General OT Progressions

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Last updated 5:39 PM on 9/13/26
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4 Terms

1
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FM Skills

reflexive grasp —> open hand —> reach —> hold/rake —> txfer —> pincer —> refined release —> stacking/manipulation —> tool use —> pre-writing —> fasteners/handwriting

2
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GM Skills

head control —> prone support —> rolling —> sitting —> transitions —> crawling/creeping —> pull-to-stand —> cruising —> walking —> running/kicking —> jumping —> stairs —> hopping

3
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Play

exploratory/solitary —> cause/effect —> functional play —> imitation —> parallel play —> associative play —> pretend/symbolic play —> cooperative/rule-based play

4
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Self-Care

dependent care —> participation in routines —> finger feeding —> spoon/cup —> dressing participation —> toileting readiness —> increased dressing/feeding I —> chores