Gross Motor Milestones Chart Excl Sheet Flashcards
1
Q
1 Month
Aka
A
Random Mvmt Phase
2
Q
2 Months
Aka
A
Asymmetrical Movement Phase
3
Q
3 Months
Aka
A
B/L Symmetrical Phase/Reciprocal Mvmt
4
Q
4 Months
Aka
A
Lateral Flexion emerges
5
Q
5 Months
aka
A
Extended Arm WB
6
Q
6 Months
Aka
A
IND Sitting
7
Q
7 Months
aka
A
Belly Crawling
8
Q
8 Months
aka
A
Creeping
9
Q
9 Months
Aka
A
Standing and Cruising (Think furniture walking)
10
Q
10 Months
aka
A
Standing and Cruising 1 UE in Forward Direction
11
Q
11 Months
aka
A
Standing W/OUT UE Support
12
Q
12 Months
Aka
A
Ambulation Begins!!!
13
Q
1 Month → Random Mvmt Phase
Supine
A
- ATNR MAY appear
- Incd head turning
- NO C/S Flex YET
14
Q
1 Month → Random Mvmt Phase
Prone
A
- Press up attempted, BUT not yet strong enough
- Head righting rxns present
15
Q
1 Month → Random Mvmt Phase
Sitting
A
- ATTEMPTS to correct forward head fall
16
Q
1 Month → Random Mvmt Phase
Standing/Walking
A
- Primary standing still present
- Genu VaRum
- Automatic walking may not yet be integrated
- reflex
17
Q
2 Months→ Asymmetrical Mvmt Phase
Supine
A
- 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
18
Q
ATNR MOST prominent here
A
2mos
19
Q
2 Months→ Asymmetrical Mvmt Phase
Prone
A
- Rotates head to side
- INCd rotation mobility
- ear to floor
- Head lifting= hip flexion and pelvic elevation causing anterior wt shift
20
Q
2 Months→ Asymmetrical Mvmt Phase
Sitting
A
- Full head lag still present
- UE show SOME response to pull to sit
- Brief head lifting
- Bobbing of head
21
Q
2 Months→ Asymmetrical Mvmt Phase
Standing/Walking
A
- Astasia Abasia==> Lack of accepting weight
- Lack of stepping
22
Q
Astasia Abasia
When/Whats it mean?
A
2 mos
Lack of accepting Wt
23
Q
3 Months→ B/L Symmetrical Phase/Reciprocal Mvmt
Supine
A
- Maintains midline***
- Antigravity flexion
24
Q
3 Months→ B/L Symmetrical Phase/Reciprocal Mvmt
Prone
A
- Forearm propping***
25
Forearm propping
3mos
26
3 Months→ **B/L Symmetrical Phase/Reciprocal Mvmt**
## Footnote
**Sitting**
* Head lag in pull→ sit
* antigravity
27
3 Months→ **B/L Symmetrical Phase/Reciprocal Mvmt**
## Footnote
**Standing/Walking**
* Accepting WB on B/L LEs \*\*\*
28
4 Months→ **Lateral Flex emerges**
## Footnote
**Supine**
* LESS frogged
* Inc ADD strength
* Hands to knees
* Rolling
* **Lateral flex**
29
4 Months→ **Lateral Flex emerges**
## Footnote
**Prone**
* Stable forearm WB
* **Head @ 90degs in midline**
* **Landau Rxn begins**
* **Head rot. incs**
30
4 Months→ **Lateral Flex emerges**
## Footnote
**Sitting**
* New social orientation
* Unsupported sit for few secs
* Head is **stable** in midline
* Semi-erect posture
* Limtd UE function
31
4 Months→ **Lateral Flex emerges**
## Footnote
**Standing/Walking**
* Baby **will take wt on EXT legs**
* Head is better pos'd in standing vs sitting
* **Trunk** is more **stable** than before
32
5 Months→ **EXTd Arm WB**
## Footnote
**Supine**
* Antigravity **flexor activity**
* Hands to feet and feet to mouth
* able to **roll to S/L**
33
5 Months→ **EXTd Arm WB**
## Footnote
**Prone**
* EXT of UE in prone
* **Almost full head control in prone**
* Landau rxn
* INC spinal EXT
34
5 Months→ **EXTd Arm WB**
## Footnote
**Sitting**
* **“Prop sit”**
* Baby MAY assist themselves into sitting
* DEC shoulder elevation
35
5 Months→ **EXTd Arm WB**
## Footnote
**Standing/Walking**
* **Trunk EXTs** more active in **Lumbar area**
* May stand w/ **hip flex, knee EXT, and spine hyperEXT**
36
6 Months→ **IND Sitting**
## Footnote
**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**
37
