Developmental Milestones for Kids

Does my child need occupational therapy?


“When should my child do this or that activity?” “Is this common for his/her age?” - These are common questions occupational therapist receive from parents of young children. While we know that no two child develops the same way, there are common milestones that are guidelines to help parents monitor their children's development. 

The following is a list of some developmental milestones  by age.
A referral to an occupational therapist is recommended if any of the milestones are not being met.

  1. By 12-24 months:

    Fine motor skills:

    • Begins to develop a pincer grasp (uses index finger and thumb to pick up cheerios)
    • Grasps smaller items using three fingers
    • Drops object into/ take object out of cup or container
    • Points using their index finger
    • Bangs two items together (such as blocks or other preferred toys)
    • Begins to grasp crayon using a fist
    • May be interested in imitating scribbling on a paper

    Self-care skills:

    • Take off socks and shoes
    • Assist with dressing to push arm or leg into clothing
    • Holds a cup on their own
    • Starts to bring spoon to their mouth to self-feed

    Gross motor skills:

    • Transition into a sitting position on their own
    • Crawling
    • Pull up to stand at furniture
    • Child may take steps holding onto an adults hands or take steps while holding onto furniture
    • Hold, roll or throw ball (with assistance)
    • Walking on their own
    • Carries large toy while walking
    • Walks up and down stairs holding onto support
  2. By 24-36 months:

    Fine motor skills:

    • Uses a more refined pincer grasp to pick up small objects
    • Grasps a crayon between their thumb and fingers
    • Pre-writing strokes begin as child attempts to imitate a straight line and scribbles
    • Strings large sized beads
    • Begins to snip paper using scissors
    • Completes simple 3-5 piece puzzles

    Self-care skills:

    • Brings spoon and fork to mouth with little spilling
    • Drinks from an open cup
    • Drinks using a straw
    • Assists more with dressing skills, such as finding and placing arms into shirt
    • Helps pulls pants off
    • Removes socks and shoes

    Gross motor skills:

    • Walks independently
    • Carries toy while walking
    • Climbs onto and down from furniture, play structure
    • Throw and catch a large ball
    • Runs without falling
    • Swings legs to Kick a ball forward
    • Jumps off the floor with both feet
    • Walks down stairs with support
    • Walks up stairs alternating feet with support
    • May show interest and begin to pedal a tricycle
  3. By 3 years of age:

    Fine motor skills:

    • Starts showing a hand preference
    • Child grasps writing tools between thumb and fingers
    • Pre-writing skills; child copies vertical and horizontal line
    • Child colours simple shapes
    • Cuts along a straight line
    • Builds a tower of 4-5 blocks
    • Child is able to identify 10 body parts

    Self-care skills:

    • Child is able to feed themselves with little spillage
    • Drinks from an open cup
    • Puts on and takes off shoes independently
    • Dress himself/herself (with some assistance)
    • Uses the toilet (with assistance when needed)
    • Pulls up a zipper on a coat or sweater

    Gross motor skills:

    • Throwing and catching a large ball
    • Kicking a large ball forward
    • Walk up steps, alternating feet with support
    • Jumps with both feet
    • Begins to move arms and legs to pump a swing or ride a tricycle
    • Stands on one foot for a couple of seconds.

     

  1. By 4 years of age:

    Fine motor skills:

    • Child shows a hand preference
    • Child grasps writing tools with index, middle and long fingers
    • Pre-writing skills include copying a vertical line, horizontal line, a cross and a circle
    • Child attempts to colour within the lines
    • Draws a person with a head, body, arms and legs
    • Cuts straight lines and attempts more complex shapes (i.e. square, triangle, diamond)
    • Builds a tower of 7-9 blocks
    • Puts together simple puzzles of 4-12 pieces 

    Self-care skills:

    • Child is able to feed themselves with little mess
    • Independently uses utensils (i.e. fork, spoon)
    • Dresses self (may require some assistance with fasteners and snaps).
    • Zips a jacket (may need help with initial alignment of zipper)
    • Manipulates large buttons
    • Brushes teeth with assistance
    • Uses the toilet independently (may need help with wiping)

    Gross motor skills:

    • Stands on one foot for 2-3 seconds
    • Jumps on two feet in place
    • Throws and catches medium sized ball
    • Catches a bouncing ball
    • Kicks ball further with direction
    • Walks up and down stairs alternating feet (with assistance if needed)
    • Tries to skip
    • Child develops more confidence to move arms and legs to pump a swing or ride a bicycle
  2. By 5 years of age:

    Fine motor skills:

    • Child shows a hand preference
    • Child grasps writing tools using their index, middle and long fingers
    • Pre-writing skills includes copying a vertical & horizontal line, circle, cross, square and a triangle
    • Cutting skills are becoming more proficient as child is able to cut out more complex shapes
    • Prints name and familiar letters from memory
    • Copies all letters of the alphabet
    • Draws a person with 2-4 body parts 

    Self-care skills:

    • Child dresses independently
    • Child begins to Tie a knot in preparation for learning to tie shoe laces
    • Brushes teeth and hair independently
    • Fastens Velcro shoes, buttons and zippers

    Gross motor skills:

    • Stands on one foot for 5 seconds
    • walks up and down stairs, alternating feet, without support
    • throws and catches a small ball
    • Throws a ball overhand with direction
    • May be able to skip
    • Riding a bike with training wheels
  3. By 6 years of age:

    Fine motor skills:

    • Child will use a dynamic tripod grasp (or another mature pencil grasp)
    • Child prints name, all capital and lower case letters, and numbers
    • Draws more complex shapes and designs (triangle, diagonal lines)
    • Draws recognizable and meaningful pictures
    • Draws a person with at least six body parts
    • Cuts out more complex shapes
    • Builds three dimensional block structures

    Self-care skills:

    • Dressing skills are unsupervised
    • Tying shoe laces
    • Child may use a knife during mealtime to cut food

    Gross motor skills:

    • stands on one foot for 10 seconds
    • throws and catches       a small ball with increased control and accuracy
    • runs quickly with smooth coordinated movements
    • hops on one foot consecutively
    • rides a bicycle with more confidence and control