Developmental Milestones Related to Occupational Therapy

  • 9-11 Months:

    • Crawls 5 feet
    • Raises to stand using stable surface for support
    • Moves from standing to sitting
    • Maintains balance in standing position
    • Claps hands
    • Removes both socks
    • Uses pincer grasp

  • 12-14 Months:

    • Walks using adult’s hand
    • Walks 5 steps without support
    • Creeps up stairs on hands and knees
    • Throws ball
    • Opens book

  • 15-18 Months:

    • Creeps backwards down steps
    • Walks up 4 steps without support
    • Walks quickly
    • Walks backward
    • Stacks 2-3 cubes

  • 19-24 Months:

    • Runs forward
    • Jumps without loss of balance
    • Kicks ball
    • Throws underhand
    • Turns pages in a book
    • Draws vertical lines
    • Allows tooth brushing/holds toothbrush
    • Uses a spoon to eat
    • Assists with dressing

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  • 2-2.5 Years:

    • Walks down steps without support
    • Jumps down from an object without assistance
    • Walks on tiptoes
    • Snips with scissors
    • Draws horizontal lines
    • Folds paper
    • Strings beads
    • Lifts cup with 2 hands
    • Rubs hands together for hand washing
    • Assists with fasteners on clothing
    • Removes socks and shoes

  • 2.5-3 Years:

    • Jumps forward 24 inches
    • Walks up 4 steps using alternating feet
    • Catches ball
    • Draws a circle
    • Copies simple block designs
    • Uses a fork to eat
    • Brushes teeth
    • Removes shirt
    • Removes pants

  • 3-3.5 Years:

    • Runs quickly
    • Walks on a line
    • Balances on 1 foot for 5 seconds
    • Cuts paper into 2 pieces using scissors
    • Cuts on a line
    • Copies a cross
    • Unfastens 3 buttons on a button strip
    • Puts on pants excluding fasteners
    • Toilet trained (bladder)

  • 3.5-4 Years:

    • Hops on 1 foot
    • Fastens buttons on a button strip
    • Puts on shirt
    • Puts on socks
    • Attempts wiping after toileting
    • Brushes hair
    • Toilet trained (bowel)

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  • 4-4.5 Years:

    • Completes forward roll
    • Gallops
    • Draws a square
    • Cuts out simple shapes
    • Washes body when bathing
    • Puts on a front opening shirt
    • Zips/unzips clothing

  • 4.5-5 Years:

    • Skips
    • Imitates arm positions
    • Completes 3 sit-ups
    • Colors between lines
    • Snaps/unsnaps
    • Takes off clothes and unfastens fasteners
    • Toilet trained at night

  • 5-6 Years:

    • Completes 5 sit-ups
    • Completes 8 push-ups
    • Bounces and catches a small ball
    • Uses a knife for eating
    • Puts on clothes with fasteners
    • Puts shoes on correct feet

  • 6-7 Years: 

    • Latches zipper
    • Prepares toothbrush and thoroughly brushes teeth
    • Blows and wipes nose independently
    • Washes and dries face
    • Dries body after bathing
    • Ties shoelaces

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