6 Months→ **IND Sitting**
## Footnote
**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**
38
6 Months→ **IND Sitting**
**Sitting**
* Pull to sitting **IND**
* FULL head control and elongated spine→ **UE free to manipulate toys**
* Good trunk control
39
6 Months→ **IND Sitting**
## Footnote
**Standing/Walking**
* Active WB thru LE
* **Bouncy for _proprio_. and _vestibular_ input**
40
7 Months→ **Belly _Crawling_**
**Supine**
* **Equilibrium rxns**
* NOT functional in supine
41
7 Months→ **Belly _Crawling_**
## Footnote
**Prone**
* **Crawling→ Asymmetrical UE + LE\*\*\***
* Equilib rxns
* Attempts Quadruped/Quadruped play
* **VERY functional in prone**
* Rock back and forth AND **diagonally**
42
7 Months→ **Belly _Crawling_**
## Footnote
**Sitting**
**Equilibrium rxns**
43
7 Months→ **Belly _Crawling_**
## Footnote
**_Standing/Walking_**
* B/L UE for stability and trunk lean against surface
* **Begins pulling up on furniture or people from quad or kneeling \*\*\***
44
8 Months→ **Creeping**
## Footnote
**Supine**
* NOT functional; **Child will want to move OUT of supine \*\*\***
45
8 Months→ **Creeping**
## Footnote
**Prone**
* Uses prone to **push into quad.**
* VERY functional
* **Already belly crawling and _progressing to Creeping_**
46
8 Months→ **Creeping**
## Footnote
**Sitting**
* Sit w/ DECd BOS and **continues to _dissociate_ LEs**
47
8 Months→ **Creeping**
## Footnote
**Standing/Walking**
* Continues pull to stand from furniture and external support w/ **asymmetrical LE support**
* Can inc BOS and **reach for objs**
48
9 Months→ **Standing and Cruising**
## Footnote
**Supine**
Not functional at this point
49
9 Months→ **Standing and Cruising**
## Footnote
**Prone**
Creeping is primary mode of locomotion
50
9 Months→ **Standing and Cruising**
## Footnote
**Sitting**
* VERY FUNCTIONAL POSITION
* INC trunk control & hip mobility leads to **variety of sitting postures**
* **Post. protective rxns** present
51
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
52
10 Months→ **Standing and Cruising 1 UE and in _Forward Direction_**
## Footnote
**Supine**
NA
53
10 Months→ **Standing and Cruising 1 UE and in _Forward Direction_**
## Footnote
**_Prone_**
NA
54
10 Months→ **Standing and Cruising 1 UE and in _Forward Direction_**
## Footnote
**_Sitting_**
* VERY functional
* Improved postural control for **fine motor practice**
* Improved hip mobility for diff postures
* Posterior protective rxns present
55
10 Months→ **Standing and Cruising 1 UE and in _Forward Direction_**
## Footnote
**_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.
56
11 Months→ **Standing w/out UE Support**
## Footnote
**Supine**
Not functional at this point
57
11 Months→ **Standing w/out UE Support**
## Footnote
**Prone**
* **Quadruped\*\*\***
* Can creep while carrying a toy
58
11 Months→ **Standing w/out UE Support**
## Footnote
**Sitting**
* Variety of positions w/ **DECd BOS**
* Easily transitions in and out of sitting
* INCd trunk control
* **Half-kneeling** is more functional and controlled
59
11 Months→ **Standing w/out UE Support**
## Footnote
**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
60
12 Months→ **Ambulation begins!**
## Footnote
**Supine**
Not functional @ this point
61
12 Months→ **Ambulation begins!**
## Footnote
**Prone**
Quadruped (can creep while carrying a toy)
62
12 Months→ **Ambulation begins!**
## Footnote
**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
63
12 Months→ **Ambulation begins!**
## Footnote
**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
