Occupational Therapy

Developmental Milestones:

Between 2-to-3 months old:

• Lifts head while laying on tummy

• Opens and closes hands

• Follows toy with eyes side to side

• Brings hands together toward middle of body

• Attempts to reach for toy

• Grasps a small toy placed in hand

• Breastfeeds or drinks form a bottle without choking, coughing, or gagging.

 

Between 4-to-6 months old:

• Rolls belly to back

• Hits at daggling toys with hands

• Raised entire chest when on stomach and bears weight on hands

• Rolls back to belly

 

Between 6-to-7 months old:

• Begins to sit using hands for support

• Transfers toys from hand to hand

• Reaches with increased control for a toy

• Shakes and bangs toys

• Eats small amounts of puree baby food

 

Between 7-to-9 months old:

• Sustained sitting without using arms for support

• Crawls on hands and knees with stomach off floor

• Feeds self finger foods

• Moves into siting position independently

• Eats mashed table foods

 

Between 9-to-12 months old:

• Sits well to play

• Imitates simple play gestures

• Pulls self up to stand using furniture

• Pulls off socks and shoes

• Cooperates with dressing

• Scribbles on paper

• Walking alone (1-2 steps)

• Uses thumb and pointer finger to pick up small objects

Between 12-to-15 months old:

• Eats a variety of soft, chopped table foods

• Drinks from a sippy or straw cup independently

• Stacks 2 blocks

• Walks well with infrequent falls

• Squats to pick up an object and stands up again without falling

 

Between 1-to-2 years old:

• Throws/kicks balls

• Eats a variety of solid foods without gagging or choking

• Snips with scissors

• Imitates vertical, horizontal lines and circular marks

• Removes elastic waist pants

• Pushes, pulls or carries toys while walking

 

Between 2-to-3 years old:

• Pedals a tricycle

• Catches a large ball thrown gently from very close

• Runs well without falling

• Drinks from an open cup

• Cuts in a straight line

• Copies vertical, horizontal lines and circles

• Buttons large buttons

• Throws a ball 5-7 feed overhand with one hand

 

Between 3-to-4 years old:

• Cuts out a circle

• Zips jackets

• Grasp using thumb and index and middle fingers

• Copies intersecting lines, diagonal lines, simple shapes, some letters and numbers

• Balances on one foot for 10 seconds or longer

 

Between 5-to-6 years old:

• Prints name from memory

• Colors within lines

• Draws a person with at least 6 or more different parts

• Cuts out a square

• Copies letters and numbers

• Skips independently

• Rides a bicycle independently

**If your child is experiencing multiple difficulties on this checklist, an occupational therapy evaluation is recommended.  An evaluation is available to your child through Speech and Feeding Therapy.

 Also, a free phone consultation or screening may be provided to your child.

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OTHER CONCERNS TO CONSULT WITH AN OCCUPATIONAL THERAPIST

• Frequent meltdowns

• Difficulty falling asleep and staying asleep

• Excessive need or intense movements

• Becomes upset with change in routines or unexpected changes

• Excessively cautious and afraid to try new things

• Poor concentration and attention

• Bothered by certain textures or clothing

• Expresses distress with tooth brushing or hair brushing

• Limited food variety

• Impulsivity

• Obsessive behaviors

• Clumsy, awkward or accident prone

• Avoids or slow to engage in new experiences

• Under or over reactive to touch, lights, sounds, smell, temperature, or movement

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