Gross Motor Milestones Chart Excl Sheet Flashcards
1 Month
Aka
Random Mvmt Phase
2 Months
Aka
Asymmetrical Movement Phase
3 Months
Aka
B/L Symmetrical Phase/Reciprocal Mvmt
4 Months
Aka
Lateral Flexion emerges
5 Months
aka
Extended Arm WB
6 Months
Aka
IND Sitting
7 Months
aka
Belly Crawling
8 Months
aka
Creeping
9 Months
Aka
Standing and Cruising (Think furniture walking)
10 Months
aka
Standing and Cruising 1 UE in Forward Direction
11 Months
aka
Standing W/OUT UE Support
12 Months
Aka
Ambulation Begins!!!
1 Month → Random Mvmt Phase
Supine
- ATNR MAY appear
- Incd head turning
- NO C/S Flex YET
1 Month → Random Mvmt Phase
Prone
- Press up attempted, BUT not yet strong enough
- Head righting rxns present
1 Month → Random Mvmt Phase
Sitting
- ATTEMPTS to correct forward head fall
1 Month → Random Mvmt Phase
Standing/Walking
- Primary standing still present
- Genu VaRum
- Automatic walking may not yet be integrated
- reflex
2 Months→ Asymmetrical Mvmt Phase
Supine
- Head rotation to one side
- CANNOT hold head in midline
- ATNR MOST PROMINENT HERE
- Tracks TO and FROM side to midline
- Head rotation initiates spinal rotation
ATNR MOST prominent here
2mos
2 Months→ Asymmetrical Mvmt Phase
Prone
- Rotates head to side
- INCd rotation mobility
- ear to floor
- Head lifting= hip flexion and pelvic elevation causing anterior wt shift
2 Months→ Asymmetrical Mvmt Phase
Sitting
- Full head lag still present
- UE show SOME response to pull to sit
- Brief head lifting
- Bobbing of head
2 Months→ Asymmetrical Mvmt Phase
Standing/Walking
- Astasia Abasia==> Lack of accepting weight
- Lack of stepping
Astasia Abasia
When/Whats it mean?
2 mos
Lack of accepting Wt
3 Months→ B/L Symmetrical Phase/Reciprocal Mvmt
Supine
- Maintains midline***
- Antigravity flexion
3 Months→ B/L Symmetrical Phase/Reciprocal Mvmt
Prone
- Forearm propping***
Forearm propping
3mos
3 Months→ B/L Symmetrical Phase/Reciprocal Mvmt
Sitting
- Head lag in pull→ sit
- antigravity
3 Months→ B/L Symmetrical Phase/Reciprocal Mvmt
Standing/Walking
- Accepting WB on B/L LEs ***
4 Months→ Lateral Flex emerges
Supine
- LESS frogged
- Inc ADD strength
- Hands to knees
- Rolling
- Lateral flex
4 Months→ Lateral Flex emerges
Prone
- Stable forearm WB
- Head @ 90degs in midline
- Landau Rxn begins
- Head rot. incs
4 Months→ Lateral Flex emerges
Sitting
- New social orientation
- Unsupported sit for few secs
- Head is stable in midline
- Semi-erect posture
- Limtd UE function
4 Months→ Lateral Flex emerges
Standing/Walking
- Baby will take wt on EXT legs
- Head is better pos’d in standing vs sitting
- Trunk is more stable than before
5 Months→ EXTd Arm WB
Supine
- Antigravity flexor activity
- Hands to feet and feet to mouth
- able to roll to S/L
5 Months→ EXTd Arm WB
Prone
- EXT of UE in prone
- Almost full head control in prone
- Landau rxn
- INC spinal EXT
5 Months→ EXTd Arm WB
Sitting
- “Prop sit”
- Baby MAY assist themselves into sitting
- DEC shoulder elevation
5 Months→ EXTd Arm WB
Standing/Walking
- Trunk EXTs more active in Lumbar area
- May stand w/ hip flex, knee EXT, and spine hyperEXT
6 Months→ IND Sitting
Supine
- Anti-gravity flexor control
- IND lifting head
- Reaching hands towards feet (including pelvic tilt)
- Equilibrium rxns starting to emerge
- Symmetry and flexion are strong
6 Months→ IND Sitting
Prone
- Strong EXT activity
- Fully EXTd arm WB
- NO longer falls to side w/ wt shift ***
- Actively rolling from prone to supine
- Pivoting in prone
6 Months→ IND Sitting
Sitting
- Pull to sitting IND
- FULL head control and elongated spine→ UE free to manipulate toys
- Good trunk control
6 Months→ IND Sitting
Standing/Walking
- Active WB thru LE
- Bouncy for proprio. and vestibular input
7 Months→ Belly Crawling
Supine
- Equilibrium rxns
- NOT functional in supine
7 Months→ Belly Crawling
Prone
- Crawling→ Asymmetrical UE + LE***
- Equilib rxns
- Attempts Quadruped/Quadruped play
- VERY functional in prone
- Rock back and forth AND diagonally
7 Months→ Belly Crawling
Sitting
Equilibrium rxns
7 Months→ Belly Crawling
Standing/Walking
- B/L UE for stability and trunk lean against surface
- Begins pulling up on furniture or people from quad or kneeling ***
8 Months→ Creeping
Supine
- NOT functional; Child will want to move OUT of supine ***
8 Months→ Creeping
Prone
- Uses prone to push into quad.
