Pediatric Therapy 2675 Central Avenue ~ Billings, Montana ~

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Develpmental Checklist 0-3 Mnths: 3-6 Mnths: 6-9 Mnths: Grasps rattle r hair Fllws rattle with eyes acrss midline Reaches fr rattle Watches a rlling ball Startled by lud sunds (hand clap 3-6 feet away) Calmed by mther s vice Makes thraty sunds: whimpers, squeals, chuckles While laying n stmach lifts, turns and maintains head at 45 degrees Reciprcal kicking while laying n back Hlds head at midline when held up at yur shulder Reaches fr bjects t pick them up Helps hld bttle during feeding Transfers bject frm ne hand t the ther Turns eyes and head t sund Babbles with a variety f sunds Enjys sund making tys On stmach lifts head and chest by fully extending arms Rlls frm stmach t back Plays with feet (feet t muth) Respnds t wn name Understands n, bye-bye Repeats sunds sequences (la-la-la-la) Shakes a rattle Rlls back t stmach Reaches fr tys while laying n stmach Independent sitting Belly crawls 03345386_Rev 4/11_DcCenter 1/5

9-12 Mnths: Turns head twards lud and sft sunds Babbles in respnse t human vice Gives tys n request Puts bjects in cntainer Picks up small bjects using a pincer grasp Claps hands Bangs tw bjects tgether Crawls n hands and knees Pulls t stand Cruises 12-18 Mnths: Walks independently Identifies bdy parts, peple and tys n request Lcates sund in all directins Uses jargn Uses a few wrds Likes t pull, push and dump things Pulls ff shes, scks and mittens Feeds self Make marks n paper with crayns Hlds marker like yu wuld a knife Walks up steps with supprt Walks backwards Walks dwn stairs with ne hand supprt 18-24 Mnths: Fllws simple cmmands Speaks in tw-wrd phrases (25% understandable) Recgnizes envirnment sunds Vcabulary f 20+ wrds Identifies cmmn husehld tys and bjects Feeds self with a spn Turns tw r three pages, ne at a time Snips paper in ne place 03345386_Rev 4/11_DcCenter 2/5

18-24 Mnths Cntinued: Runs Walks sideways Jumps frward fur inches Jumps up tw inches with feet tgether Kicks a ball frward three feet Thrws a ball verhand Stacks six blcks 2-2 1/2 Year Olds: Imitates a hrizntal line with a marker n paper Opens a dr turning the knb Refers t self by name Makes mst speech sunds crrectly, n lnger uses jargn Vcabulary f 50+ wrds in 2-3 wrd phrases Answers yes/n questins abut familiar events Walks up and dwn stairs withut supprt Jumps dwn ff f bjects up t 21 inches high (may lead with ne ft) Attempts t catch a ball by extending bth arms ut Identifies hair, eyes, ears, and nse by pinting 3 Year Olds: Can match primary clrs, names ne clr Understands yesterday, summer, lunchtime, tnight, and little - big Has a sentence length f 3-4 wrds Can sing sngs Asks what questins frequently Builds an 8-10 cube twer Starts t use a preferred hand Unbuttns large buttns Cuts paper with scissrs Walks up steps withut supprt placing ne ft n each step Jumps frward 26 inches Runs with arms mving back and frth acrss bdy at r belw waist 03345386_Rev 4/11_DcCenter 3/5

3 Year Olds Cntinued: Thrws a ball verhand ten feet Thrws a ball underhand t a target frm five feet away Walks a fur ft by fur inch wide line withut stepping ff 4 Year Olds: 5 Year Olds: Pints t clrs red, blue, yellw and green Identifies crsses, triangles, circles and squares Fllws cmmands even thugh bjects nt present Can speak f imaginary cnditins such as suppse that r I hpe Has sentence length f 4-5 wrds Asks wh and why Uses cntractins such as it s a r there s a Uses past tense crrectly Stands n ne leg fr seven secnds Walks up and dwn stairs with cnfidence Hps n ne ft frward eight feet Gallps Kicks a slw mving ball Wash and dry face Brushes teeth Cpies a circle, square and rectangle Cuts paper int fairly equal halves String 12 beads Define bjects by their use Knws their address Has a sentence length f 5-6 wrds Understands same and different Uses future, present and past tense Distinguishes left and right hand n them self Uses all types f sentences Hps frward ten feet Skips ten feet using arm mvements 03345386_Rev 4/11_DcCenter 4/5

5 Year Olds Cntinued: Run and kick a ball Catch a large ball using nly hands Kick a ball in the air s it travels 1-12 feet Dress self Can d up buckles, buttns and snaps 6 Year Olds: Hp frward n ne ft fr 115 feet Brad jump 30 inches Thrw a ball while stepping frward Start t be successful at jumping rpe Catch a ball after ne bunce Clr pictures inside the lines Draw a diamnd Write first and last name Tuch thumb t each finger in five secnds Skipping Walk n balance beam backward If yu have any questins r cncerns abut yur child s develpment, please cntact Billings Clinic at 406-238-5676. We prvide utpatient pediatric speech therapy, ccupatinal therapy, and physical therapy service t children 0-18 years f age. 03345386_Rev 4/11_DcCenter 5/5