Occupational Therapy - Is My Child on Time?

SpeechPath Staffing Outpatient Therapy specializes in speech, language, and occupational therapies for pediatrics and is conveniently located on West End Avenue.  Our mission is to “create a path of hope” while providing exceptional service for therapeutic needs.  The following checklist helps you, the parent, determine if your child’s developmental skills are on schedule.

The most intensive period of motor development for humans is during the first three years to six years of life.  There is increasing evidence suggesting that there are “critical periods” for development in infants and young children.  This means that the developing brain is best able to absorb and learn new skills during this period.  The ability to learn will be more difficult, and perhaps less efficient or effective, if these critical periods are allowed to pass without early exposure. 

Children vary in their development of motor skills. There is, however, a natural progression or “timetable” for mastery of these skills.  The milestones are identifiable skills that can serve as a guide to normal development.  There is a general age and time when most children pass through these periods. 

Please review this checklist and talk to your child’s doctor about any concerns/questions you may have.  Also, feel free to contact SpeechPath Staffing Outpatient Services for any further information.  We look forward to working with you.

(Y   N) Newborn

□   □   closes finger around objects/finger in tight grasp
□   □   alert and interested in sights and sounds
□   □   turns head toward sounds
□   □   lifts and turns head part way while on belly
□   □   brings hand to mouth

(Y   N) 3 to 5 months                                     

□   □   reaches for objects in view
□   □   brings both feet to mouth
□   □   maintains balance while sitting
□   □   begins to transfer items hand to hand
□   □   hands come together in play
□   □   uses mouth to explore objects in environment
□   □   strong gag response, rooting reflex
□   □   visually tracks object from side to side

(Y   N) 6-8 months

□   □   rolls from back to stomach
□   □   looks for objects when they disappear from sight
□   □   sits alone without support
□   □   plays peek-a-boo
□   □   picks up 2 small objects with one hand
□   □   uses forefinger to poke, push, pull small objects
□   □   independently bottle feeds self without mess
□   □   drinks out of a cup with help
□   □   feeds self cracker or cookie
□   □   eye movements independent from head movements

(Y   N) 9-11 months

□   □   attends to a book or toy for about 2 minutes
□   □   raises to hands and knees
□   □   “cruises” furniture and walls
□   □   from stomach, raises to sitting position to reach toy  
□   □   pulls self to stand and lowers self down
□   □   imitates a scribble
□   □   pick up spoon by handle
□   □   removes socks and unties shoes
□   □   imitates adult’s use of tools, such as combing hair
□   □   attempts spoon feeding
□   □   picks up small objects using thumb and finger grasp

(Y   N) 12-14 months

□   □   builds tower of 2 or more blocks
□   □   marks with pencil or crayon
□   □   put small objects in cup or other container
□   □   plays with other children, side by side
□   □   climbs up on chair or other furniture
□   □   walks without help
□   □   insists on feeding self
□   □   drinks from a cup without help
□   □   creeps up 2 steps on hands and knees
□   □   kneels/stands by self with steady balance
□   □   throws small ball
□   □   opens book and turns a few pages at a time
□   □   stirs spoon in cup
□   □   helps a little when being dressed

(Y   N) 15-24 months

□   □   walks backwards several steps
□   □   stacks a tower of 4 or more blocks
□   □   kicks a ball forward with good balance
□   □   jumps forward 4 inches without falling
□   □   stoops to pick up toy without falling
□   □   grasps marker with thumb and 1st finger,
             wraps remaining finger around marker
□   □   turns three pages in book
□   □   feeds self with a spoon and eats with fork
□   □   points to two of own body parts

(Y   N)   2 years – 2 ½ years

□   □   placing 1 foot on each step, walks up 4 steps
□   □   draws vertical line
□   □   runs; walks sideways and backwards
□   □   initiates overhand throw/underhand throw
□   □   removes screw on lid from bottle
□   □   stacks 8  to 10 blocks
□   □   strings 2 to 4 large beads on shoelace
□   □   identifies 2 body parts from picture

(Y   N) 2 ½ years – 3 years

□   □   washes and dries hands independently
□   □   cuts with small scissors
□   □   plays pretend games
□   □   catches soft objects with both hands
□   □   can jump down from 1 foot heights
□   □   can string large beads on a shoelace or string

(Y   N) 3 years - 3 ½ years

□   □   understands concepts such as ‘behind,’ & ‘next to’
□   □   runs with arms moving back and forth
□   □   cuts paper into 2 pieces
□   □   traces horizontal line
□   □   unbuttons (only) using large buttons
□   □   undresses self with some help
□   □   toilet trained
□   □   rides a tricycle using pedals
□   □   draws or copies a complete circle

(Y   N) 3 ½ years – 4 years

□   □   hops forward on one foot, then the other foot
□   □   dresses/undresses with some help
□   □   hops forward on one foot, then the other foot
□   □   buttons and unbuttons large buttons
□   □   carries out a series of 3 directions.
□   □   paints with a crayon/brush covering a whole page
□   □   learning to take turns in games
□   □   plays make-believe games with other children.
□   □   cuts across and down paper with scissors

(Y   N) 4 years - 5 ½ years

□   □   completes forward roll accurately
□   □   touches each finger to thumb
□   □   draws a man with head and legs
□   □   compares different textures like: soft, smooth
□   □   names heavier of two objects in hands
□   □   hops on one foot
□   □   able to walk the full length of a balance beam
□   □   participates and enjoys group interaction
□   □   copies a "+" (plus), and a "V."
□   □   dresses/undresses except for laces, back buttons,   some zippers, & snaps.
□   □   eats with fork and spoon.

(Y   N) 5 ½ years - 6 years

□   □   with hands on hips, jumps back and forth across line   
□   □   accurately imitates arm positions/copies Simon Says
              postures
□   □   draws six part unmistakable man with body
□   □   points front, back, near, up, down, with eyes closed
□   □   aware of but confuses right and left
□   □   in pictures identifies object that is beside, between,
              in middle, in front of
□   □   bounces and catches small ball
□   □   folds paper in half twice with edges parallel
□   □   draws triangle from copy
□   □   runs and skips

Show me your ways, O LORD, teach me your paths.
Psalms 25:4