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and Language Therapies
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Two Years (24-35 Months)

Gross Motor

  1. Rises from supine to standing with mature pattern (10)
  2. Up (23-24 mo.) and down (25-26 mo.) steps independently, 2 steps per tread holding on (not alternating feet) (3, 4, 5, 10)
  3. Jumps in place (23-24 mo.) (3, 4, 6, 7)
  4. Runs well forward (29-30 mo.) (3, 4, 5)
  5. Walks sideways (21-22 mo.) (3, 4)
  6. Walks backwards (25-26 mo.) (3, 4)
  7. Gallops (51-52 mo.) (3, 4)
  8. Swings arms while walking (4, 10)
  9. Walks on tiptoes briefly (29-30 mo.) (3, 4, 10)
  10. Walking circular (4)
  11. Balances on one foot (1 second) (24- 31-32 mo.) (3, 4, 5, 9, 10)
  12. Hops forward on one foot for 5 feet (4)
  13. Kicks ball on request (15-16 mo.) (3, 4, 6, 10)
  14. Jumps with 2 feet together (floor - 21 mo; steps - 24 mo. (4, 5, 6, 9, 10)
  15. Pedals tricycle (2, 4, 10)
  16. Seats self in chair

Bilateral Coordination

  1. Throws large ball with both hands (15-16 mo.) (3, 4, 9, 10)
  2. Catches large ball, arms extended (33-34 mo.) (3)

 

Fine Motor

  1. Hand preference begins
  2. Tower of 6 – 8 cubes (25-26 mo.) (3, 4, 5, 6, 8, 10)
  3. Adds chimney to 3-4 cube train (2 ½) (3, 4, 6, 10)
  4. Forms train & bridge spontaneously (4, 8)
  5. Dismantles and dismembers (8)
  6. Strings 3-4 large beads (29-30 mo.) (3, 5, 9)
  7. Rolls clay into snake shape (2 ½)
  8. Assembles 4-5 piece puzzles (4, 7, 8)
  9. Unscrews bottle top (4, 5)
  10. Turns door knobs – opens door (3, 4, 9)
  11. Turns book pages one at a time (4)
  12. Crayon held with fingers, thumb is directed downward (digital pronate) (2, 4, 8)
  13. Imitates then copies vertical line (24 mo.) (4, 5, 6, 8, 10)
  14. Imitates horizontal line, circle (24-27-28 mo. to 33-34 mo. (3, 4, 5, 6)
  15. Imitates paper folding (3, 4, 10)
  16. Finger to palm translation
  17. Palm to finger translation: 1-3 objects
  18. Snips paper (25-26 mo.) (2, 3, 4, 10)
  19. Places 6 round and square blocks in form board in 90 seconds (4, 6)
  20. Places 6 round pegs in hole in 20 seconds (4)

Visual Perception

  1. Watches moving objects
  2. Visual size and distance constancy developed
  3. Points to pictures of familiar objects (21-28 mo.) (5)
  4. Begins matching colors

Self-Care

  1. Dressing
    1. Removes pull down pants with elastic waist (4)
    2. Removes unfastened coat (4)
    3. Puts on simple garments: shoes (does not tie), socks, and shorts (4, 9, 10)
    4. Finds armholes in over-the head shirt
    5. Puts on front button coat or shirt (4, 9)
    6. Unbuttons large (1") buttons (4, 10)
    7. Unzips large zipper (21-28 mo.) (4, 5)
  2. Feeding
    1. Asks for food and drink (4)
    2. Uses spoon well enough to feed self without accidentally inverting it (4, 6, 10)
    3. Still spills, especially liquids, from spoon (4, 6)
    4. Eats at least ½ of meal with spoon and fork (4, 6)
    5. Drinks from small cup using only one hand, replaces it on table (6)
    6. Obtains drink without assistance (4, 9, 10)
    7. Pours liquids from a small container (4)
  3. Toileting
    1. Pulls down pants (4)
    2. Dry during day (a few accidents) (27 mos) (10)
    3. Wets during nap
    4. Dry during the night if taken to toilet once or twice during the night (30 mos)
    5. Prefers potty chair to toilet seat
    6. Toilets independently except for wiping (31 mos) (9, 10)
  4. Hygiene
    1. Washes hands (21 mo.) (5, 10)
    2. Dries hands & face (30 mo.) (10)
    3. Blows nose into tissue (24 mo.) (1, 4, 5)

