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Hannah Harris, M.S., P.T.
Physical Therapist hannah@harris-physicaltherapy.com 2403 Main Dr. #5 Fayetteville, AR 72704 |
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| P: 479.966.4883 | C: 479.283.4873 | F: 479.445.6130 |
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GROSS MOTOR DEVELOPMENT MILESTONES
When should a parent pursue Physical Therapy? Parents should consider seeking an evaluation with a Physical Therapist if their child demonstrates any of the following:  Birth to 2 months:- Doesn't lift head in prone position (while lying on their stomach) - Does not turn head to one side in prone position - Does not turn head to both sides in supine position (lying on back) 3 months: - Does not hold head up 90 degrees in prone position (lying on stomach) - Does not extend both legs or kick reciprocally - Does not roll to back when placed on their side 4 months:  - Does not place weight on forearms in prone position (lying on stomach)- Does not rotate or extend head - Is unable to grasp a rattle - Cannot bring both hands together 5 months: - Does not roll over one way - Does not hold head up when pulled to sitting - Is unable to hold head steady in supported sitting position - Does not bear weight on legs  6 months:- Is unable to keep head level with body when pulled to a sitting position - Does not demonstrate balance reactions - Cannot bear weight on hands in prone position (lying on stomach) - Does not move head actively in supported sitting position 7 months: - Does not roll over either way - Does not bear weight on legs - Cannot lift head or assist when pulled to sitting position - Demonstrates little balance reactions or protective extension of arms  8 months: - Does not roll over both ways - Cannot sit with little or not support - Does not hold weight on one hand while in the prone position (lying on stomach) - Cannot bear weight on legs and bounce 10 months: - Cannot get to sitting position without assistance - Does not assume crawling position (hand-knee position) 
- Does not show interest/motivation to crawl- Cannot sit on own without hand support 12 months: - Does not pull to stand using furniture - Cannot switch positions from sitting to prone - Does not creep on hand and knees - Cannot pivot while in sit position to retrieve toy - Cannot pass an object from one to the other - Cannot stand holding on to someone or something - Cannot pick up small objects 15 months: - Does not walk with one hand held - Cannot stand alone well - Does not demonstrate balance reaction while in kneeling position - Does not walk alone one to two steps - Does not demonstrate motor planning by climbing on furniture - Has a hard time picking up small objects 18 months: - Does not attempt to creep upstairs - Does not walk without support - Cannot throw ball - Does not bend down to retrieve objects - Does not demonstrate balance reaction in standing 24 months: - Does not run - Cannot walk upstairs with one hand held - Cannot carry large toy while walking - Does not squat in play - Cannot retrieve toy off of floor from standing position - Does not climb onto furniture, turn and sit - Cannot build tower of six blocks - Does not use utensils well 30 months: - Does not jump in place with both feet - Does not stand from sitting by rolling on side - Cannot catch large ball - Has difficulty with gait and balance - Does not walk downstairs using rail for support - Does not have wide range of movement - Does not run and stop without holding - Does not avoid objects when running 36 months: - Cannot kick stationary ball - Is not able to stand on one foot for two seconds - Cannot build tower of 9 blocks - Cannot complete 5-6 piece puzzle - Is not using utensils properly - Does not attempt to ride tricycle - Does not demonstrate grasp of crayon |
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