POST0218 Kids for Web-02.png

Physical Therapy

0 - 1 Year Old


2 MONTHS

  • Minimal head bobbing when supported upright
  • Eyes focus on a caregiver when within 12 inches
  • When lying on tummy, can turn head to each side and does not have a strong preference for head-turning to one side
  • No flattened areas on the head
4 MONTHS
  • Takes weight when held in standing but does not take automatic steps
  • Maintains head in midline for 30 seconds while lying on back
  • No head bobbing when held upright
  • Brings hands to midline and bats at toys
  • Symmetrical body alignments during tummy time and when lying on back
6 MONTHS
  • Pushes up on arms when on tummy to see things
  • Rolls to try to get closer to people or an exciting toy or object
  • Sits with help and holds head steady
  • Plays with feet while lying on back
  • Bounces when supported in a standing position
8 MONTHS
  • Stands at furniture
  • Rocks back and forth on hands and knees to get ready to crawl
  • Cruises laterally along the furniture
  • Crawls to get around on hands & knees or commando crawls
  • Sits and plays
  • Moves between sitting and tummy with ease by using side-sit
10 MONTHS
  • Walks pushing a toy
  • Cruises along the furniture with one hand able to turn body forward
12 MONTHS
  • Crawls fast and over objects
  • Walks holding onto furniture/hand or independently
  • Squats and returns to stand with control
  • Pivots 90 degrees in sitting




1 - 2 Years Old


15 Months

  • Walks independently
18-21 months
  • Able to tip-toe walk 5 feet
  • Squats to pick up toys
  • Starts and stops with control
  • Steps over objects
24 months
  • Jumps getting both feet off the floor
  • Jumps forward 6 inches
  • Throws a ball without falling
  • Imitates movements that others make




2 - 3 Years Old


30 months

  • Jumps off low steps or curbs, landing in a squat with hands forward
  • Runs
36 months
  • Begins to jump over lines, hula hoop
  • Jumps off steps and lands on feet
  • Catches tossed ball by trapping on chest
  • Kicks fall 5 feet with leg swing
  • Learns most motor skills by observing others




3 - 4 Years Old


  • Jumps forward 18-24 inches
  • Jumps over a 10-inch hurdle
  • Jumps off a 20-inch height, landing with both feet
  • Runs with reciprocal arm swing
  • Walks upstairs using step-to sequence
  • Catches tennis ball with hands only




4 - 5 Years Old


  • Jumps off a low step
  • Performs standing vertical jump of 4-inches
  • Walks upstairs using reciprocal steps
  • Kicks ball with backswing over 10-inches
  • Throws tennis ball overhand using opposing step and throw sequence




5 - 6 Years Old


  • Jump and turn 180 degrees
  • Jump rope
  • Able to place feet together and stand 30 seconds
  • Able to stand 10 seconds with eyes closed
  • Moves to intercept kicked ball to either side
  • Adjusts their throwing based on their performance; each throw becomes more accurate




6 - 7 Years Old


  • Skips smoothly
  • Stands on one leg (right and left) with hands-on waist for 10 seconds with no trunk sway
  • Runs with arms swinging in opposition to legs and legs contact ground at hips width
  • Overhand throws using an opposing step throw pattern > 5 feet
  • Able to catch a 6-inch ball with hands only




7 - 8 Years Old


  • Hops on one foot with arms swinging and nonsupporting leg remaining behind the body
  • Broad jumps 36-inch
  • Dribbles a ball with fingertips (no slapping) 10 consecutive bounces
  • Kicks a soccer ball with a continuous rapid approach to the ball for > 15-feet distance
  • Catches an overhand thrown tennis ball with hands only
  • Overhand throws using an opposing step throw pattern 20'




8 - 9 Years Old


  • Hops on one foot with arms swinging and nonsupporting leg remaining behind body
  • Broad jumps 36”
  • Dribbles a ball with fingertips (no slapping) 10 consecutive bounces
  • Kicks a soccer ball with a continuous rapid approach to the ball for > 15’ distance
  • Catches an overhand thrown tennis ball with hands only
  • Overhand throws using an opposing step throw pattern 20’




