Peds 7months- 6 years 4:3

-antigravity movements exist in all planes

-rarely stays in supine
-position typically used just for exploration
**want variety of positions

-can weight shift and reach on extended elbow
-lateral righting reactions, pelvic weight shift and LE dissociation
-can assume quadruped and rock in this point
-may assume a hands and feet position
-beginning to work on quadruped to sit transitions in the sagittal plane

-can sit independently with back and pelvis
-can play in sit
-anterior protective extension present
-decreased ring sit position

-can bounce in supported stance
-hips now in line with shoulders

-weight shifts side to side with a narrow base of support

-anterior protective
-lateral protective

-upper body motion
-reach and grasp with extended elbow
-supinates forearm with elbow flexiono
-manipulates toy activity with wrist movement
-shakes and bangs
-drops into container using surface of stability
-briefly holds a toy in each hand

-interested in details
-interested in consequence of behavior
-responds to commands "come up" by reaching up when parent reaches toward child
-responds to peek a boo
-pats reflection in mirror

-distinguishes near and far objects and space
-aware of and compares size difference of similar objects
-explores by fingering and banging

-says mum-mum-mum especially when crying
-makes same vowel sound in a series
-ah, ah, oh, oh
-isolated tongue movements-more laterlization and some beginning diagnol movements

-strong desire to move and explore
-increased interest in small objects
-equilibrium reactions are present
-protective extension present laterally

-do not like this position
-typically rolls quickly out of this position

-will creep on all fours
-use reciprocal motion (requires diagonal and counter rotation control in the trunk)
-provides varied input to hands (may develop palmar arches)
-may attempt to climb steps but lacks judgement and unable to go down
-will transitions to quadruped using a diagnol motion

-no longer dependent on positional stability
-variety of leg position

-autism. This is done in long sitting when they are not able to do floor movement

- can weight shift in all 3 planes
-begins cruising
-can stand holding onto another's finger
-can pull up on furniture (primarily with UEs)
-may use symmetrical LE extension to assist
-returns to floor by plopping on bottom

-hand arches develop through weight shifting
-protective reactions are present sideways
-holds two objects at a time with one hands
-hands and fingers adapt on object's size and shape
-radial digital grasp
-three jaw chuck grasp
-interior scissor lateral pincer grasp
-release objects above the surface into large container

-happens accidentally initially. they do have more control over trunk and hip extensors

-mother or mother figure cannot be replaced
-child becomes fearful in different situations
-shakes head no-no
-imitates sound
-responds to name with head turn, eye contact, smile
** child should not ignore you or look past

-secure a toy by string is contacted by the hand
-looks for a toy that is dropped
-may turn eyes inwardly while inspecting hands to toy

-active upper lip movement
-lower lip actively comes forward
-cheeks-more active; more suckling
-tongue helps to stabilize spoon and places food in trough mechanisms
-can take food from center to side for chewing
-emergent circular motion as well as lateral and diagonal of the tongue and jaw
-jaw-quiet
-more control
-begins to use consonants

-standing and walking primary drives for baby
-equilibrium reactions are developed

-improved long sit
-may see W sit
-has anterior/posterior pelvic tilt

-crawling control and speed quite refined
-crawling primary mode of locomotion

-can pull to stand through kneeling and 1/2 kneeling
-LE remain poorly controlled
-can retrieve a toy from the floor
-cruising is more refined but continues to require UE support
-supported walking yields fixing and movements are primarily limited to the sagittal

-weak trunk, hip extension, and decreased proprioception

-wrist and finger control with full arms extension
-controlled release into container
-pokes with index finger
-pointer finger begins, to point, poke, prod
-inferior pincer grasp
-pincer to pincer transfers
-radial digital grasp with wrist extended

-persists in trying to get a toy out of reach
-watches person scribble on paper
-more friendly with strangers
-responds to name with head turn, eye contact, smile

-hits toys on table with one hand
-drops one of two toys if third is offered
-eyes more mobile and move with little head movement
-watches activities around him for longer periods of time

