Developmental-Delay.com Pediatric Occupational, Physical,
ABA/Behavioral, Feeding, Speech
and Language Therapies
1445 East 10th Street
Cookeville, TN 38501
Phone: (931) 372-2567   Please call today to get started!
Fax: (931) 372-2572
Email: [email protected]

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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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