9 - 10 Years Old


  • After ten years of age, foundational gross motor skills remain the same.
  • The child begins to add skill, fluidity, and control to their movements.
  • All of this is part of coordination which requires appropriate muscle activation, balance reactions, and graded control.
  • Many skills develop through practice.
  • Your child might find it more challenging to acquire these higher-level skills to keep up with peers.
  • Here are some skills that indicate the ability for a child to progress coordination skills with typical practice.
    • Imitates four cross-body movements without pause; with 1-3 demonstrations
    • Claps and stomps to various beats (using metronome or music)
    • Taps a tennis ball up with a racket 20 consecutive times
    • Able to throw various size and weight balls into a 3-foot target 20 feet away
    • Jumps rope 20 consecutive times





POST0218 Kids for Web-07.png
POST0218 Kids for Web-07.png

Occupational Therapy

0 - 1 Year Old


2 MONTHS

  • Minimal head bobbing when supported upright
  • Eyes focus on a caregiver when within 12 inches
  • When lying on tummy, can turn head to each side and does not have a strong preference for head-turning to one side
  • No flattened areas on the head
4 MONTHS
  • Takes weight when held in standing but does not take automatic steps
  • Maintains head in midline for 30 seconds while lying on back
  • No head bobbing when held upright
  • Brings hands to midline and bats at toys
  • Symmetrical body alignments during tummy time and when lying on back
6 MONTHS
  • Pushes up on arms when on tummy to see things
  • Rolls to try to get closer to people or an exciting toy or object
  • Sits with help and holds head steady
  • Plays with feet while lying on back
  • Bounces when supported in a standing position
8 MONTHS
  • Stands at furniture
  • Rocks back and forth on hands and knees to get ready to crawl
  • Cruises laterally along the furniture
  • Crawls to get around on hands & knees or commando crawls
  • Sits and plays
  • Moves between sitting and tummy with ease by using side-sit
10 MONTHS
  • Walks pushing a toy
  • Cruises along the furniture with one hand able to turn body forward
12 MONTHS
  • Crawls fast and over objects
  • Walks holding onto furniture/hand or independently
  • Squats and returns to stand with control
  • Pivots 90 degrees in sitting




1 - 2 Years Old


15 Months

  • Walks independently
18-21 months
  • Able to tip-toe walk 5 feet
  • Squats to pick up toys
  • Starts and stops with control
  • Steps over objects
24 months
  • Jumps getting both feet off the floor
  • Jumps forward 6 inches
  • Throws a ball without falling
  • Imitates movements that others make




2 - 3 Years Old


30 months

  • Jumps off low steps or curbs, landing in a squat with hands forward
  • Runs
36 months
  • Begins to jump over lines, hula hoop
  • Jumps off steps and lands on feet
  • Catches tossed ball by trapping on chest
  • Kicks fall 5 feet with leg swing
  • Learns most motor skills by observing others




3 - 4 Years Old


  • Jumps forward 18-24 inches
  • Jumps over a 10-inch hurdle
  • Jumps off a 20-inch height, landing with both feet
  • Runs with reciprocal arm swing
  • Walks upstairs using step-to sequence
  • Catches tennis ball with hands only




4 - 5 Years Old


  • Jumps off a low step
  • Performs standing vertical jump of 4-inches
  • Walks upstairs using reciprocal steps
  • Kicks ball with backswing over 10-inches
  • Throws tennis ball overhand using opposing step and throw sequence




5 - 6 Years Old


  • Jump and turn 180 degrees
  • Jump rope
  • Able to place feet together and stand 30 seconds
  • Able to stand 10 seconds with eyes closed
  • Moves to intercept kicked ball to either side
  • Adjusts their throwing based on their performance; each throw becomes more accurate




6 - 7 Years Old


  • Skips smoothly
  • Stands on one leg (right and left) with hands-on waist for 10 seconds with no trunk sway
  • Runs with arms swinging in opposition to legs and legs contact ground at hips width
  • Overhand throws using an opposing step throw pattern > 5 feet
  • Able to catch a 6-inch ball with hands only




7 - 8 Years Old


  • Hops on one foot with arms swinging and nonsupporting leg remaining behind the body
  • Broad jumps 36-inch
  • Dribbles a ball with fingertips (no slapping) 10 consecutive bounces
  • Kicks a soccer ball with a continuous rapid approach to the ball for > 15-feet distance
  • Catches an overhand thrown tennis ball with hands only
  • Overhand throws using an opposing step throw pattern 20'




