability to fix and turning to rattle or voice
0
Automatic reflex walking follow bright objects
Rounded spine when held
sitting

Head midline
Head held when pulled to
sit
4 mos
In prone, lifts head to 90°
and lifts chest slightly
Turns to supine
Maintains sitting, may
lean on arms
Rolls to prone
7 mos
Bears all weight, bounces
when held erect
Cervical lordosis
Hands mostly open Recognizes bottle Turns to voice and bell consistently
Midline hand play Laughs, squeals
Crude palmar grasp Responsive vocalization
Blows bubbles, raspberries
Intermediate grasp Differentiates b/w familiar person and Uses 1-word and 2-consonant
Transfers cube from hand-to-hand stranger vowel combinations
Bangs objects Holds bottle
Looks for dropped object
Talks to mirror image

Creeps on all 4’s Pincer grasp, mature thumb to index Plays peek-a-boo Shouts for attention
Pivot in sitting grasp Finger feeds Imitates speech sounds
Stands momentarily, Bangs 2 cubes held in hands Chews with rotary movement Waves bye-bye
cruises Uses mama and dada with meaning
10 mos
Slight bow leg Inhibits behavior to “no”
Increased lumbar
lordosis, acute LS
angulation

Walks alone, arms in high Piles 2 cubes Uses spoon with over pronation and Uses single words
guard or midguard Scribbles spontaneously spilling Understands simple commands
Wide base, excessive Holds crayon full length in palm Removes a garment
knee and hip flexion Casts objects
14 mos Foot contact on entire
side
Slight valgus of knees
and feet
Pelvic tilt and rotation
 Arms at low guard Emerging hand dominance Imitates housework Points to named body part
Mature supporting base Crude release Carries, hugs doll Identifies one picture
18 mos and heel strike Hold crayon butt end in palm Drinks from cup neatly Says “no”
Seats self in a chair Dumps raisin from bottle Jargons
Walks backward spontaneously
Begin running Hand dominance is usual Pulls on garment 2-word phrases are common
Walks up and down stairs Build 8-cube tower Uses spoon well Uses verbs
alone Aligns cubes horizontally Opens door turning knob Refers to self by name
2 yrs Jumps on both feet in Imitates vertical line Feeds doll with bottle or spoon Uses me, mine
place Places pencil shaft b/w thumb and Toilet training usually begun Follows simple directions
fingers
Draws with arm and wrist action

Runs well Imitates 3-cube bridge Toilet trained day and night 3-word sentences are usual
Pedal tricycle Copies circle Pours from pitcher Uses future tense
Broad jumps Uses overhand throw with AP arm and Unbutton; washes and dries hands and Asks who, what, where
Walks up stairs motion face Follows prepositional commands
3 yrs
alternating feet Catches with extended arms hugging Parallel play Gives full name
against body Can take turns May stutter; eager
Can be reasoned with Identifies sex of self
Recognizes 3 colors

Walks down stairs Handles a pencil by finger and wrist Cooperative play-sharing and Gives connected account of
alternating feet action, like adults interacting experience
Hops on one foot Copies a cross Imaginative make-believe play Asks why, when, how
4 yrs Plantar arches developing Draws a froglike person with head and Dresses and undresses with Uses past tense, adjectives, adverbs
Sits up from supine extremities supervision distinguishing front and Knows opposite analogies
position s rotating Throws underhand back of clothing and buttoning Repeats 4 digits
Cuts with scissors Does simple errands outside of home

Skips, tiptoes Hand dominance expected Creative play Fluent speech

Balances 10 sec on each Draws man with head, body, Competitive team play Misarticulation of some sounds
foot extremities Uses fork for stabbing food may persist
Throws with diagonal arm and body Brushes teeth Gives name, age, address
5 yrs
rotation Self-sufficient in toileting Defines concrete nouns –
Catches with hand Dresses s supervision except tying composition, classification, use
shoelaces Follows 3-part commands
Number concept to 10

Rides bicycle Prints alphabet; letter reversal still Teacher is important authority Shows mastery of grammar
Roller skates acceptable Uses fork appropriately Uses proper articulation
6 yrs
Mature catch and throw of ball Uses knife for spreading
Plays table games
 Continuing refinement of Eats with fork and knife
7 yrs skills Combs hair
Responsible for grooming