SOCIAL BEHAVIOUR

DEVELOPMENTAL MILESTONES IN NEONATE

GROSS MOTORProne

• Turns head to one side, hip flexed, knees under abdomen, elbows flexed, hands fisted

Supine

• Tonic neck reflex present when head turned to one side, limbs on that side are extended and opposite side flexed (fencing posture)

Pulled to Sit

• Marked head lag; placing and walking reflex present• Palmer and plantar grasp reflexes are present

Ventral Suspension

• Head and hips are flexed and limbs hang downward

FINE MOTOR AND VISION

Pupils react to light

Optical closure from sudden bright light

Doll’s eye reflex present

Eyes and head turn to diffuse light

HEARING AND SPEECH

Cries vigorously

Becomes alert in response to voice

Startle reaction to sudden loud noise

Eyes often “Corner” reflexly in direction of sound source

Engages in vocalization

SOCIAL BEHAVIOURSleeps most of the time

Rooting, sucking and swallowing reflexes are present

Hands normally closed

Social smile (4-6 weeks) i.e., smiles spontaneously

Recognizes presents

Drops toys

DEVELOPMENTAL MILESTONES AT SIX MONTHS OF LIFE

GROSS MOTORSSupine

• Lifts head from pillows, lifts legs to vertical (5 months) and grasps feet (5 months)

Prone

• Lifts head and chest well up supporting weight on extended arms

Pulled to Sit

• Stretches out arm and raises head in anticipation• Sits with support with back straight• Can roll over prone to supine (5 months) and supine to prone (6 months)

Held Standing

• Takes weight on extended legs• Downward parachute reflex present (5 months)

FINE MOTOR AND VISIONReaches with one hand

Follows dangling ball in all directions

Both eyes move in unison

Use whole hand as palmer grasp

Transfers objects from one hand to other in midline

HEARING AND SPEECHVocalizes tunefully in single or double syllables, e.g. goo, dah, ah-ah etc

Responds to hearing test at one foot on ear level

Shouts to attract attention

SOCIAL BEHAVIOURTakes everything to mouth

Regards hand and feet and plays with them

Delighted response to active play

Still can live alone for a short period

Imitates bye-bye

Is inhibited by the word no

DEVELOPMENTAL MILESTONES AT NINE MONTHS OF LIFE

GROSS MOTORCan sit without support (8 months) and reach for toy in front (9 months) and pivots to reach toy behind (10 months)

Pulls to stand (10 months) bolding on to furniture but falls with a bump

Can crawl (10 months)

Forward parachute obtained from 7 months

FINE MOTOR AND VISION

Visually alert to peripheral visions

Pokes at pellet with index finger

Grasps string (or pick up pellet) between index finger and thumb (scissors fashion)

Watches rolling ball at ten feet

Drops an object and looks at fallen object

Uncovers toy (after seeing it hidden)

HEARING AND SPEECH

Localizes sounds above or below ear level at 3 - 6 feet

Babbles in long repetitive “string” of syllables (baba, dad-dad, agaga)

Imitates adult playful sounds

SOCIAL BEHAVIOURHold, bites and chews a biscuit

Fear of strangers present (7 months onwards)

Plays peek-a-boo and imitates hand clapping

Grasps bell by handle and rings in imitation

Finds toy, which is partially hidden

Follows one-step verbal commands, e.g. “come here”, “give it me”

DEVELOPMENTAL MILESTONES AT TWEVE MONTHS OF LIFE

GROSS MOTOR

Can walk holding on to furniture (11 months) and walks with one hand held (12 months)

Walks like a bear

FINE MOTOR AND VISIONPicks up pellet with finger and thumb i.e., pincer gasp (10 months)

Looks for hidden and fallen toys (10 months)

Watches small toy pulled across room at 10 feet

Holds two cubes and clicks together in imitation

Turns pages of the books

Releases cube into cup after demonstration

Tries to build a tower of 2 cubes

HEARING AND SPEECH

Knows and immediately turns to own name

Speaks first real word

Says 2-3 words (bab, amma)

Knows 5-6 words

Localizes sound in a midline above head

SOCIAL BEHAVIOURDrinks from cup with little assistance

Helps while dressing by holding out arm

Waves “bye-bye”, and plays “pat-a-cake”

Quickly finds toy hidden before his eyes

Gives toys on request

Points to desired objects

DEVELOPMENTAL MILESTONES AT THREE YEARS OF LIFE

GROSS MOTORWalks upstairs with alternating feet and downstairs both feet per step

Can walk on tiptoe

Stands momentarily on one foot

Rides tricycle using pedals

FINE MOTOR AND VISION

Builds tower of 9-10 cubes

Builds several bridges from a model

Copies a circle

SPEECH AND HEARING

Gives full name and knows his/her age and sex

Knows several nursery rhythms

Counts upto 10 or more

Counts 3 objects correctly

SOCIAL BEHAVIOUR

Washes and dries hand under supervision

Can pull pants down and up but unable to button (dresses with supervision)

Dry by night (toilet trained)

Enjoy floor play with dolls, cars, bricks, etc.

DEVELOPMENTAL MILESTONES AT FIVE YEARS OF LIFE

GROSS MOTORHops and skips on one foot

Walks on a straight line

Runs up and downstairs

Stands on one foot with folded arms

Can catch a ball

HEARING AND SPEECH

Gives full name, age and birthday

Loves to listen stories

Defines correct nouns by use

Name four colours