Fine motor

Important fine motor milestones for Medical Pg entrance with mnemonics and images to help u in remembering it well

1. FINE MOTOR MILESTONES - DR.AKIF A.B

2. GRASP REFLEX - Involutary grasp reflex diappears at 2-3months - Voluntary grasp reflex develop at 4 th month

3. HAND REGARD Hand regard  is seen in babies between 3-5 months of age It occurs when a baby is seen lying supine, watching the movement of the  hands . persistence beyond 5months = Abnormal Mnemonic : In hand there are 5 fingers and persistence beyond 5months is abnormal

4. APPROACH AND GRASPS Bidextrous approach ; approaching towards object by both hands = 4-5months unidextrous approach : approaching towards object by both hands= 5-6months Ulnar grasp : holding things with ulnar (medial) side of palm = 6-7months radial grasp : holding things with radial(lateral) side of palm = 7-9months Immature pincer grasp: partially holding pen between index and thumb = 9-10months mature pincer grasp: fully holding pen between index and thumb = 11-12 months Mnemonics: M y Immature Radi us & Ulna S imply B reaks M ature pincer grasp Immature pincer grasp Radial grasp Ulnar grasp Single( uni ) Dextrous approach Bidextrous approach

5. APPROACH RADIAL GRASP ULNAR GRASP PINCER GRASP UNIDEXTROUS APPROACH Mnemonic: 1) ulnar means medial ,which has 6letters;; so 6months 2) radial means lateral, which has 7 letters= so 7months 3) unidextrous – uni - 3letters-multiply by 2= 6 = so 6months 4) Bidextrous – Bi- 2letters -multiply by 2= 4 = so 4 months

6. Voluntary release or transfer objects between hands releases objects On request 7 months 12 months

7. Tower of cubes Making tower of 2cubes: 13- 15months Making tower of 10cubes: 36months Making tower of 6cubes: 24months Mnemonic: 13 months = 13 = minus between 1 &3 = 2 so 3-1=2=2cubes Mnemonic: 36 months = 3&6 = add 3 &6= 9 so 36 months = 9cubes (approx 10) Mnemonic: 24months =2 &4= add 2 &4= 6 so 24months =6cubes

8. SCRIBBLES 15 months

9. L O C S T D copies Line Copies O (circle) Copies Cross Copies Square copies Triangle copies diamond (hexagon) 2yrs 3 4 4 ½ 5 6

10. Cup & Spoon Uses cup and spoon but spills over all = 12months Cup without spilling = 15months Spoon without spilling = 18months

11. BOOK PAGES Turns 2-3 pages simultaneously : 18months Turns each page separately : 2years

12. By 6months - Involutary grasp reflex diappears at 2-3months - Voluntary grasp reflex develop at 4 th month Hand regard  is seen in babies between 3-5 months of age Bidextrous approach ; approaching towards object by both hands = 4-5months unidextrous approach : approaching towards object by both hands= 5-6months 1month: Lifts head spontaneously in prone position 1.5months: lifts head spontaneously in supine position 3 months: lifts head in prone position on both arms/ partial head control in supine 6months: lifts head in prone position on both extended hands/ complete head control/ sitting with support

13. By 6months

14. 6-12 months Ulnar grasp : holding things with ulnar (medial) side of palm = 6-7months radial grasp : holding things with radial(lateral) side of palm = 7-9months Immature pincer grasp: partially holding pen between index and thumb = 9-10months mature pincer grasp: fully holding pen between index and thumb = 11-12 months Voluntary release of objects/ transfer between hands : 7months Releases objects on request : 12 months Uses cup and spoon but spills over all = 12months 7 months:: lifts head in prone position on one extended hand 8 months : sitting without support/crawling 9months Pivots/ standing with support 10 months: Creeping/walking with support 12 months : standing without support

15. 6-12months

16. 1-3years Making tower of 2cubes: 13- 15months Making tower of 6cubes: 24months Making tower of 10cubes: 36months Turns 2-3 pages simultaneously : 18months Turns each page separately : 2years Cup without spilling = 15months Spoon without spilling = 18month Copies line =2yrs…..circle=3yrs scribbles : 15months 13-15months: walking without support 15 months: Creeps on stairs 18months: Runs 2yrs: Walking backwards/ walking on stairs one by one step

17. 1-3yrs

18. REVISE GROSS MOTOR

19. FINE MOTOR MILESTONES

20. FINE MOTOR MILESTONES

21. FINE MOTOR MILESTONES

22. SUPINE POSITION LIFTS HEAD SPONTANEOUSLY – 6WEEKS(1.5months) PARTIAL HEAD(NECK) CONTROL – 3months COMPLETE HEAD CONTROL - 6 months Mnemonic : multiply by 2 each time: 1.5*2=3……3*2=6 Checked by pulling both hands to sit

23. <3months >6months @ 3months: partial head control

24. PIVOTS:9 months Sitting without support:8-9months Sitting with support:6months

25. Crawling & Creeping 8months 10months

26. STANDING & WALKING Standing with support= 9months walking without support= 13-15months Standing without support= 12months walking with support= 10-11months (Mnemonic: first sits than stands and walks with support first…..in sequence: 9,10-11,12,13-15)

27. CREEPS ON STAIRS 15MONTHS

28. BABY RUNS 18months

29. WALKING BACKWARDS 2YEARS

30. WALKING ON STAIRS One by one step= 2yrs Alternate foot climbing stairs=4yrs

31. HOPS ON ONE FOOT 4YRS

32. CHILD SKIPS 5yrs

33. THANK YOU