Gross/Fine Motor Developmental Patterns

Question 1

Newborn to One Month

Gross– Prone/Supine/Sitting/Standing

Answer 1

Prone:
Head to side

Supine:
Physiological flexion
Rolls partly to side

Sitting:
Head lag in pull to sit

Standing:
Reflex standing and walking

Question 2

Newborn to One Month

Fine Motor

Answer 2

Regards objects in direct line of sight
Follows moving object to midline
Hands fisted
Arm movements jerky
Movements may be purposeful or random

Question 3

Two – Three Months

Gross– Prone

Answer 3

Prone:
Lifts head to 90° briefly
Chest up in prone position with some wt thru forearms
Rolls prone to supine

Question 4

Two – Three Months

Gross– Supine

Answer 4

Supine:
ATNR influence is strong
Legs kick reciprocally
Prefers head to side

Question 5

Two – Three Months

Gross– Sitting/Standing

Answer 5

Sitting:
Head up right, but bobbing
Needs full support to sit
Variable head lag in pull to sitting position

Standing:
Poor WBing
Hips in flexion, behind shoulders

Question 6

Two – Three Months

Fine Motor Skills

Answer 6

Can see farther distances
Hands open more
Visually follows through 180°
Grasp is reflexive
Uses palmar grasp

Question 7

4 – 5 Months

Gross: prone/supine

Answer 7

Prone:
Bears weight on extended arms
Pivots in prone to reach toys

Supine:
Rolls from supine to side position
Plays with feet to mouth

Question 8

4 – 5 Months

Gross: sitting/standing

Answer 8

Sitting:
Head steady in supported sitting position
Turns head in sitting position
Sits alone for brief periods

Standing:
Bears all weight through legs in supported standing

Question 9

4 – 5 months

Fine motor skills

Answer 9

Grasps and releases toys

Uses ulnar-palmar grasp

Question 10

6 – 7 Months

Gross: Prone/supine

Answer 10

Prone:
Rolls from supine to prone position
Holds weight on one hand to reach for toy

Supine:
lifts head

Question 11

6 – 7 Months

Gross: sitting/ Mobility

Answer 11

Sitting:
Lifts head and helps when pulled to sitting position
Gets to sitting position without assistance
Sits independently

Mobility:
May crawl backward

Question 12

6 – 7 Months

Fine motor skills

Answer 12

Approaches objects with one hand
Arm in neutral when approaching toy
Radial-Palmar grasp
“Rakes” with fingers to pick up small objects
Voluntary release to transfer objects between hands

Question 13

8 – 9 months

Gross: prone/supine

Answer 13

prone:
gets into hands-knees position

Supine: does not tolerate supine position

Question 14

8 – 9 months

Gross: sitting, standing, mobility

Answer 14

sitting:
Moves from sitting to prone
Sits without hand support for longer periods
Pivots in sitting position

Standing
Stands at furniture
Pulls to stand at furniture
Lowers to sitting position from supported stand

Mobility
Crawls forward
Walks along furniture

Question 15

8-9 months

Fine motor

Answer 15

Develops active supination
Radial-digital grasp develops
Uses inferior pincer grasp
Extends wrists actively 
Points/pokes with index finger
Releases objects more refined
Takes objects out of containers