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Building Blocks Pediatric Occupational Therapy Services

Fairfield Connecticut Occupational Therapist

203-341-0178
943 Post Rd E Suite A
Westport, CT 06880
bbpedot@yahoo.com
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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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🧠✨ Does your child struggle with executive fu 🧠✨ Does your child struggle with executive functioning or motor planning?

Difficulty getting started, following directions, staying organized, getting dressed, learning new movements, or completing routines may reflect developing skills—not a lack of motivation.

🧠 Executive functioning helps children plan, organize, focus, manage emotions, and complete tasks.

🤸‍♂️ Motor planning helps children figure out how to move their bodies for everyday activities, play, sports, and new skills.

Occupational therapy can help children:

✅ Break tasks into manageable steps
✅ Improve planning, coordination, and independence
✅ Build problem-solving and self-regulation skills
✅ Gain confidence at home, school, and during play

✨ Small steps lead to big accomplishments!

📲 Swipe through our parent guide to learn more. Save and share with a parent, teacher, or caregiver!

#OccupationalTherapy #ExecutiveFunctioning #MotorPlanning #PediatricOT #explore
🦷🚫 TEETH ARE NOT FOR BITING PEOPLE! 💛 Do 🦷🚫 TEETH ARE NOT FOR BITING PEOPLE! 💛

Does your little one bite when they’re frustrated, overwhelmed, excited, or just need some extra sensory input? 😬🫣

You are definitely not alone! 💕

SO many parents come to me looking for help with biting, and it’s something I address frequently as a pediatric occupational therapist! 🌈🧠

Here’s what I want parents to understand. Biting is often a form of communication! 💬

Sometimes it means:
🌀 My body feels overwhelmed!
😤 I’m frustrated!
🦷 My mouth needs sensory input!
🥺 I don’t know how to tell you what I need!
⚡ I need help regulating my body!

And here’s something SO important! ❤️

We want children to understand that biting is not okay, but having big feelings IS okay! 💕

Instead of children thinking, “I’m bad” or “I’m not good,” we want to teach them what their bodies need and what they can do INSTEAD of biting! 🙌

✨ That’s why I created this simple, parent-friendly guide! ✨

It’s filled with practical pediatric OT strategies to help you understand WHY biting happens, support regulation, and teach safer replacement behaviors. 🧸🦷🌈

Because our goal isn’t just to STOP the biting. It’s to understand what’s driving it and help children develop the skills they need to succeed! 💪💛

👉 SWIPE through for simple strategies you can start using today!

💬 Have you dealt with biting at home or in the classroom?

📌 SAVE this post for later!
💕 SHARE it with a parent, teacher, or caregiver who could use these tips!

💛 Building Blocks Pediatric Occupational Therapy

#PediatricOT #Sensory #ParentingTips #Biting #Explore
What if we stopped asking, “What sensory activit What if we stopped asking, “What sensory activity should a child do at a specific time?” and started asking, “What is this child’s nervous system telling us right now?”

That is the shift.

Sensory supports can be incredibly helpful, but children do not always need the same input at the same time every day. Sleep, stress, transitions, noise, hunger, emotions, school demands, and the environment can all change what the nervous system needs in a given moment.

We should shift from following a rigid sensory schedule to observing first, then choosing regulation supports that match the child’s current needs.

Sometimes that may be heavy work or deep pressure. Sometimes it may be movement and alerting input. Sometimes the child may need less stimulation, a quieter space, or simply time to reset.

The goal is not just to “do sensory.” The goal is to support regulation, participation, body awareness, independence, and confidence.

Different moments. Different needs. The right regulation supports. 💛

#PediatricOT #SensoryProcessing #Explore #OccupationalTherapy #RegulationSupports
I thought this was so true and so funny 😂🧩 I thought this was so true and so funny 😂🧩

Scheduling OT clients around school, sports, siblings, therapies, cancellations, makeups… and then somehow fitting in your OWN kids’ lives and schedules too. 🤪

Basically one giant game of Tetris where the pieces never stop moving!

