Common Terms Areas Addressed Common Diagnoses
Additional Diagnoses Common Techniques Milestones

Occupational Milestones

Fine Motor Development: Controlled, purposeful muscle movements of the hands.
Adaptive: Activities of Daily Living

Age Milestone
3 months Able to unclench fists, bats at objects
4 months Reaches for objects
5 months Transfers objects from one hand to the other
7 months Feeds self with fingers, Raking motion for grasping
8 months Beginning to develop pincher grasp
9 months Pincher grasp established
10 months Bangs at the midline
12 months Voluntary release, throws ball
14 months Holds crayon adaptively
15 months Stacks three blocks
18 months Turns pages of a book
20 months Imitates vertical line
24 months Strings large beads
30 months Imitates horizontal line, builds tower of 6-7 blocks
36 months Cuts paper with scissors, imitates drawing a circle

All children develop at their own pace. This chart identifies the average time line for milestone development. It is not to be used to determine whether or not your child has a developmental delay. If you are concerned about your child’s development, see a Speech-Language Pathologist.

Fine Motor Developmental “Red Flags”

Age ◄Red Flag: warning signs
3-4 months Hands remain fisted
5-8 months Does not reach for objects
6-9 months Does not bring hands together
14-18 months Excessive drooling beyond normal teething