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Clinical Neurology · Child Neurology

Developmental Milestones

Developmental milestones by age — gross motor, fine motor, language, and social/cognitive domains.

AgeGross motorFine motorLanguageSocial / cognitive
2 monthsLifts head/chest when proneTracks past midline
  • Alerts to sound
  • Coos
  • Recognizes parent
  • Social smile
4–5 monthsRolls front to back, back to frontGrasps rattle
  • Orients to voice
  • Begins to make consonant sounds, razzes
  • Enjoys looking around
  • Laughs
6 monthsSits unassisted
  • Transfers objects
  • Raking grasp
BabblesStranger anxiety
9–10 months
  • Crawls
  • Pulls to stand
Uses three-finger (immature) pincer graspSays "mama/dada" (nonspecific)
  • Waves bye-bye
  • Plays pat-a-cake
12 months
  • Cruises (11 months)
  • Walks alone
Uses two-finger (mature) pincer graspSays "mama/dada" (specific)Imitates actions
15 monthsWalks backwardUses cupUses 4–6 wordsTemper tantrums
18 months
  • Runs
  • Kicks a ball
Builds tower of 2–4 cubesNames common objectsCopies parent in tasks (e.g., sweeping)
2 years
  • Walks up/down steps with help
  • Jumps
Builds tower of six cubesUses two-word phrases
  • Follows two-step commands
  • Removes clothes
3 years
  • Rides tricycle
  • Climbs stairs with alternating feet (3–4 years)
  • Copies a circle
  • Uses utensils
Uses three-word sentences
  • Brushes teeth with help
  • Washes/dries hands
4 yearsHopsCopies a squareKnows colors and some numbers
  • Cooperative play
  • Plays board games
5 years
  • Skips
  • Walks backward for long distances
  • Ties shoelaces
  • Knows left and right
  • Prints letters
Uses five-word sentences
  • Domestic role playing
  • Plays dress-up

Koriesh's Extract in Pediatric Arts