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

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