Who can relate? 😉🤪😜

#OccupationalTherapy #PediatricOT #OTLife #TherapistHumor #Explore
Here’s a simple visual for therapists to share w Here’s a simple visual for therapists to share with parents as a helpful handout on the developmental sequence of pencil grasps. ✏️

As a seasoned professional, one of my goals is to get practical, easy-to-use tools into the hands of as many therapists, parents, teachers, and caregivers as possible. If something I create can make a concept easier to understand or support a child’s development, I want it shared.

Please feel free to use it, share it, save it, and pass it along. I hope it helps! 💛
#PediatricOT #PencilGrasp #FineMotorSkills #Handwriting #Explore
Cutest William — a day in his OT session! 🤩 Cutest William — a day in his OT session! 🤩

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We always start with high sensory input prior to feeding to help his body feel ready to learn. Today William wore his weighted vest and engaged in calming, organizing input including vibration plate + therapeutic music from Vital Links to support regulation and attention.

We also did gentle body massage and oral-motor input to the outside of his cheeks before moving into Z-Vibe work to help prepare his mouth for feeding success.

🥄 Then we moved into feeding!

We incorporated an acrylic stand mirror during feeding practice to support visual feedback and body awareness while eating. This helped William better understand mouth movements and positioning as we worked on oral control and coordination.

We are also introducing more intentional tongue and oral-motor awareness work, helping William become more comfortable handling food inside his mouth and learning how to use his tongue to move and manage food. We are working on tongue lateralization, positioning food onto the chewing surfaces, progressing from a munching pattern toward rotary chewing, and learning how to gather food together to form a manageable bolus for swallowing. 🤩

💡 OT TIP:
High sensory input before feeding or other challenging tasks can make a big difference. Movement, vibration, deep pressure, therapeutic listening, a metronome, or other calming and organizing input can help prepare the nervous system for participation.

✨ Small supports = big growth ✨

#Explore #PediatricOT #FeedingTherapy #SensoryIntegration #OTTips
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I know how much time therapists spend creating parent handouts, finding pictures, explaining tools, and putting together home programs — so I thought I would start sharing some of mine! 💛

My goal is to create resources that therapists can easily share with families and that parents can actually use at home — one less thing on your plate. 🌈

This guide focuses on the skills that support successful handwriting and everyday fine motor development, including:

🌟 Fine motor skills
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You’ll also find some of my favorite tools and simple strategies for home, including different pencil grips, the HandyWriter, weighted writing tools, writing slant boards, adapted scissors, visual guides, spacing tools, and activities to strengthen the entire hand. ✋✏️

One of the biggest things I remind families is that handwriting is about so much more than holding a pencil!

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Sometimes the best “handwriting practice” doesn’t involve a pencil at all. 💪🌈

Think:
✨ Animal walks
✨ Wheelbarrow walking
✨ Crawling
✨ Weight-bearing through open hands
✨ Playdough and resistive activities
✨ Clothespins and tongs
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SAVE this guide for your therapy toolbox and SHARE it with a parent, teacher, or therapist who could use a few new fine motor and handwriting ideas! 💾📤

These strategies are meant to provide general ideas and are not a substitute for an individualized occupational therapy evaluation when concerns are impacting a child’s participation or development.

#PediatricOT #FineMotorSkills #Handwriting #VisualMotor #explore
🌈 SOCIAL-EMOTIONAL TOOLBOX FOR PARENTS, TEACHER 🌈 SOCIAL-EMOTIONAL TOOLBOX FOR PARENTS, TEACHERS & THERAPISTS 🌈

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After 25 years as an occupational therapist, I’ve learned there isn’t one strategy that works for every child or every moment. That’s why I created this Social-Emotional Handout & Toolbox for parents, teachers, therapists, caregivers, and anyone supporting children.

It’s filled with quick, practical tools you can reach for in the moment—recognizing body signals, emotional regulation, anxiety and worry, frustration and anger, transitions, flexible thinking, friendships, sensory strategies, movement, calming tools, and repairing after a hard moment.

My hope is that you save it, share it, and use it when a child needs a little extra support. Sometimes having the right tool at the right time can make all the difference. 💛

Please reach out anytime with questions, for additional resources, or if you’d like me to become part of your child’s team. Helping children, families, teachers, and fellow therapists is truly why I love what I do. 🌈

#PediatricOT #SocialEmotionalSkills #TeacherTools #TherapyTools #Explore
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