PT 664: Neonatal/Infant Fine Motor Skill Milestones

Newborn to 10 days year old

-sucks hand

-tracks object

-orients to sounds

-retains object placed in hand

1 month

-hand to mouth

-suck fist for self-calming

-wider arcs of arm movement

2 months

-mouth to hand (pronated)

-hand more open w/ decreased grasp reflex

-drops rattle when placed in hand

3 months

-hand regard in supine

-clasps hands together

-pulls at clothes

-unilateral reach to side

-begin hand to mouth w/ toy

4 months

-bilateral reaching

-ulnar grasp

-hits and bangs

-gross transfer

5 months

-unilateral reach in prone

-hands to midline transfer

-holds bottle

-radial grasp (increased supination)

-grasp more accurate

6/7 months

-unilateral reach in supine/sitting

-reaches for parent

-radial-palmer grasp

-inferior scissor grasp

-finger feeds

8/9 months

-inferior pincer grasp

-radial digital grasp

-hold one toy, bang toy in other

-crosses midline

-voluntary release

10 months

-pincer grasp

-pokes w/ index

-refined grasp, release and reach

11 months

-repositions object to other hand

-begins in and out play

12/13 months

-fine pinch grasp

-bilateral coordination

-reach w/ voluntary supination

-releases small toy into small container

15 months

-begins spoon feeding

-finger feeds

-scribbles on paper

18 months

-spoon feeds independently, some spilling

-draws vertical line

-builds tower of 3-4 blocks

21 months

-drinks from cup

-removes clothes

24 months

-horizontal line

-begins to dress

30 months

-strings large beads

-unzips zippers

-take off shoes

36 months

-pulls up pants

-completes simple puzzles

-matches objects

-zips up zippers

-cuts paper w/ scissors

42 months

-undresses completely

-potty trained, day, and night

48 months

-draws square

-brushes teeth

60 months

-pours without spilling

-drinks from drinking fountain

72 months

-cuts and spreads with knife

-complex puzzles

-ties laces

-turns clothes inside out