8 - 9 Years Old


  • Hops on one foot with arms swinging and nonsupporting leg remaining behind body
  • Broad jumps 36”
  • Dribbles a ball with fingertips (no slapping) 10 consecutive bounces
  • Kicks a soccer ball with a continuous rapid approach to the ball for > 15’ distance
  • Catches an overhand thrown tennis ball with hands only
  • Overhand throws using an opposing step throw pattern 20’




9 - 10 Years Old


  • After ten years of age, foundational gross motor skills remain the same.
  • The child begins to add skill, fluidity, and control to their movements.
  • All of this is part of coordination which requires appropriate muscle activation, balance reactions, and graded control.
  • Many skills develop through practice.
  • Your child might find it more challenging to acquire these higher-level skills to keep up with peers.
  • Here are some skills that indicate the ability for a child to progress coordination skills with typical practice.
    • Imitates four cross-body movements without pause; with 1-3 demonstrations
    • Claps and stomps to various beats (using metronome or music)
    • Taps a tennis ball up with a racket 20 consecutive times
    • Able to throw various size and weight balls into a 3-foot target 20 feet away
    • Jumps rope 20 consecutive times





POST0218 Kids for Web-05.png

Speech Therapy

0 - 1 Year Old


0-6 MONTHS

7-9 MONTHS
  • Self-feeds simple, finger foods
  • Babbles same sounds repeatedly (baba or mama)
  • Produces sounds which are similar to t,d,n,f,v,z,ch,j,th,sh and s
  • Understands "No"
  • Makes sound while eating with food in mouth
  • Reaches for object and looks for caregiver’s reaction
  • Uses finger to point to things
  • Tolerates smooth, lumpy solids fed by spoon by 9 months
10-12 MONTHS




1 - 2  Years Old





2 - 3 Years Old


24 MONTHS

30 months
  • Has approximately 450 words in vocabulary
  • Gives own first name
  • Answers “where” questions
  • Uses present progressive -ing
  • Uses “no” or “not”
  • Consistently uses 3-4 word phrases/sentences
  • Identifies simple objects by function
  • Is 50-75% intelligible
  • Shares toys and understands simple locations (in, under, out, off)
  • Responds to greetings
  • Uses pronouns (my, me, mine, you)
36 months




3 - 4 Years Old


42 months

  • Uses regular plural –s (socks, shoes)
  • Uses possessive –s (baby’s bottle)
48 months
  • Consistently uses 4-5 word sentences, with correct sentence structure
  • Is 80% intelligible
  • Sings a song or says a poem from memory
  • Tells a story
  • Asks many questions including “who?” and “why?”
  • Knows some basic rules of grammer
  • Uses regular and irregular past tense verbs consistently and regular 3rd person
  • Uses most pronouns
  • Has 1500+ words in vocabulary
  • Follows simple multi-step directions without repetition
  • Uses contractions (can’t, don’t, I’ve)
  • Identifies colors




4 - 5 Years Old


  • Uses a variety of sentences with 6 or more words
  • Has greater than 2000 words in vocabulary
  • Uses most speech sounds correctly
  • Speaks very clearly
  • Is 90-100% intelligible
  • Answers “how are things the same or different”
  • Can carry a plot when telling a story
  • Understands time concepts (yesterday, today, first, then, next)
  • Uses future tense
  • Asks question to get more information
  • Inventive spelling when writing




5 - 6 Years Old


  • Uses a variety of sentences with 6 or more words
  • Has greater than 2000 words in vocabulary
  • Uses most speech sounds correctly
  • Speaks very clearly
  • Is 90-100% intelligible
  • Answers “how are things the same or different”
  • Can carry a plot when telling a story
  • Understands time concepts (yesterday, today, first, then, next)
  • Uses future tense
  • Asks question to get more information
  • Inventive spelling when writing




6 - 7 Years Old


  • Uses all speech sounds correctly but "r", "th", and "sh"
  • Begins to write letters when you give the sounds
  • Begins to tell the sound that letters make
  • Imaginitive play schemes with peers
RED FLAGS (should be brought to the attention of your doctor):
  • Doesn't participate in imaginative play schemes with peers




7 - 8 Years Old


  • Uses all speech sounds correctly
  • Begins to read simple stories with sight words
  • Begins to make rhyming words
  • Inquires about people's feelings and thoughts
  • Can hold conversations with peers and adults
RED FLAGS (should be brought to the attention of your doctor):
  • Doesn't use all speech sounds correctly
  • Can't hold conversations with peers and adults




