Developmental Milestones Chart
Developmental Milestones Chart
Developmental Milestones Chart
G = Gotta
Gross Motor
F = Find
Fine Motor
Newborn
2 mos
4 mos
Palmar grasp
Reaches and obtains items
Brings objects to midline
Raking grasp
Transfers hand to hand
15 mos
Walks well
18 mos
2 yr
3 yr
Pedals trike
Up stairs alternating feet
4 yr
5 yr
6 mos
9 mos
12 mos
Draws x, , diagonals
Cuts shape with scissors
Buttons
Draw person (10 body parts)
Tripod pencil grasp
Prints name, copies letters
Independent ADLs, incl tying
Compiled by Dr. Debbi Andrews, Division Director, 2009. Amended by D. Andrews and C. Dosman, August 2014.
*Milestone ages approximate the 50th percentile.
Sector heading mnemonic created by P. MacPherson, Class of 2012, University of Alberta Faculty of Medicine and Dentistry.
Babble (nonspecific)
S = Soon
Social / Emotional
Increased independence
Parallel play
Counts to 4
Opposites
Identifies 4 colours
Counts to 10 accurately
Recite ABCs by rote
Recognises some letters
Pre-literacy and numeracy skills
Separates easily
Sharing, empathy
Cooperative play
Role play ("pretending")
Gross Motor
Domains/
skills/processes
Posture
Change of position
Ambulation
Strength
Balance
Coordination
Primitive reflexes to volitional
movement
Cephalo-caudal
Proximal to distal
Flexor to extensor
Postural reflexes fade as balance
increases
Single mvts to sequences
Effortful to automatic
Cerebral palsy
Muscular dystrophies
DCD
Tool use
Dexterity
Precision
Bi-manual coordination
Communication
Words and symbols (semantics)
Grammar (syntax)
Pragmatics
Articulation/voice/fluency
Paresis/paralysis
Paresis/paralysis
Apraxia
Walking
Feeding
Dressing
Elimination (toileting req'd for bowel
or bladder functions)
Trends
Examples of devtl
disorder in sector
Examples of adult
functional loss in
sector
Adult disability
(mostly based on
loss of previously
normal function,
per Canada
Revenue )
Vision: acuity in
both eyes 20/200
(6/60) or less OR
greatest diameter
of field of vision in
both eyes is 20
degrees or less.
Who assesses
RED FLAGS!
REGRESSION
(loss of skills) &
PARENTAL
CONCERN are
red flags at any
age
Fine Motor
DCD
Dysgraphia
MD
PT
MD
OT
Compiled by Dr. Debbi Andrews, Division Director, 2009. Amended by D. Andrews and C. Dosman, August 2014.
*Milestone ages approximate the 50th percentile.
Sector heading mnemonic created by P. MacPherson, Class of 2012, University of Alberta Faculty of Medicine and Dentistry.
Speech / Language
Speaking
Hearing
"unable to speak/understand even
with approp. therapy, medication &
devices; or requires an inordinate
amount of time to
speak/understand, even with
approp. therapy, medication &
devices" (hearing specifies "in a
quiet setting")
MD
SLP
Audiologist
Problems with feeding and/or
swallowing
Parents suspect hearing loss,
babbling stops at > 6 mos, lack of
response to sound (check hearing!)
No single words by 15 mos
No combos by 24 mos
Stutter past 3 yrs (or earlier if
anxiety/mannerisms)
Idiosyncratic speech, disordered
sequence of development
Poor intelligibility for age
Social / Emotional
Intellect
Thinking
Remembering
Categorising
Problem-solving
Analysis/synthesis
Implicit memory before explicit
Specific>general>specific
Increased # of dimensions attended to
simultaneously
"Trial & error" to mental rehearsal
Concrete (sensory, hands-on) to abstract
Inc'd use of executive functions
Inc'd length of attention span
Metas
Mental retardation (intellectual impairment)
Learning Disabilities
Self-awareness
Empathy
Relationships
Emotional regulation
Dementia
Specific stroke syndromes
"Mental functions" =
-Adaptive functioning (eg self-care, health &
safety, social skills common, simple
transactions)
-Memory
-Problem-solving, goal-setting, and judgment
"unable to perform mental functions* even
with approp. therapy, medication & devices;
OR requires an inordinate amount of time
to do task, even with approp. therapy,
medication & devices"
MD
Psychologist
Optometrist or Ophthalmologist
Lack of developmentally appropriate
response to visual stimuli
Immature play (like younger child)
Stereotypic play; lack of pretend
School failure (either for specific subjects like
reading or math or generalised)
Always check vision and hearing if any
concernscan be assessed as young as
newborn
Bonding: parent>child
Attachment: child >parent
Increasing social circle: self
>primary caregiver >extended
family >peers >broader
community >country & culture
>world
MD
Psychologist
Mental health therapist
Emotional dysregulation
Abnormal attachment patterns
(over-clingy, indiscriminate)
Limited social smiling and shared
enjoyment by 6 mos
Limited gestures like pointing,
response to name, joint attention
by 12 mos
Limited social imitative play by 18
mos (eg imitating housework)
Limited pretend play (eg feeding
doll) by 24 mos
No friends at school-age