TIS                         

Babies continue to grow and achieve milestones in ages one to two. Again, there is a wide variability to what is normal.

MILESTONES | 1 - 2 YEARS

• Says several single words (15 - 18 months)
• Creates two to four word sentences (18 - 24 months)
• Can kick a ball
• Is climbing on and off furniture unassisted
• Can walk and carry several objects
• Starts to run
• Recognizes familiar names and people
• Listens to and follows simple instructions
• Ascend and descend stairs independently
• Plays with other children
• Can stand on tip-toes
• Repeats words
• Can locate hidden objects
• Knows names and locations of several body parts

AREAS OF CONCERN

• Has not developed an efficient ambulatory routine
• Not talking in at least two word sentences by 2 years
• Not following simple instructions

Atypical behaviors 13 -14 month-olds

• Absence of transition from bottom scooting or bunny hopping to ambulation

Atypical behaviors in 15 - 16 month-olds

• If walking has not occurred, consider for delay in all areas and in-depth assessments need to be undertaken

Atypical behaviors in 17 - 18 month-olds

• Ceiling age for onset of independent ambulation

Atypical behaviors in 20-22 month-olds

• A base of support much wider than the pelvis is associated with low muscle tone
• Poor balance and coordination
• Base of support too narrow is associated with high tone

Atypical behaviors in 2 year olds

• Walking pattern unresponsive to level changes
• Poor leg and trunk alignment
• Insecure balance and frequent falls

Treatment interventions can be done by the therapist with follow-through with the caregivers. It should be noted that it is often difficult for the most loving of caregivers to provide all the therapy interventions that may be needed at this point. It is at this stage that the parent should be allowed to parent, and the therapist become the more one-to-one intervention provider. The use of therapeutic balls and balance, bolsters, swings, small ride-on toys in addition to mat work and developmental sequences may begin during this time period and carried forward into more advanced ages.




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