Childhood Disabilities & Disorders
Motor Goals by Age
All children develop skills at a different pace. These are the average milestones from infancy to 5 years of age.
By 2-3 months:
- Able to lift the head 45 degrees when lying on stomach
- Moves both arms and legs
- Able to bring hips flat onto the mattress (when lying on his stomach, child can have hips flat down, in extension, rather than hips flexed)
- Holds head in line with his body for a few seconds when pulled to sit
- Discovers his hands and begins to look at them and play with them
- Starts to hold a toy when it is put in his hands
- Follows a toy with his eyes and turns head to continue following it
- Responds to a parent’s voice or musical toy by turning to look or responds with a smile
By 4-5 months:
- Rests body on forearms, lifts head to 90 degrees and then lifts chest up, away from the surface
- Starting to turn from stomach to back (from lying on stomach to lying on his back)
- Pulls to sit by gripping a parents fingers, maintaining head control
- Turns head in response to noises
- Reaches for toys when lying on his stomach, on his back and when sitting
- Plays with toes
- Holds a block with the ring finger and little fingers
- Starts to shake a rattle
By 6-8 months:
- Turns from stomach to back, and back to stomach with relative ease and uses movement to get to a toy (starts to turn in a circular motion in an attempt to move towards a toy)
- Lying on his stomach, child pushes up on extended arms, lifting chest up
- Moving on stomach towards toys and then crawling on all 4s
- Achieves independent stable sitting and can safely play in this position
- Beginning to initiate coming to sit
- Able to contract leg muscles and stand when held upright
- Able to take a toy in each hand and bang them together
- Looks for an object when it is placed out of sight, when it is hidden momentarily
- Holds a block with their thumb and index and against the palm
- Makes bigger shaking motions with the rattle
By 9-10 months
- Crawling with greater ease (a baby starts to learn the motor task and then becomes more efficient and able to perform activity with greater ease; so crawling at this age becomes mode of movement)
- Beginning to pull up to standing using toys, couch, etc.
- Able to go through the various transitions independently (sit to lying, rolling, return to sitting)
- Creeping along furniture
- Picking up small objects, such as individual pieces of cereal, with the tip of their fingers
- Transfers object from one hand to the other
- Picks up an object using index and thumb; without touching their palm
- Interested in learning new skills such as high five, making sounds with tongue, clapping hands, hooray!
By 12 months:
- Improved quality and speed of above (crawling, sitting, transitions to standing)
- Able to climb up stairs with supervision
- Beginning of stepping with support, walks 5 steps by 14 months
- Starting to make block towers, shows interest in such activities
- Points to objects or people with index finger
- Able to use a spoon and a cup at meal time
- Able to roll a ball
- Turns pages of a cardboard book
- Removes his own socks
- Releases objects into a container
- Dumps content out of a bottle or container
By 15-18 months:
*If child is not progressing towards independent walking, consult with a specialist!
- Walks a distance of 10 feet quickly
- Creeps backwards down 3 stairs (child is encouraged to go down stairs backwards for safety reasons)
- Walks up 4 steps
- Able to maintain balance on knees
- Beginning of desire to jump
- Able to bend down to pick up an object while standing
- Turns pages of a paper book
- Starting to place objects in a container and scribble
- Copies others’ activities
- Does simple inset puzzles
- Grabs a crayon in a fist, or upside down with the thumb and index towards the paper
- Scribbles on paper
By 18-24 months:
- Beginning of running
- Improved balance skills
- Jumping forward, up and down from the last step
- Walks up steps with minimal support
- Starting to throw and catch
- Able to climb stairs independently
- Able to climb up and down an adult’s chair and explores park activities
- Recognizes body parts
- Colors with crayons on a paper and begins to imitate lines
- Participates in dressing and undressing, tooth brushing, hand washing (child will start to remove clothes, but will need help, or will lift arms for a parent, or will pull pants up once they are on legs, etc.)
- Participates in pretend play
- Differentiates between two colors
- Snips with scissors
By 3 years old:
- Able to walk up stairs using an alternating pattern between left foot and right foot
- Able to balance on one foot for 2-5 seconds
- Able to ride a tricycle
- Able to catch a ball occasionally and throw without losing balance
- Improved fine motor skills including: using scissors, beading a string, opening containers, drawing circles, vertical lines and a person
- Greater independence in dressing, including large buttons
- Using toilet during the day and training for nighttime
- Eating with cutlery
- Recognizing shapes, colors
- Able to complete simple puzzles
- Holds a pencil at the end of their thumb, index, and middle fingers
By 4 years old:
- Descends stairs independently using an alternating pattern
- Maintains balance on 1 foot for 6-8 seconds
- Jumps on two feet and is starting to jump on one foot without losing balance
- Rides a tricycle with ease
- Plays with construction toys like lego, mega blocks
- Ties shoe laces
- Cuts along a line and cuts out simple shapes
- Traces shapes and colors within the lines
- Copies the drawing of simple shapes
- Improved independence in activities of daily living
- Improved ability to sit at the table for a task
- Adds body parts to a drawing of a person
By 5 years old:
- Able to stand on 1 foot for 8-12 seconds
- Able to jump 5-10 times on one foot, and 10 times with both feet
- Rides bicycle with training wheels
- Colors, traces and draws with proper pencil grip
- Colors within the lines
- Folds paper corner-to-corner
- Ties shoe laces
- Locks zipper in and pulls it up
