Developmental Milestones: The following are general descriptions of developmental milestones and are only meant to be used as a guideline.

Occupational Therapy Developmental Milestones By 3 Months:

  • Raises head and chest when on tummy

  • Supports upper body with arms when on tummy

  • Pushes into surface when feet are placed on firm surface

  • Opens and closes hands

  • Brings hand to mouth

  • Grasps rattles

Occupational Therapy Developmental Milestones By 7 Months:

  • Rolls front to back and back to front

  • Gets into sitting position without assistance

  • Crawls forward on belly

  • Reaches with one hand

  • Transfers object from hand to hand

  • Uses raking of the hand to grasp object

  • Finger-feeds self

  • Finds partially hidden object

  • Explores objects with hands and mouth

Occupational Therapy Developmental Milestones By 12 Months:

  • Tests parent responses to behaviors

  • Finger-feeds self

  • Crawls on hands and knees

  • Pulls to stand

  • Walks holding onto furniture

  • Takes two or three steps without support

  • Uses pincer grasp

  • Bangs two objects together

  • Puts objects into container

  • Releases objects voluntarily

  • Explores objects in many ways (shaking, banging, throwing, dropping)

  • Finds hidden objects easily

  • Begins to use objects correctly (brushing hair, drinking from cup)

Occupational Therapy Developmental Milestones By 18 Months:

  • Walks alone

  • Pulls toys while walking

  • Turns over container to pour out contents

  • Spoon- feeds

  • Uses open and sippy cup

Occupational Therapy Developmental Milestones By 24 Months:

  • Carries large toy or several toys while walking

  • Begins to run

  • Kicks a ball

  • Walks up and down stairs with support

  • Scribbles

  • Builds tower of 4 or more blocks

  • Demonstrates handedness

  • Helps with undressing

  • Finds objects hidden under multiple covers

  • Begins to sort by shapes and colors

Occupational Therapy Developmental Milestones By 36 Months/3 years:

  • Climbs well

  • Walks up and down stairs alternating feet

  • Runs easily

  • Pedals a tricycle

  • Bends over without falling

  • Makes lines vertically, horizontally, and scribbles circles

  • Turns pages of a book one at a time

  • Builds a 6 block tower

  • Holds a crayon or pencil in writing position

  • Turns rotating handles

  • Completes inset puzzles with 3-4 pieces

  • Undresses self

  • Toilet training begins

Occupational Therapy Developmental Milestones By 48 Months/4 years:

  • Dresses and Undresses

  • Hops and stands on one foot

  • Goes up and down stairs without support

  • Throws a ball overhead

  • Catches a bounced ball most of the time

  • Copies squares

  • Draws a person with 2-4 body parts

  • Uses scissors

  • Draws circles and squares

  • Begins to copy capital letters

Occupational Therapy Developmental Milestones By 60 Months/5 years:

  • Stands on one foot for 10 seconds or longer

  • Hops

  • Somersaults

  • Swings

  • Begins to skip

  • Copies triangle and other shapes

  • Draws a person with a body

  • Prints uppercase letters

  • Cuts on line consistently

  • Uses fork and spoon

  • Cares for own toileting needs

  • Can count 10 or more objects

  • Knows about use of everyday items (food, money)

Occupational Therapy Developmental Milestones By 6 years:

  • Needs to win and may change rules to suit

  • Increasingly aware that others have feelings

  • Shows more interest in taking care of his or her self without help

  • Cleans his or her room, including making the bed

  • Likes board games, crafts and other constructive projects

  • Can move in time with music or a beat

  • Takes risks while climbing and balancing

  • Learns to skip with rope

  • More in control of his or her body

  • Bounces and catches tennis ball

  • Holds a pencil with three finger with movement from fingers

  • Copies a diamond

  • Draws a person with detail

  • Writes alphabet

  • Ties shoelaces without help

  • Eye-hand coordination significantly improves

  • Masters buttons and fasteners

  • Cuts with a knife

Occupational Therapy Developmental Milestones By 7 years:

  • Has good balance

  • Executes more complicated gymnastics such as a cartwheel

  • Activities become more sport specific

  • Proficient with paper and pencil tasks

  • Able to organize multi-step sequences

  • J5 Therapy | Speech Therapy Review
  • J5 Therapy | Speech Therapy Review
  • J5 Therapy | Speech Therapy Review