TIS                         

Each child is different and will achieve milestones at different times in each stage. Some babies will walk at 10 months while others walk at 13 months. Developmental issues may first be recognized by health care providers within this stage. All balance and equilibrium reactions should be integrated during this period. The child will have a variety of postures and be able easily position self. The milestones of this age reflect the integration and ease of movement.

THE MILESTONES | 8 - 12 MONTHS

• Says a few words such as mom, dad, dog, uh-ohh
• Imitates others at play
• Babbles with true meaning
• Furniture walks
• Pulls to standing
• Transitions from sitting to crawling position
• Stands for short periods of time without assistance
• Can hit two items together
• Can put toys in a box and take them out
• Explores with index finger
• Attempts to copy words and sounds for attention
• Is aware of familiar people and toys
• Knows parents
• Starts to become fearful of certain situation
• Understands simple words such as no
• Can finger feed
• Can respond with gestures
• Walks two to three steps unassisted

AREAS OF CONCERN

• Not crawling
• Not standing with support
• Drags of favors one side
• Not saying simple words
• Not doing simple gestures
• Cannot go from sitting position to crawling position unassisted
• Not able to put objects in and out of a box

COMPARISON OF PRE-TERM AND FULL-TERM MOTOR DEVELOPMENT

	Full-term	Pre-term
9 months	Standing: base of support narrows rotates trunk, arms by side	Standing: lordosis, wide base of support, shoulder retraction
	Crawls on all fours, trunk Even	If crawling, wide base between knees, lordosis, shoulder elevation
12 Months	Stands alone, walks (at least help); base of support narrow	Stands with support, base of support narrow, arms out to side, stiffening LE, lordosis
	Transitions in and out of sitting Using lateral weight shifting	Difficulty with transitions due to poor lateral weight shifting

Atypical behaviors of 8 to 9 month-olds:

• No transition from commando crawl or bunny-hop to reciprocal locomotion
• W-sit only or as preferred sitting position

Atypical behaviors of 10 to 11 month-olds:

• Inability to transition among sitting positions
• Inability to achieve long-sitting due to tightened hamstrings
• Ise of a mass grasp pattern

Atypical behaviors of 12 month-olds:

• Inappropriate trunk and extremity stiffness, or laxity
• Instability
• Poor coordination may prevent hands-knees locomotion and emergence of standing

Treatment interventions at this age should be directed toward improved mobility with weight-shifting on the lower extremities; sitting positions that include hip and knee flexion. The use of a small bench or corner chair may be used. Fine motor work to develop grasping patterns. Continued work on all gross motor skills and encouragement of lateral weight-shifting.




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