Scharf et al. Pediatrics in Review 2016 Milestone Category

Fine Motor

Milestone Name	Expected Age
Holds hands together	2
Reaches with one hand	6
Hands fisted near face	1
Hands unfisted 50%	2
Retains rattle if placed in hand	2
Hands unfisted 50%	3
Inspects fingers	3
Bats at objects	3
Hands held predominately open	4
Clutches at clothes	4
Reaches persistently	4
Plays with rattle	4
Palmar grasps cube	5
Transfers objects: hand-mouth-hand	5
Holds hands together	5
Reaches/grasps dangling ring	5
Transfers hand-hand	6
Rakes pellet	6
Takes second cube and holds on to first	6
Radial-palmar grasp	7
Bangs spoon after demonstration	8
Scissor grasp of cube	8
Takes cube out of cup	8
Pulls out large peg	8
Radial-digital grasp of cube	9
Bangs two cubes together	9
Clumsy release of cube	10
Inferior pincer grasp of pellet	10
Isolates index finger and pokes	10
Throws objects	11
Stirs with spoon	11
Scribbles after demonstration	12
Fine pincer grasp of pellet	12
Holds crayon	12
Attempts tower of two cubes	12
Attempts to release pellet in bottle	13
Imitates back and forth scribble	14
Adds third cube to a twocube tower	14
Puts round peg in and out of hole	14
Builds three- to four-cube tower	15
Places 10 cubes in cup	15
Releases pellet into bottle	15
Puts several round pegs in board with urging	16
Scribbles spontaneously	16
Makes four-cube tower	18
Crudely imitates vertical stroke	18
Completes round peg board without urging	20
Makes five- to six-cube tower	20
Completes square peg board	20
Closes box with lid	22
Imitates vertical line	22
Imitates circular scribble	22
Makes a single-line “train” of cubes	24
Imitates circle	24
Imitates horizontal line	24
Strings large beads awkwardly	28
Unscrews jar lid	28
Turns paper pages (often several at once)	28
Makes eight-cube tower	30
Makes a “train” of cubes and includes a stack	30
Cuts 5-inch circle	48
Makes 9- to 10-cube tower	33
Puts six square pegs in pegboard	33
Imitates cross	33
Copies circle	36
Cuts with scissors: side-to-side (awkwardly)	36
Strings small beads well	36
Imitates bridge of cubes	36
Copies square	48
Ties single knot	48
Uses tongs to transfer	48
Writes part of first name	48
Imitates gate with cubes	48
Copies triangle	60
Puts paper clip on paper	60
Can use clothespins to transfer small objects	60
Cuts with scissors	60
Writes first name	60
Builds stairs from model	60
Builds stairs from memory	72
Draws diamond	72
Writes first and last name	72
Creates and writes short sentences	72
Forms letters with down-going and counterclockwise strokes	72
Copies flag	72