- VERY functional
- Already belly crawling and progressing to Creeping
8 Months→ Creeping
Sitting
- Sit w/ DECd BOS and continues to dissociate LEs
8 Months→ Creeping
Standing/Walking
- Continues pull to stand from furniture and external support w/ asymmetrical LE support
- Can inc BOS and reach for objs
9 Months→ Standing and Cruising
Supine
Not functional at this point
9 Months→ Standing and Cruising
Prone
Creeping is primary mode of locomotion
9 Months→ Standing and Cruising
Sitting
- VERY FUNCTIONAL POSITION
- INC trunk control & hip mobility leads to variety of sitting postures
- Post. protective rxns present
9 Months→ Standing and Cruising
Standing/Walking
-
Standing:
- 1 UE to maintain standing
- Can rotate trunk, stand & manipulate toys
- Plop sits
-
Supported Walking:
- Able to walk w/ 1 HHA
- Ambulates in high guard pos.
- Uses trunk EXT to inc LE EXT
-
Cruising:
- May cruise sideways or sagittal
- Move around furniture, open spaces and variable surfaces
10 Months→ Standing and Cruising 1 UE and in Forward Direction
Supine
NA
10 Months→ Standing and Cruising 1 UE and in Forward Direction
Prone
NA
10 Months→ Standing and Cruising 1 UE and in Forward Direction
Sitting
- VERY functional
- Improved postural control for fine motor practice
- Improved hip mobility for diff postures
- Posterior protective rxns present
10 Months→ Standing and Cruising 1 UE and in Forward Direction
Standing/Walking
-
Standing:
- Reqs U/L UE support to maintain
- Can rotate and manipulate objs
-
Walking:
- Also U/L UE support w/ high guard pos.
11 Months→ Standing w/out UE Support
Supine
Not functional at this point
11 Months→ Standing w/out UE Support
Prone
-
Quadruped***
- Can creep while carrying a toy
11 Months→ Standing w/out UE Support
Sitting
- Variety of positions w/ DECd BOS
- Easily transitions in and out of sitting
- INCd trunk control
- Half-kneeling is more functional and controlled
11 Months→ Standing w/out UE Support
Standing/Walking
- MAY play in squatting position
- Stands w/out UE support***
- Wt shifts onto one leg and experiments w/ “reaching” w/ the leg
- Early ambulation w/ high guard for stability
- Walking replaces creeping
- Climbing on variable surfaces
12 Months→ Ambulation begins!
Supine
Not functional @ this point
12 Months→ Ambulation begins!
Prone
Quadruped (can creep while carrying a toy)
12 Months→ Ambulation begins!
Sitting
- Variety of pos’s w/ DECd BOS
- Transitions in and out of sitting
- Activates trunk muscles w/ transitions
- Incd trunk control for UE movement
12 Months→ Ambulation begins!
Standing/Walking***
- ATTEMPTS to stand w/out UE support
- Quad→ squat/stand
- May play in squat pos.
- “Plantargrade”→ able to squat w/ shins _vertical (_baby squats)
- Lower to squat w/out UE support
- Wt shift to one leg
-
Walking:
- Climbing
- Can walk w/ wide BOS and NO recip. arm swing