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Building Blocks Pediatric Occupational Therapy Services

Fairfield Connecticut Occupational Therapist

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Sequences of Gross Motor Development & Primitive Reflexes

April 18, 2023 By admin

 

Sequences of Gross Motor Development & Primitive Reflexes

You may be wondering what gross motor development is and what does the sequence of gross motor development mean? Gross motor development involves the development of the large muscles of the body including muscles in the arms, legs, and torso. These muscles allow infants/children to engage in everyday activities such as crawling, walking, running, lifting, and jumping. From infancy, these skills usually develop in a sequence starting from when a child is born until later in adolescence.

 

Birth-6 months:

1-4 months:

  • Moro reflex develops: infants will drop the head back, arms flail out, then arms come back in and cross over the chest

3-4 months:

  • Most infants can lift their heads up when they are in a prone position

  • Rooting reflex develops: occurs when infants check is stroked and the baby turns towards the stimulus

infant reflexes-test Flashcards | Chegg.com

3-6 months:

  • Infants will be able to grasp an item such as a rattle if put in their hand

4-6 months:

  •  Most infants can have the ability to raise their trunk in the prone position

6 months:

  • Most infants can sit alone with arms forward, propping on hands, using a wide base of support

  • Most infants are able to roll in both directions from supine to prone and prone to supine

 

  • Asymmetrical Tonic Reflex develops: infant’s head turns to the side, the side the infant is looking at the upper extremity goes into extension and the lower extremity goes into extension while the other upper/lower extremity goes into flexion

Primitive Motor Reflexes & Their Impact on a Child's Function | Blog |  Tools To Grow, Inc.

6-12 months: 

6-9 months:

  • Most infants can sit independently

  • Most infants can move in and out of sitting

  • Symmetrical Tonic Neck Reflex develops: when the infant is in a quadruped position, the infant’s neck flexes, the arms flex, and the legs extend. Then the infant’s neck extends & arms extend, and legs flex

 

STNR1.jpgThe STNR pattern. When a baby lifts their head up, their hips will go back. When they tilt their head downward, their hips will lift up.

 

10 months:

  • Most infants can crawl on their belly, then begin crawling on all fours

12 months:

  • Most infants can begin to walk with a hand-held (cruising)

 

12-18 months:

  • Most infants can walk well and squat to pick up a toy off the ground

  • Most infants can begin to walk upstairs with one hand-held

  • Most infants can begin to run short distances

18-24 months:

  • Can begin to walk well

  • Has the ability to walk up and down the stairs

  • Can run, squat, and climb on furniture

  • Can throw a ball at a large target

  • Can jump with both feet (in place)

24-36 months: 

  • Can begin to hop on one foot

  • Can jump from a step or small height

3-4 years:

  • Begins to skip

  • Can stand briefly on one foot

  • Can alternate feet when walking upstairs

  • Can jump from step with 2 feet

  • Rides tricycle (a bike with pedals)

4-5 years:

  • Can hop for long sequences (4-6 steps)

  • Can climb on playground equipment, swinging from arms or legs

  • Skips for a long distance

  • Has the ability to throw a ball and hit a target

5-6 years: 

  • Catches a ball with two hands

  • Kicks with accuracy

6-10 years:

  • Runs with speed and endurance

  • Throws a ball well to long distances

 


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Today was full of those magical moments that remind me why I love what I do. 💛

💪 The squeeze machine and steamroller worked their magic — helping kids build body awareness, deep pressure regulation, and that calming input their nervous systems crave.

🎪 The acrobat swing and climbing layers took courage and focus — strengthening core muscles, balance, motor planning, and confidence one brave swing at a time.

And the best part? Seeing the excitement in their eyes when they get it. ✨

📚 My book, What Is OT?, is opening doors for so many conversations with kids, parents, and teachers — helping everyone understand how amazing and powerful Occupational Therapy really is. The stories are spreading, and it’s truly a success.

Thank you to everyone who’s supported this journey — this is only the beginning! 💕

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Hi friends, it’s Justine 💕 Most of you know Hi friends, it’s Justine 💕

Most of you know me as a pediatric occupational therapist here in Westport, CT at Building Blocks Pediatric Occupational Therapy Services. For years, families have asked me the same big question: “What is OT, and what will my child do there?”

So, I poured my heart into creating something that would explain it in a way kids could truly connect with.

📚 The What Is OT? Series is a seven-book collection that breaks down the many skills we work on in OT — from fine motor and sensory, to life skills and social-emotional growth. Each story is colorful, fun, and written to help kids see themselves in the characters.

And here’s the part that makes it extra special for me — the main characters are inspired by my own children, nieces, nephews, and even some OT friends who’ve been part of my journey. This series is my little love letter to the kids I work with every day, and to a profession that means the world to me.

✨ My hope is that these books give parents, teachers, and therapists tools to share what OT really is, and how it helps kids learn, grow, and thrive.

Thank you for cheering me on as I put this dream into the world — I’m so excited to share it with you 💜

Follow along @justinebedocs, @buildingblockspediatricot, and @buildingblocksbookseries for updates as the series comes to life!

#WhatIsOT #PediatricOT #BuildingBlocksOT #OTBookSeries #OTLove #ChildrensBooks #OccupationalTherapy
Vibration plates= nervous system regulation🧘‍ Vibration plates= nervous system regulation🧘‍♂️ At Building Blocks, we incorporate vibration plates thoughtfully into sessions to meet each child’s unique sensory and functional needs; supporting not just movement, but attention, coordination, and emotional regulation. 
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Learn more about this with the link in bio!👏
✨ Did you know we actually have EIGHT senses (no ✨ Did you know we actually have EIGHT senses (not just five)?
These systems are constantly at work—helping kids regulate their bodies, manage emotions, and shine every day. 🌈

As OTs, we harness these senses through play, movement, and fun strategies so kids can thrive at school, home, and in the community. 💪💖

#PediatricOccupationalTherapy #WestportOT #SensoryIntegration #Vision #Hearing #Touch #Taste #Smell #Proprioception #Vestibular #Interoception #ChildDevelopment #OTForKids #FineMotorSkills #GrossMotorSkills #RegulationSkills #BuildingBlocksPediatricOT #KidsOT #SensoryProcessing
Learn more about what occupational therapy is and Learn more about what occupational therapy is and how it can help your child thrive in life✨ Link in bio!
📚 The What Is OT? Series is part of a seven-boo 📚 The What Is OT? Series is part of a seven-book collection designed to explain Occupational Therapy to children in a fun, simple, and relatable way. Through colorful stories and engaging characters, each book shows how OT supports kids in learning, growing, and thriving every day.

This series also advocates for the OT profession — helping parents, teachers, and therapists share the many important skills that Occupational Therapy builds. Perfect for classrooms, therapy sessions, or at home, these books are a meaningful resource for anyone wanting children to understand the power of OT.

✨ The Seven Books in the Series:
	1.	📗 What Is OT? What Will I Do There?
	2.	📘 Fine Motor Superpowers in OT
	3.	📘 Brain & Body Teamwork in OT
	4.	📗 Together We Can: Eyes & Hands in OT
	5.	📙 Confidence & Independence: Life Skills in OT
	6.	📘 Sensory Processing & Integration in OT
	7.	🌈 Social-Emotional & Regulation Skills in OT
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