Your activity: 8 p.v.

Motor milestones for developmental surveillance at preventive care visits

Motor milestones for developmental surveillance at preventive care visits
Age* Gross motor milestones Fine motor milestones
2 months
  • Lifts head and chest in prone
 
4 months
  • Rolls over prone to supine
  • Supports on elbows and wrists in prone
  • Hands unfisted
  • Plays with fingers in midline
  • Grasps object
6 months
  • Rolls over supine to prone
  • Sits without support
  • Reaches for cubes and transfers
  • Rakes small object with 4 fingers
9 months
  • Pulls to stand
  • Comes to sit from lying
  • Crawls
  • Picks up small object with 3 fingers
12 months
  • Walks independently
  • Stands
  • Puts 1 block in a cup
  • Bangs 2 objects together
  • Picks up small object with 2-finger pincer grasp
15 months
  • Walks backward
  • Runs
  • Scribbles in imitation
  • Dumps small object from bottle, with demonstration
18 months
  • Walks up steps with hand held
  • Dumps small object from bottle spontaneously
  • Builds tower of 2 cubes
  • Scribbles spontaneously
  • Puts 10 blocks in a cup
24 months
  • Rides on toy without pedals
  • Jumps up
  • Builds tower and horizontal train with 3 blocks
30 months
  • Begins to walk up steps alternating feet
  • Imitates horizontal and vertical lines
  • Builds a train with a chimney with 4 blocks
3 years
  • Pedals; climbs on and off furniture
  • Copies a circle drawing
  • Draws a person with head and 1 other body part
  • Builds a bridge with 3 blocks
4 years
  • Climbs stairs without support
  • Skips on 1 foot
  • Draws a person with 6 parts
  • Draws a simple cross
  • Buttons medium-sized buttons
* The mean ages at which typically developing children will achieve motor milestones are listed. Marked delay beyond these ages warrants attention but does not necessarily signify a neuromotor disease.
Reproduced with permission from Pediatrics, Vol. 131, Pages e2016-27, Copyright © 2013 by the AAP.
Graphic 102836 Version 10.0