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    145 Fine Motor Milestones

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    Fine motor skills refer to purposeful and controlled movements of the small muscles of the fingers and hands. Children develop fine motor skills in a step-step progression. Development occurs at an uneven pace, with periods of little progression.

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    145 Fine Motor Milestones

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    Fine motor skills refer to purposeful and controlled movements of the small muscles of the fingers and hands. Children develop fine motor skills in a step-step progression. Development occurs at an uneven pace, with periods of little progression.

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    145 fine motor milestones

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    Fine motor skills refer to purposeful and controlled movements of the small muscles of the fingers and hands. Children develop fine motor skills in a step-step progression. Development occurs at an uneven pace, with periods of little progression.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    432 views2 pages

    145 Fine Motor Milestones

    Uploaded by

    api-285528213
    Fine motor skills refer to purposeful and controlled movements of the small muscles of the fingers and hands. Children develop fine motor skills in a step-step progression. Development occurs at an uneven pace, with periods of little progression.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Super Duper Handy Handouts!

    Number 145

    Fine Motor Milestones


    By Tara Calder, OTR/L
    Fine motor skills generally refer to the purposeful and controlled
    movements of the small muscles of the fingers and hands. These movements
    usually coordinate with the larger muscles of the arms and trunk for stability
    and with the eyes for eye-hand coordination. Children develop fine motor skills in
    a step-by-step progression. Development occurs at an uneven pace, with periods
    of little progression. Typically, this is part of normal development; however, if
    you think your child may have a delay in his/her fine motor skills, contact your
    physician for more information regarding occupational therapy services.
    Birth to 3 Months

    Arm movement is mostly random (non-goal


    directed) and asymmetrical

    Hands are fisted

    Grasping reflex when placing a finger or


    object in hand

    Brings hands to mouth

    Watches the movements of his/her hands

    9 Months to 12 Months

    Points with index finger

    Uses a neat, tip to tip pincer grasp on small


    pellet-sized items

    Places items into an open container or into


    adults hand
    12 Months to 18 Months

    3 Months to 6 Months

    Stacks two to three small blocks

    Holds crayon in closed fist (power grasp)

    Movements are mainly purposeful and


    more symmetrical

    Scribbles with a crayon using whole arm


    movements

    Reaches for toys with both hands

    Hands are primarily open with thumbs out

    Turns pages in a cardboard book (more than


    one at a time)

    Holds toys with palm and fingers but not


    thumb

    Holds object with one hand and manipulates


    it with the other

    Brings hands to midline

    Places small items in a closed-neck bottle

    No longer stares at his/her hands

    Places one to two shapes in a three-shape


    geometric puzzle

    Looks at objects a few feet away

    Places large pegs in a pegboard

    6 Months to 9 Months

    Transfers objects hand to hand

    Straightens elbows when reaching

    Rakes pellet-sized items with fingers

    Holds items with fingers and thumb

    Claps hands
    2007 Super Duper Publications www.superduperinc.com

    18 Months to 24 Months

    4 Years to 5 Years

    Stacks three to five blocks

    Copies a square and cross

    Snips paper with scissors

    Cuts on a straight line

    Strings two to three beads

    Imitates vertical and circular scribbles

    Begins to use thumb and index finger to hold


    pencil/crayon (tripod grasp)

    Turns pages of a book one at a time

    Touches each finger to thumb

    Places three shapes in a three shape


    geometric puzzle

    Buttons and unbuttons one button

    Stacks 10 plus small blocks

    2 Years to 3 Years

    Imitates simple horizontal and vertical


    block designs

    Imitates a circle and vertical and


    horizontal lines

    Unscrews screw-top lid

    Begins manipulating small items within


    the hand

    Cuts paper into two pieces

    Holds crayon with fingers, not fist


    (pronated grasp)

    May use one hand consistently in


    most activities

    5 Years to 6 Years

    Stacks five to seven small blocks

    Imitates circle and cross

    Manipulates clay and dough (pinches, rolls


    balls, snakes)

    Colors inside the lines

    Cuts out simple shapes

    Copies triangle

    Writes first name

    Handedness well established

    Mature, adult grasp of pencil well established


    (dynamic tripod)

    By 7 to 8 years of age,
    children generally are proficient
    with most fine motor skills. As
    with many skills, practice
    improves performance;
    therefore, refinement of already
    acquired fine motor skills
    can continue into
    adulthood.

    3 Years to 4 Years

    Resources
    Beery, K. E., & Beery, N.A. (2006). The Beery-Buktenica Developmental Test of Visual Motor Integration. Minneapolis: NSC Pearson
    Folio, M. R., & Fewell, R.R. (2000). Peabody Developmental Motor Scales, 2nd Edition. Austin: Pro-Ed
    Retherford, K. S. (1996). Normal Development: A Database of Communication and Related Behaviors. Greenville, SC: Super Duper
    Publications
    American Occupational Therapy Association, Inc. www.aota.org

    2007 Super Duper Publications www.superduperinc.com

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