8 - 9 Years Old


  • Can read and write simple stories
  • Can re-tell and narrate movies and stories
  • Speaks clearly
  • Remembers details of what peers like
  • Has close friendships
RED FLAGS (should be brought to the attention of your doctor):
  • Can't re-tell and narrate movies and stories
  • Speech sound errors




9 - 10 Years Old


  • Can read and write simple stories
  • Can re-tell and narrate movies and stories
  • Speaks clearly
  • Remembers details of what peers like
  • Has close friendships
RED FLAGS (should be brought to the attention of your doctor):
  • Can't re-tell and narrate movies and stories
  • Speech sound errors




10 - 11 Years Old


  • Can agree and disagree in conversations
  • Problem-solves and strategizes throughout the day and with games like boardgames
  • Begins to regulate emotions
  • Follows multi-step directions for daily activities like laundry, cooking, and other daily chores
RED FLAGS (should be brought to the attention of your doctor):
  • Can't problem-solve and strategize throughout the day and with games like boardgames
  • Speech sound errors




11 - 12 Years Old


  • Can agree and disagree in conversations
  • Problem-solves and strategizes throughout the day and with games like boardgames
  • Begins to regulate emotions
  • Follows multi-step directions for daily activities like laundry, cooking, and other daily chores
RED FLAGS (should be brought to the attention of your doctor):
  • Can't problem-solve and strategize throughout the day and with games like boardgames.
  • Speech sound errors.




12 - 13 Years Old


  • Can read chapter books
  • Can write 3-5 paragraph short stories
  • Can infer and read non-verbal social cues
  • Can plan and organize recipes and social events
RED FLAGS (should be brought to the attention of your doctor):
  • Can't write 3-5 paragraph short stories
  • Speech sound errors




13 - 14 Years Old


  • Can read chapter books
  • Can write 3-5 paragraph short stories
  • Can infer and read non-verbal social cues
  • Can plan and organize recipes and social events
RED FLAGS (should be brought to the attention of your doctor):
  • Can't write 3-5 paragraph short stories
  • Speech sound errors




14 - 15 Years Old


  • Can gather details in non-fiction literacy and write conclusions
  • Respects others with different preferences
  • Can read educational literature to gather information
  • Develops complex ideas
RED FLAGS (should be brought to the attention of your doctor):
  • Can't read educational literature to gather information
  • Speech sound errors




15 - 16 Years Old


  • Can gather details in non-fiction literacy and write conclusions
  • Respects others with different preferences
  • Can read educational literature to gather information
  • Develops complex ideas
RED FLAGS (should be brought to the attetion of your doctor):
  • Can't read educational literature to gather information
  • Speech sound errors




16 - 17 Years Old


  • Can use their language to persuade and negotiate
  • Can hold full conversations even on topics that are not their interest
  • Follows daily routines almost independently
  • Organizes: clothing, daily chores, food, school, and extra-curricular activiites
RED FLAGS (should be brought to the attention of your doctor):
  • Can't organize: clothing, daily chores, food, school, and extracurricular activities
  • Speech sound errors




17 - 18 Years Old


  • Can regulate listeners even on topics that are not their interest
  • Analyzes stories, poems, movies, and summarizes different perspectives
  • Cites textual evidence
  • Can hold jobs and can be almost completely independent for daily routines
  • Can regulate their emotions and help to regulate others'
RED FLAGS (should be brought to the attention of your doctor):
  • Can't regulate their emotions and help to regulate others'
  • Speech sound errors





ARE YOU CONCERNED ABOUT YOUR CHILD?

- DOWNLOAD A PRINTABLE MILESTONE CHECKLISTS -
polaroid-frame-2mo.jpg

2 Months

polaroid-frame-1yr.jpg

12 Months

polaroid-frame-4yr.jpg

4 Years

polaroid-frame-4mo.jpg

4 Months

polaroid-frame-18mo.jpg

18 Months

polaroid-frame-5yr.jpg

5 Years

polaroid-frame-6mo.jpg

6 Months

polaroid-frame-2yr.jpg

2 Years

polaroid-frame-9mo.jpg

9 Months

polaroid-frame-3yr.jpg

3 Years