-holds, bites, chews, cracker or cookie-takes food from center to side in developing lateral, diagonal and circular motions
-imitates playful sounds-says da-da without meaning
-actively stops when hears no
-recognizes words and shows this with attention or joy
-turns towards objects as they are names
-holds own cup
-developing more rib cage contrl for speaking more on exhalation

-static sitting is rare
-long sit with legs in line with body

-can maneuver over, around or onto obstacles
-beginning to descend stairs

-legs active in rising to stand
-in standing uses legs and minimal assistance of one hand to maintain posture
-can lower to floor
-may turn forwards while cruising
-less fixing with supported walking
-will have backward protecting

-unilaterallity
-narrow BOS
-weight shifting
-dissociation

-similar to 9 months
-begins to prefer one hand over the other
-will take objects from container
-individual finger movement turn things upside down

-increasing imitative behavior
-matches two blocks
-searches for hidden object if he sees it hidden

-working on perceptual concepts especially in and out
-searches for toy out of sight

-says mama and dada
-imitates number of syllables
-responds to own name
-tongue comes under the cup plus lower lip surrounding the tongue-provides control over extent of jaw movement

-can assume many different postures
-increased rotation in sitting
-stable positions for play

-primary means of locomation
-will carry a toy in creep
-will move to kneeling without UE support
-able to turn around and sit after climbing up on chair or couch
-getting down backwards continues to improve

-there is a change in the COG
-increase demand on ankle strategy

-attempts to stand without support through squat
-can pull to stand with one hand through 1/2 kneeling
-may stand breifly without UE support
-will free walk or furniture walk with one hand
-may attempt independent walking with immature pattern

when the baby attempts to walk, they will keep their higuard (arms up)

-points with index finger
-neat pincer grasp to obtain pellet
-holds crayons,makes marks
-grasp spoon

-experiments with means to attain a goal
-associates properties with things (dog barks)
-looks at pictures in books with interest
-carries out simple commands
-selects requested items given 2 choices

-may remove and place rings or nest a series of cups
-points to an object through glass,may try to grab it from the side

-say 2 words plus mama and dada
-selects requested items given two choices
-chews food-more active stability,discerete use of tongue to move food back and keep food within contained area
-can take food side to center, stops and move to other side
-get more active diagonalmotion
-will bring lower lip to cup for stability while tongue stays within oral cavity

-can rise to stand through squat without external support
-can stand independently without support

-fast speed
-short stride length
-short step length
-high cadence
-wide BOS
-no reciprocal arm swing

-one hand holds while the other manipulates
-Releases into small containers with precision
-contacts paper with crayon
-beats two spoons together
-builds tower of two to three blocks after demo
-places one cube in cups

-removes lid to find a toy
-gives toy to adult upon request
-follows simple one step commands
-give affection
-remembers events for longer time
-senses self as distinct from other things
-uses trial and error to solve problems

-using both hands and visually steering hand activity
-visually interested in simple pictures
-points to objects or people using words "look" and "see"

-says 2 words
-jabbers expressively
-imitate simple sound on request

-able to walk sideways, backwards, immature run
-experiments with jumping
-descends stairs with railing
-ascends stairs with railing or adult-marking time or alternating
-pushes and pulls a large object
-throws a small ball overhand without falling
-kicks a stationary ball for 3 feet
-stands on line with one foot in front of the other and balances
-gets into an adult chair unaided

-has a palmar supinate grasp
-places up to 2 shapes into a formboard
-builds a tower of 3-5 cubes
-scribbles spontaneously
-unzips zippers
-place 10 cubes into a cup
-puts coins into a slot

-knows main body parts
-plays independently
-hugs/loves a doll or person
-uses toys imitatively and symbolically
-able to communicate their wishes and intentions
-places only edibles in mouth
-follows 2 step commands
-points to pictures in a book
-point to one body part when asked

-stacks 3-5 blocks
-shapes into shape sorter (up to two)
-scribbles spontaneously

