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Five Years (60 - 71 months)
General Reflex Development
Primitive reflexes inhibited or dominated. In supine & all-fours child can turn head side-to-side, up, down without elbows, shoulders or knees changing angles Can flex in supine & extend in prone position for 10 sec. (8, 11) Sits and stands symmetrically from supine with only slight body rotation Equilibrium
Down stairs, alternating feet, no support (43-44 mo.) (3, 11) Stands 1 foot 6-8 sec. (1, 9, 11) Balance on tiptoe, 1/3 trials Running broad jump 28-35" (11) Jumps 10" high hurdle (57-58 mo.) (1, 3, 11) Walks on backwards on balance beam (11) Tries roller skates, jump rope, stilts (7) Push-ups Skips (61-62 mo.) (1, 3, 4, 11) Bilateral Integration
Mimics pointing to ipsi-or contra-lateral ear or eye 2/3 trials (8) Can reproduce simple rhythmic clapping Marches in time to music Throws 16" playground ball 10-11 feet. Catches bounced large playground ball (9) Sensory Development
Tactile skills with vision occluded:
Discriminates square, circle, star blocks (stereognosis) (8, 11) Points to touched finger ½ time (8, 11) Points to within 3" of stimulus spot on arm (11) Points to hand &/or cheek touched singly or simultaneously (11) Matches through tactile cues, flat, thin, wide, fat, wrinkled, bumpy, sharp, dull, light, heavy, straight, curved Fine Motor
Imitates 10 block- pyramid (8, 11) Copies 6 cube steps (8, 11) Dynamic tripod pencil grasp, begins flexing I.P. joint (11) Copies triangle (1, 11) Colors pictures neatly, staying within outlines (1, 11) Traces letters (11) Begins to copy first name, 5 ½ prints first name without model, copies last name (1, 11) Folds paper diagonally Cuts 6" circle within ¼" (11) Sequential finger opposition (1, 2, 3, 4) with visual regard and minor associative movements, slow Sews through holes in sewing card Completes 12-15 piece puzzle (1, 2, 8, 11) Connects dots (4 ½-5 yrs) (1, 11) Winds spool (3) Placing pennies Strings small beads, reproducing color and shape sequence (11) Shift fingers on marker or pencil (11) Visual Perception
Difficulty with orientation. Can detect vertical reversals easier than horizontal reversals after instruction (9, 11) Difficulty performing closure necessary to distinguish incomplete Begins to mentally rotate simple shapes for solving puzzles (5 ½ yrs) (11) Visual Motor Skills
Matches 10-12 objects (11) Finds two objects in picture and connects them with a line (11) Self-Care 1. Dressing
Completely dress and often tie shoelaces, cannot tie a necktie (1, 11) Buttons medium buttons (11) Laces shoes (11) Ties and unties overhand knots (11) 2. Feeding (11)
Carries tray in serving line (11) Uses knife for spreading (1, 11) Uses blunt knife to cut soft foods (11) Makes a sandwich (11) Keeps napkin in lap (11) 2. Hygiene
Brushes teeth without supervision (4-5) (11) Remembers to wash and dry hands after using the toilet (11) Asks location of bathroom in new situation (11) Takes bath without supervision (1) Cognition
Remains on task for 10 minutes with distractions (11) Works in small group for 10-25 minutes (11) Completes 50-75% of task with little prompting (11) Reads and writes numbers l to 3 (11) Counts orally to 19 (1, 11) Simple addition (4 ½ - 5) (1) Relates today, tomorrow, yesterday to days of the week (11) Read numerals on clock face. Associates hand placement with routine activity (11) Begins to discriminate secondary colors (11) Develops precepts of number, speed, time, space (11) Categorizes by likeness & difference (1, 8, 9, 11) Repeats 4 digits (8) Identifies 3 coins (9) Recognizes own written name (11) Personal Welfare/Safety
Looks both ways before leaving sidewalk to go across street (9, 11) Handles sharp objects carefully (11) Walks on sidewalk, doesn’t go into street (11) Reads and follows directions on safety signs (11) Self Identification
Knows age (11) Tells house number, street, town (11) Locates self in relation to other objects (11) Tells month and day of birth (11) Body Scheme
Copies Simon Says postures (8, 11) Draws 5-6 part unmistakable man with body (1, 8) Points front , back, near, up, down, with eyes closed (11) Can clench and bare teeth (11) Aware of, but confuses left and right (11) In pictures identifies object that is beside, between, in middle, in front of Names and locates: elbows, eyebrows, eyelashes, wrists, nostrils (11) Social Skills
Answers telephone correctly (11) Says excuse me when interrupting (11) Changes routine when alternatives are presented (9, 11) Follows routine when there are changes in environment (11) Creates own activity with new objects (11) Adjusts behavior to fit rules and routines of different situations (9, 11) Plays simple table games following rules (2, 9, 11) Sits in seat, stands in line without moving for 75% of activity (11) Sacrifices immediate desires for delayed reward (5 ½ yrs) (11) Controls temper well, verbalizes feelings in appropriate manner (5 ½ yrs) (11) Receptive Language Follows the following repeated in one sentence: "put this on the chair, open the door, give me that book." (11)
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