 

Cognitive:

24 mo

  1. Fewer temper tantrums (4)
  2. Increased attention span (4)
  3. May fear animals and the dark
  4. Does not share belongings
  5. Reluctant to ask for help (4)
  6. Begins to separate from mother easier (4)
  7. Remembers absent objects & events (4)
  8. Solves match to sample problems (shapes, colors, pictures) (4, 9, 10)
  9. Indicates missing object from a small array of familiar objects (4, 10)
  10. Selects hand hiding toy (4, 9)
  11. Identifies familiar objects by their use (4)
  12. Groups objects by color, shape, size (4)
  13. Produces representational art (4)
  14. Inverts pictures (turned upside down) (4, 10)
  15. Understands concept of 1 (4, 6, 10)
  16. Points at 2 colors

 

Body Scheme

    1. Names own sex 36-47 mo. (9)
    2. Identifies 2 body parts from picture (6)
    3. Touches tummy, cheek, arm, leg, mouth, hair, feet, ear, nose, eyes (6, 8)

 

Social

    1. Helps with chores (4, 9)
    2. Takes turns (2)
    3. Selects playmate (4, 9)
    4. Greets familiar adults (4, 9)
    5. Expresses affection toward peers (4, 5)
    6. Identifies self in a mirror (4, 6, 9, 10)
    7. Recognizes self in photographs (4, 6)
    8. Separates from mom in strange environment (5 min) (4, 10)
    9. Shares with prompts (10)
    10. Disputes with others: "socks" approaching stranger, grabs toy

 

 

Play

    1. Symbolic play begins (2, 9)
    2. Very little social give and take (18 mo.) (5, 7)
    3. Some parallel play – uses same materials as child next to him/her uses (5, 7, 9)
    4. Fights over toys and ownership of playthings
    5. Interacts with dolls and toys (2)
    6. Imagination and pretending common (2, 9)
    7. Less rapid attention span shifts
    8. Does not ask for help (7)
    9. Loves water play, makes mud pies
    10. Pushes wagon or carriage (6)
    11. Likes to lift, carry & climb into boxes (6)
    12. Plays with boards for building, hauling, & walking
    13. Pounds, squeezes, pokes clay
    14. Swings to music
    15. Plays ring-around-the-rosey
    16. Personifies dolls (feeds doll, brushes hair) (2)

Suggested toys: tricycle or kiddie car, small trucks, cars, and planes without removable or breakable parts, sandbox & sand toys, rubber dolls and toys for water play, household implements for pretending

 

Expressive Language

    1. States full name (4)
    2. Can name one color, not necessarily right
    3. Has 200 – 300 word vocabulary – more intelligible (75%) (4)
    4. Repeats two digit sequences
    5. Uses short, incomplete sentences (4)
    6. Names most common everyday objects (4)
    7. Talks continuously (4)
    8. Uses size words (4)
    9. Repeats nursery rhymes – sings happy birthday (4)
    10. Uses I, me, you
    11. Plural(s) (4)
    12. Verbs +ing endings
    13. Forms a question & negative sentence (4)

Receptive Language

    1. Knows in and under (4)
    2. Understands prepositions and possessives: I, you, me, mine (4)
    3. Responds to simple questions (not every time) (4)
    4. Points to 7/10 pictures of common objects
    5. Points to 6 body parts (4)
    6. Follows 2 step commands (4)
    7. Places toy in relation to cup (in, on, under, off)

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