Occupational Therapy Developmental Skills

 

1 Year Old

  • Pulls off shoes and socks

  • Helps with dressing

  • Scribbles on paper

  • Stands alone

  • Walking (1-2 steps alone)

  • Uses thumb and pointer finger to pick up objects

1-2 Years Old

  • Throws/kicks balls

  • Eats a variety of solid foods

2 Years Old

  • Snips with scissors

  • Imitates horizontal and vertical lines

  • Removes elastic waist pants

  • Builds at least a 6 block tower

  • Pushes, pulls, or carries toys while walking

2-3 Years Old

  • Pedals a tricycle

  • Catches a large ball thrown gently from very close

  • Runs without falling

  • Drinks from an open cup

3 Years Old

  • Cuts straight lines

  • Copies vertical, horizontal lines and circles

  • Buttons large buttons

  • Throws tennis ball 5-7 feet overhand with one hand

3-4 Years Old

  • Static tripod grip (held with thumb, index and middle fingers while hand moves as a unit)

4 Years Old

  • Cuts out a circle

  • Zips jacket

  • Copies intersecting line, diagonal lines, simple shapes, some letters and numbers

  • Balances on one foot for 10 seconds

5 Years Old

  • Prints name from memory

  • Colors within the lines

  • Draws a person with at least 6 or more different parts

  • Cuts out a square

5-6 Years Old

  • Dynamic Tripod Grasp (held with thumb, index and middle fingers with ring and pinky curled into palm; movement of writing utensil comes from the fingertips)

  • Throws a target 5 feet away and hits target fairly consistently

6 Years Old

  • Copies letters and numbers

  • Skips

  • Rides a bicycle independently

Concerns warranting a referral to Occupational Therapy:

  • Frequent or intense meltdowns

  • Difficulty falling asleep or staying asleep

  • Excessive need for movement (jumping, rocking, swinging, spinning)

  • Becomes upset with change in routine, unexpected changes or transitions (difficulty adapting to change)

  • Excessively cautious and afraid to try new things

  • Poor concentration and attention

  • Bothered by certain textures of food or clothing

  • Distress with toothbrushing or hair combing

  • Limited food varieties

  • Impulsivity

  • Obsessive behaviors

  • Clumsy, awkward or accident prone

  • Avoids or slow to engage in new experiences

  • Under or over reactive to touch, sound, smell, temperature or movement.