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Pediatric Rehabilitation Developmental Milestones

Here are a few tips that can stimulate fine motor movements:

  • Sing songs with hand gestures (like Itsy Bitsy Spider, Patty Cake)
  • Provide age appropriate items for kids to pick-up, shake, manipulate.
  • 6-months – ball large enough it won’t fit in mouth.
  • 12-months – finger food items, (Gerber stars)
  • 2 years – play-do, finger paints, small pieces of crayon about one to two inches
  • 3 years – start scissor use, legos
  • 5 years – writing, legos, use of modified chopsticks.


Here are a few tips that can stimulate gross motor movements:

  • Get down on the floor and play with your child
  • Help your child work to get objects as opposed to just handing it to them
  • 2 months: Practice tummy time; build up your child's tolerance with a bit more time each day
  • 6 months: Have your child practice sitting on their own, practice reaching by placing objects beside them
  • 9 months: Practice hands and knees play time and crawling
  • 12 months: Practice walking with your child, use your hands for support and place objects a few feet apart for independent practice
  • 3 years: Practice jumping and standing on one foot; put shoes on in a standing position

A child who has delayed gross motor and fine motor skills development because of injury or chronic conditions may benefit from Physical or Occupational Therapy.

*Gross motor skills: Large muscle movements for walking, rolling, crawling, throwing, kicking or climbing.

**Fine motor skills: Small muscle movement in hands and mouth for speaking, manipulating toys, writing, using small objects, or fastening clothing.
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