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Developmental Timelines


Dr Xxxxx Dr. Xxxxx : Developmental timelines are important: If your child is falling behind, it is important to look for a reason.

Notes on the assessment of Developmental Disorders of Children.
 Developmental Delays are "usual" in children with ADD ADHD associated with Paill Spectrum.


Dr Xxxxx Dr. Xxxxx : Gross Motor Timelines
Head control should be present by three months.
Sitting should be present by six months; initially there will be poor trunk control with stabilization by using the pelvis
Dynamic sitting balance develops with the child able to balance sideways at about eight months and backwards at about ten months.
Next step: crawling, then pull to stand, then walking holding on to furniture. 

 3 years old:
Runs using the front of the foot with alternate arms swings, able to turn corners and stop quickly and well.
Able to jump with 2 feet together off a step or over a cord lust off the ground.
Able to walk on tiptoes
Able to rid a tricycle or bicycle with trainer wheels
Take a few steps on a trainer beam, 9 cm wide.
Likes climbing equipment
Able to stand on one leg momentarily
Able to catch a ball in extended arms.

Developmental timelines tell you how far your child should be getting along.

4 years old:
Able to walk up steps with alternate foot use and no support.
If walking down steps with alternate feet, needs support.
Able to stand on either leg for 4 or more seconds.
Able to hops 5 times or more on either leg
Able to gallop
Able to catch a large ball with elbows bent.
Able to run on tiptoes
Able to turn sharp corners while pushing or pulling while running.
Able to jump from a crouch with both feet together.
Able to walk on a line, rarely falling off
Able to walk along a 9 cm wide balance beam with only 2-3 falls.

Walking on Balance Beam Socialisation Deficits in Paill

Balance Beams

5 years old
Able to run lightly on toes including over uneven surfaces.
Walks well on a 9 cm wide balance beam
If walking on a 4 cm wide balance beam, will only have 2-3 falls.
Able to walk up and down steps using alternate feet with no holding on for support.
Good ball skills: able to adjust posture, run or kick or catch ball in hands.
Jumps well
Can stand on one leg for at least 8-12 seconds
Able to skip on alternate feet. 

2 Handed Ball CatchCatching a ball with two hands.
6 years old
Able to sit well with a straight back in all positions
Able to jump well
Able to skip well
Able to catch a ball in their hands easily.
Able to bounce a ball ten times in a row
Beginning to be able to catch a ball in one hand
Able to stand on either leg with hands on hips for at least 8 seconds
Able to hop on one spot at least 10 times on either leg.

One Handed Ball Catch Catching a ball with one hand.
7 Years old:
Able to do 3 consecutive skips over the rope
Able to jump with both feet together over a rope held ten inches off the ground.
Able to hopscotch at least 2-3 movements.

Hopscotch Hop Scotch

8 years old:
Able to run down stairs
Able to jump off 4 steps onto ground level
Able to ride a bicycle
Able to hopscotch at least 4 movements
Able to skip well: at least 12 consecutive skips.
Gross Motor Problem Checklist: Preschool
Clumsy awkward looking
Frequent falls
Tendency to arm flapping or flailing
Presence of an unusual or awkward way of walking or running, especially if favours any one side
Excessive effort
Difficulties with sport: e.g. dropping balls more than other children.
Gross Motor Problem Checklist: School Age
Difficulty sitting on a chair
Difficulty sitting or standing still
Excessive leaning
Stepping into other children, excessive leaning
Difficulty learning new tasks, copying actions, following instructions or sequences, Presence of unstable postures.
Loud heavy jumping or hopping or awkward running style: should normally be smooth and efficient. Back To ADHD Top

Riding a Bike Riding a Bike.

Fine Motor Time Lines:

3 yrs.: static tripod grip.
4 yrs.:
The eyes will circle following a finger with vision.
Touch localization becomes specific
Small hand muscles become more powerful with ability to “tent” the hands
A dissociation occurs between shoulder and elbow movement.

Tenting HandsTenting Hands
5 years:
Fingers are able to circle and copy hand position without vision.
Hand tenting better
5 ½ years:
Drumming movements can be done: but is slow and difficult.
Hand tenting faster with other tasks also able to be performed at the same time.

Drumming Fingers Tapping Fingers.
6 years old:
Drumming of hands still slow
Tenting of hands improving and displaying better wrist control
Proprioceptive sensation in arm is good

Able to click fingers

Clicking Fingers Clicking Fingers
7 years old:
Can do pat, bounce movements and much better writing
8 years old:
Fast easy drumming movements can be performed. 

Fine Motor Checklist: Look at:
Fluency or arm movements
Clumsy wrist or arm position
Force control in hands or arms
Tense grip
Poorly positioned grip
Support hand should not need to be used.
Check eye- hand coordination