PEDIATRIC THERAPY MILESTONES

 
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physical therapy

0-3 Months

  • Lifts head 45-90 degrees

  • Props up on forearms when on belly

  • Moves head side to side

4-7 Months

  • Brings feet to mouth

  • Does complete rolls

  • Sits alone, steady

8-11 Months

  • Pulls to standing position

  • Begins to crawl

  • Can stand then sit

1st Year

  • Squats up and down

  • Walks without help

  • Climbs off furniture

  • Runs

2nd Year

  • Walks up/down stairs

  • Kicks a ball

  • Jumps up

  • Stands on one foot

3rd Year

  • Rides a tricycle

  • Catches a large ball

  • Walks on a straight line

  • Kicks a rolling ball

4th Year

  • Jumps over objects

  • Rolls forward

  • Hops on 1 foot

  • Walks on balance beam

5th Year

  • Skips and gallops

  • Stands still on toes

  • Catches a bounced ball

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occupational therapy

0-3 Months

  • Brings hands to mouth

  • Looks at objects briefly

  • Falls asleep without excessive calming

4-7 Months

  • Holds a bottle

  • Looks at toys while holding them

  • Tolerates loud noises

8-11 Months

  • Begins letting go of toys purposefully

  • Bangs toys together

  • Explores various textures

1st Year

  • Uses a spoon, holds a cup

  • Completely off bottle

  • Sorts shapes

  • Able to scribble

2nd Year

  • Takes off socks and shoes

  • Unscrews jar lids

  • Able to string beads

  • Eats all food textures

3rd Year

  • Puts shoes on correct foot

  • Builds nine block tower

  • Completes 4 piece puzzle

  • Colors with a crayon

  • Imitates a cross/circle

4th Year

  • Buttons large buttons

  • Traces and copies

  • Dresses independently when asked

  • Cuts out shapes

5th Year

  • Cuts on straight lines

  • Tries to color in the lines

  • Buttons small buttons

  • Aware of dangerous items

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speech therapy

0-3 Months

  • Able to latch and nurse/bottle feed with minimal leakage from the mouth

  • Smiles at other people

4-7 Months

  • Has different cries for different needs

  • Begins babbling and expands the use of babbling sounds

8-11 Months

  • Produces multiple babbling sounds

  • Tries to limit sounds made by adults

  • Turns and looks to find sounds/voices

1st Year

  • Starts using 1-2 word phrases

  • Has 5-20 words/50 words by 18 months

  • Points to wants and needs

  • Responds to name and the word “no”

2nd Year

  • Uses 2-3 word utterances or more

  • Vocabulary expands weekly

  • Over 450 words

  • Starts asking questions: “What’s this?”

3rd Year

  • Uses 3-4 word utterances or more

  • Vocabulary expands to 1,000 words

  • Produces speech that is understood by most adults

  • Can tell simple stories or tell you about their day

4th Year

  • Uses 4-5 word utterances/sentences and strings sentences together

  • Vocabulary expands to 1,500 words

  • Uses “Why?” and “What?” questions

  • Produces more difficult sounds and words

5th Year

  • Is able to have a conversation with you about prior events

  • Makes comments and is able to give directions

  • Knows name and address

  • Uses most speech sounds correctly