Neuro developmental Gross and Fine motor skills

Question 1

Newborn to 1 month

Prone
Supine
Sitting
Standing
etc.

Answer 1

Prone

• Physiological flexion
• Lifts head briefly
• Head to side

Supine

• Physiological flexion
• Rolls partly

Sitting
- Head Lag in pull to sit

Standing
- Reflex standing and walking

Follows object to midline
- Hands fisted

Question 2

2 to 3 months

Prone
Supine
Sitting
Standing
etc.

Answer 2

Prone

• Lifts head 90 briefly ***
• Chest up in prone position with some weight through forearms ***
• Rolls prone to supine ***

Supine

• ATNR is strong ***
• Legs kick reciprocally
• Prefers head to side

Sitting

• Head upright, but bobbing
• Variable head lag in pull to sitting
• Needs full support to sit ***

Standing
- Poor weight bearing

Visually follows through 180 degrees
Grasp is reflexive **
Uses palmar grasp **

Question 3

4 to 5 months

Prone
Supine
Sitting
Standing
etc.

Answer 3

Prone

• Bears weight on extended arms ***
• Pivots in prone to reach toys

Supine

• Rolls from supine to side position ***
• Plays with feet to mouth ***

Sitting

• Head steady in supported sitting posture
• Turns head in sitting position
• Sits alone for brief periods

Standing
- Bears all weight through legs in supported standing

Uses ulnar-palmar grasp

Question 4

6 to 7 months

Prone
Supine
Sitting
Standing
etc.

Answer 4

Prone

• Rolls from supine to prone position ***
• Holds weight on one hand to reach for toy ***

Supine
-Lifts head ***

Sitting

• Lifts head and helps when pulled to sitting position***
• Gets to sitting position without assistance ***
• Sits independently ***

Mobility
- May crawl backwards

Radial-palmar grasp
Rakes objects with fingers ***
Arm in neutral when approaching toy
Transfers objects between hands

Question 5

8 to 9 months

Prone
Supine
Sitting
Standing
etc.

Answer 5

Prone
- Gets into hand and knees position ***

Supine
-Does not tolerate supine

Sitting

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

Standing
- Stands at furniture: cruising **
- Pulls to stand at furniture
Lowers to sitting from supported stand **

Mobility
- Crawls forward ***

• Develops Active supination ***
• Radial-digital grasp
• Uses inferior pincer grasp ***
• Points at objects ***