-uses spoon with little spilling

-jumps, when jumps down may land one foot

-digital pronate grasp
-imitates a vertical line
-imitates a horizontal line
-imitates V stroke
-imitates circular line
-removes coat
-pours
-strings one inch beads
-builds a tower of 6-7 cubes
-adapts to reversal of formbaord
-snips with scissors
-feeds self with spoon
-unscrews small jar lid

-names three objects
-refers to self by name
-comprehends and asks for another
-names 3 pictures
-names 4 body parts
-hands objects similar to a familiar sample
-matches objects
-understands 2 prepositions

-language
-points to 5 pictures of common objects
-points to 5 body parts
-names 3 pictures of common objects
-referes to self by name
-speaks in 3 word sentences
-feeds self-little spills

-hops on one foot-2 or more hops
-walks up and down stairs alternating feet
-balances on one foot-5 seconds

-builds a tower of 10 cubes (play)
-imitates "bridge" of blocks(play)
-adapts to form board reversal(play)
-cuts across paper with scissors from one side to the other(play)
-pours from a pitcher(ADL)
-puts on a coat(ADL)
-undresses completely without help(ADL)
-unbuttons front buttons(ADL)
-turns doorknobs(ADL)
-turns faucet on and off(ADL)
-feed self with fork(ADL)
-copies circle(play)
-imitates cross(play)
-Copies V(play)
-Copies H(play)
-Copies T(play)
-carries cup of water (ADL)

-adapts to formboard reversals
-adds 2 parts to incomplete person
-points to small details in pictures
-names 8 pictures correctly
-understands 3 prepositions
-joins in nursery rhymes and songs
-answer correctly "are you a boy or girl?"

-walks on circular line
-pedals trike around obstacles
-climbs ladders of playground
-running broad jump

-spread fingers on one hand and brings thumb into opposition with each finger in turn
-places small objects into bottle
-folds and creases paper horizontally, vertically and diagnoally
-completes a 3 pierce puzzle
-imitates building gate with cubes

-crumbles tissue paper into ball with one hand
-makes recognizable objects from clay
-winds thread on wooden spoon
-cuts square with scissors
-inserts prefolded material into envelop
-insets paper into ring binder
-ties knot
-paints recognizable picture
-copies triangle
-draw simple house
-draws person with 6-7 body parts
-copies first name

-uses napkin
-puts on pull over garment
-blows nose
-spread food with table knife
-prepares sandwich
-undresses and dresses completely without assistance

-imitates tapping pattern
-points to sets with more or less
-name 3 coins
-matches numerals 1-10
-names shapes and colors
-names and tell use of objects+

-points to 8 body parts
-tell definition of concrete noun
-names source of 15 actions
-follows right and left double directions
-tells story without using picture

-carries a weight
-stand on one foot for 5 seconds with eyes closed
-jumps and turns
-catches ball with one hand
-standing broad jump 38"
jumps over yardstick 8" off the floor
-jumps rope
-pulls up and holds chin above overhead bar

-ease of moving rib cage up and outwardly to develop control of exhalation with speaking

-achieves last 20 degrees of overhead reach in sitting
-supinated forearm with elbow extension

-part of the meal will use their fingers but will grasp utensils

-basic motor skills
-righting reactions
-equilibrium reactions in all positions EXCEPT standing

creeping that will eventually evolve into walking, at which point creeping will only be used for speed
**most babies walk by 12 months

-builds tower of 2-3 blocks after demo
-put 3 + cubes in cup
-dangles toy by a string

-walks down 4 steps without support from wall or rail by placing 1 or both feet on each step

-throws a ball 5 feet

walks up 4 stairs without support from wall or rail

-ball will travel 3 feet without deviating more than 20 degrees

-presents extended arms directly in front, palms upward or facing each other, attempts to secure ball by bending arms toward chest

-stands on one foot for 5 seconds

-on one foot 2 times

walks forward heel to toe

skips on one foot (gallops)

overhand 10 feet

arms bent

alternating feet no upper body support