gross motor and fine motor milestones from birth to 12 months

Neonate/ 1 month Gross Motor

Prone- can clear nose in and physiological flexion

Supine- rotate head side to side in and maintain midline briefly

sitting- head lag in pull to sit, attempt to lift head and lack trunk control

standing- supports weight, stepping reflex

Neonate/ 1 month Fine Motor

Wide movement originating from shoulder

Neonate/ 1 month Gross Motor

Prone- can clear nose in and physiological flexion

Supine- rotate head side to side in and maintain midline briefly

sitting- head lag in pull to sit, attempt to lift head and lack trunk control

standing- supports weight, stepping reflex

Neonate/ 1 month Fine Motor

Wide movement originating from shoulder

2 month fine motor

ABD/ER of shoulder

brings head/mouth to hand

rotates objects

2 month old gross motor

Supine- Inc. range of head rotation, shoulder and hip ER.

ATNR

Prone- head lifted to 45º

UE to push against surface with elbows behind shoulder

Sitting- head lag. attempts to lift head when pulled to sit

lift head briefly when supported in sitting

Standing-may or may not take weight or step when supported in standing

3 months fine motor

sym/asym UE movements/ posture

Acitvely uses shoulder ABD/ADD IR ER

Elbow flexion/extension

hands explore body and clothes

brings object to mouth

3 month old gross motor

Supine- Inc. Symmetry. Head, eyes and hands in midline more. LE for legged

Prone- Lift head to 45º in prone with forearm support

Sitting- slight head lag in pull to sit. sustains head lift in supported sitting; neck in hyperextension

Standing- supports weight

4 month old fine motor

retains object in hand

shakes object

brings hands to face, hip, flexed knees, midline

reaches with bilat. symm arm

holds 2 objects, may shake one

holds objects with 2 hands

4 month old gross motor

Supine-head in midline; freely rotates to either side. hands on knees. hands to hand,face,mouth, and chest

Prone-lift head to 90º midline with forearm wtbearing. extension length of spine

sitting- head in line with trunk in pull to sit, maintain head in midline in supported sitting even when tilted in any direction. attempts to support trunk

standing- supports weight; can be supported by arms/hands

rolling- accidentally roll supine/prone to side

5 month old fine motor

reaches and explores LE

uses vision to orient hands before grasping object

brings toy into visual field for inspection

reaches for toy in prone

Primitive squeeze grasp

transfers object between hands

5 month old gross motor

supine- feet to hands/mouth

prone- prone on hands; unilateral reach when prone on elbows. weightshift later flexion on unweight side

sitting- no head lag when pulled to sit, UE assist

standing- accepts full body weight when supported, begins to bounce when supported

rolling- accidental nonsegmental roll supine to sidelying with lateral flexion of head/spine dissociation of legs

6 month old fine motor

reaches with 1 or both hands

hands to feet

pre-shapes hand for familiar objects

palmar grasp

coordinated action on one object with 2 hands

6 month old gross motor

Supine- feet to hands/mouth; maintain control of position when wt shift side to side

Prone- wtbears on forearms/elbows in front of shoulders or hands with balance between flexors/extensors. pivots in prone; exhibits pivor prone extension

sitting-pulls self into sitting with hands held, sits erect without support, cant control weight shift in frontal/transverse planes

standing- bounces in smaller ranges when supported in standing

rolling-flexion and rolling from supine to prone

7 month old fine motor

radial palmar grap

coordinated action with 2 object

deformation of objects

7 month old gross motor

prone- independent and functional. plays in asymmetrical posture with lateral wtshift majority of time. crawls on belly

sitting- sits with erect trunk while maintaining postural stability with wide base. may transition from sitting to prone or hands/knees

standing- may attempt to pull to standing when hands held; both UE and LEs used to maintain and stabilize standing. returns to floor by falling or sitting down

8 month old fine motor

Reaches in variety of directions, manipulates, transfers, and releases object

Scissors grasp

pull peg out pegboard

instrumental sequential actions on objects

begins to feed self finger goods

8 month old gross motor

prone- moves quickly to hands or knee or sitting. opposite arm/leg

sitting- sits with variety of LE postures including wide based side sit. lean symmetrical trunk over flexed leg to reach for toy or transition to hands/knee. moves between sitting and hands/knees

standing-pulls to standing when hands held. All extremties used for standing. stand independent with at furniture. cruising(sideways) holding on to something and climbing

9 month old fine motor

begin to hold objects during movement transitions

radial digital grasp

adjusts force of grasp

claps hand

9 month old gross motor

sitting- hands free for play, W sitting

locomotion- creeping on hands/knees, various speeds, cruising needs support, climbing, hitching

standing- pull to stand at furniture using UE for balance and assistance, may transition to kneeling or half kneel. lowers self in standing to retrieve toy

10 month old fine motor

reaches across midline

practices dropping larger objects

isolates index finger action

inferior pincer grasp

objects out of containers

10 month old gross motor

mobility- creeping and climbing. creeps over or onto obstacles. climbing descent begins. various cruising patterns

standing- assumes standing via half kneeling- minimal UE support ;lowers self from standing with asymmetrical LE posture

11 month old fine motor

inferior pincer grasp

11 month old gross motor

mobility- creeping and climbing. creeps over obstacles. climbing in/out large containers. various cruising patterns, face sideways and fwd. walks with one hand support or attempts to w/o support

standing- assumes standing via half kneeling- minimal UE support ;lowers self from standing with asymmetrical LE posture and attempts to stand from sqaut

12 month old fine motor

superior pincer grasp

holds crayon adaptively in fist

attempts tower of 2 cubes