Developmental-Delay.com Pediatric Occupational, Physical,
ABA/Behavioral, Feeding, Speech
and Language Therapies
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Cookeville, TN 38501
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One year (13-23 months)

Equilibrium (present in standing)

1. Stoops to pick up toy without losing balance (3, 7)

Gross Motor

  1. Walks backward (15-18 mo.) (3, 4, 5)
  2. Kicks ball (15-16-23 mo.) (3, 4, 6, 9)
  3. Throws ball (15-16-23 mo.) (3, 4, 6, 9, 10)
  4. Walks sideways (21-22 mo.) (3, 4, 5, 10)
  5. Rolls segmentally with roll initiated by the head, shoulder or hips

Fine Motor

  1. Imitates scribble (12 mo.) (2, 3, 4, 6)
  2. Spontaneous scribble (15 mo.) (4, 5, 6, 10)
  3. Turns pages, 2-3 at a time (18 mo.) (6, 10)
  4. Puts 6 pegs in pegboard (15-21 mo.) (4, 5, 6, 10)
  5. Removes small pegs (3, 4, 5, 6)
  6. Opens box (2, 10)
  7. Tower of 2 – 6 cubes (20-26 mo.) (3, 4, 5, 6, 10)
  8. Grasping is pronated (crayon held in fist with thumb up) (4)
  9. Snips with scissors (4)
  10. Voluntary supination (4)
  11. 8 mo: minute objects held between side of index and thumb, 9 mo: held with opposed thumb and fingertips, 10 mo: held between thumb and middle index, 12 mo: fine pincer grasp (4, 9)
  12. 10-14 mo. clumsy release into small container, hand rests on edge of container, 12-15 mo. precise controlled release into small container with wrist extended. (4, 9)
  13. Reach across midline

Visual Perception

  1. Looks selectively at pictures in books (9)
  2. Aligns 3 blocks for train

Self-Care

  1. Removes socks and pulls off shoes (4, 5, 9, 10)
  2. Pushes arms through sleeves and legs through pants (4, 9)
  3. Shows own shoes or clothing in response to verbal request (15 mo.) (4)
  4. Uses spoon, cup well (4, 7, 9, 10)

Cognitive

  1. Trial-and-error, nonsystematic (12-15 mo.) (4)
  2. Active (overt trial and error) problem solving occurs (12-18 mo) (4)
  3. Covert trial and error problem solving (18 mo-2 years) (4, 5)
  4. Attends to shapes of things and uses them appropriately (18-21 mo.) (4, 9)
  5. Pretend play (18 mo.) (2, 4)
  6. Object permanence fully developed (18 mo.) (4, 10)
  7. Developing perception of objects in space (4, 10)

Body Scheme

  1. Points to one part
  2. Imitates many activities

Social

      18 Months

  1. Has temper tantrums (4)
  2. Ritualistic – needs bedtime/bathtime routine (4)
  3. May attach to security objects (blanket or toy) (4, 9)

Play

      1. 18 mo – enjoys solitary play (7)
      2. Enjoys parallel (onlooker) play (2, 7, 9)
      3. Rapid attention span shifts (7)
      4. Likes to pull toys (7)
      5. Carries around favorite doll or toy
      6. Imitates parents (e.g. household or occupational play) (4, 5, 7, 9)

      Suggested toys: dolls, blocks, small wagon, push or pull toys, old kitchen utensils, Tupperware- type containers


Expressive Language

  • 1 word sentences, produces all vowel sounds (4)
  • 18 mo. uses 2 word utterances (4)
  • Hums and sings spontaneously (4)
  • Pulls person to show something (4)
  • Tries to "tell" experiences (4)
  • Uses I and mine
  • Receptive Language

    1. Can mentally perform behavior before physically performing (4)
    2. Identifies pictures of: dog, shoe, cup, house, clock, flag, star, leaf, purse, book (4)
    3. Understands some personal pronouns (4)
    4. 18 mo. responds to 2 of the following:

    a. Take ball to mother (4)
    b. Put it on the table (4)
    c. Bring it to me (4)
    d. Put it under the chair (4)

    1. 5. 21 mo. Follows directions given one at a time:

    a. Put doll in chair (4)
    b. Give baby a drink (4)
    c. Wipe baby’s nose (4)

    Equilibrium (present in standing)

    1. Stoops to pick up toy without losing balance (3, 7)

    Gross Motor

    1. Walks backward (15-18 mo.) (3, 4, 5)
    2. Kicks ball (15-16-23 mo.) (3, 4, 6, 9)
    3. Throws ball (15-16-23 mo.) (3, 4, 6, 9, 10)
    4. Walks sideways (21-22 mo.) (3, 4, 5, 10)
    5. Rolls segmentally with roll initiated by the head, shoulder or hips

    Fine Motor

    1. Imitates scribble (12 mo.) (2, 3, 4, 6)
    2. Spontaneous scribble (15 mo.) (4, 5, 6, 10)
    3. Turns pages, 2-3 at a time (18 mo.) (6, 10)
    4. Puts 6 pegs in pegboard (15-21 mo.) (4, 5, 6, 10)
    5. Removes small pegs (3, 4, 5, 6)
    6. Opens box (2, 10)
    7. Tower of 2 – 6 cubes (20-26 mo.) (3, 4, 5, 6, 10)
    8. Grasping is pronated (crayon held in fist with thumb up) (4)
    9. Snips with scissors (4)
    10. Voluntary supination (4)
    11. 8 mo: minute objects held between side of index and thumb, 9 mo: held with opposed thumb and fingertips, 10 mo: held between thumb and middle index, 12 mo: fine pincer grasp (4, 9)
    12. 10-14 mo. clumsy release into small container, hand rests on edge of container, 12-15 mo. precise controlled release into small container with wrist extended. (4, 9)
    13. Reach across midline

    Visual Perception

    1. Looks selectively at pictures in books (9)
    2. Aligns 3 blocks for train

    Self-Care

    1. Removes socks and pulls off shoes (4, 5, 9, 10)
    2. Pushes arms through sleeves and legs through pants (4, 9)
    3. Shows own shoes or clothing in response to verbal request (15 mo.) (4)
    4. Uses spoon, cup well (4, 7, 9, 10)

    Cognitive

    1. Trial-and-error, nonsystematic (12-15 mo.) (4)
    2. Active (overt trial and error) problem solving occurs (12-18 mo) (4)
    3. Covert trial and error problem solving (18 mo-2 years) (4, 5)
    4. Attends to shapes of things and uses them appropriately (18-21 mo.) (4, 9)
    5. Pretend play (18 mo.) (2, 4)
    6. Object permanence fully developed (18 mo.) (4, 10)
    7. Developing perception of objects in space (4, 10)

    Body Scheme

    1. Points to one part
    2. Imitates many activities

    Social

        18 Months

    1. Has temper tantrums (4)
    2. Ritualistic – needs bedtime/bathtime routine (4)
    3. May attach to security objects (blanket or toy) (4, 9)

    Play

        1. 18 mo – enjoys solitary play (7)
        2. Enjoys parallel (onlooker) play (2, 7, 9)
        3. Rapid attention span shifts (7)
        4. Likes to pull toys (7)
        5. Carries around favorite doll or toy
        6. Imitates parents (e.g. household or occupational play) (4, 5, 7, 9)

        Suggested toys: dolls, blocks, small wagon, push or pull toys, old kitchen utensils, Tupperware- type containers


    Expressive Language

  • 1 word sentences, produces all vowel sounds (4)
  • 18 mo. uses 2 word utterances (4)
  • Hums and sings spontaneously (4)
  • Pulls person to show something (4)
  • Tries to "tell" experiences (4)
  • Uses I and mine
  • Receptive Language

    1. Can mentally perform behavior before physically performing (4)
    2. Identifies pictures of: dog, shoe, cup, house, clock, flag, star, leaf, purse, book (4)
    3. Understands some personal pronouns (4)
    4. 18 mo. responds to 2 of the following:

    a. Take ball to mother (4)
    b. Put it on the table (4)
    c. Bring it to me (4)
    d. Put it under the chair (4)

    1. 21 mo. Follows directions given one at a time:

    a. Put doll in chair (4)
    b. Give baby a drink (4)
    c. Wipe baby’s nose (4)

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