Milestones

These are the recommended milestones for child development.

Pediatric PT Developmental Milestones

First Year

0 - 4 Months

Holds head in alignment
Tracks an object
Moves arms and legs when laying on back
Lifts head a little when laying on belly, can prop on elbows
Brings hands together when laying on back
Props on elbows in prone with neck extension
Rolls back to side
Grasps rattle when placed in hand
Likes looking at a human face more than other things
Responds to a smile with a smile
Looks into caregiver’s face and eyes with interest
Reaches toward and touches toy
Hits at dangling objects with hands

5 - 6 Months

Sitting using hands for support and starting to sit independently
Grabs both feet and holds them when on back
Brings feet to mouth
Reaches to a toy when playing on belly
Props on extended arms when on belly
Begins to belly crawl
Rolls back to belly
Holds and shakes a toy
Puts fingers in mouth
Smiles at self in front of mirror

7 - 8 Months

Maintains sitting for 60 seconds
Retrieves a toy in sitting and returns upright
Rolls belly to back
Rolls back to belly
Belly crawls 3 feet forward

9 Months

Assumes hands and knees position (all fours)
Transfers from sitting to hands and knees position (all fours)
Rocks back and forth on hands and knees for 5 seconds
Creeps forward on hands and knees
Scoots forward in sitting for 3 feet
Pivots in sitting 90 degrees to both sides
Walks with two hands held

10 Months

Maintains sitting for 60 seconds while playing with a toy
Transitions to sitting from belly
Creeps (on hands and knees) over your legs
Bounces while holding onto your fingers
Cruises 4 steps along furniture
Lowers to sitting from standing without falling
Plays in standing for 3 minutes
Stoops at table to retrieve object from floor

11 Months

Cruising on and between furniture
Pivots in sitting
Standing for 5 seconds without support
Walks 4 steps with 1 hand held
Walks with a push toy 10 feet

12 Months

Transitions to stand using hands and feet
Walks 8 feet with one hand held
Walks 5 steps independently
Traps a ball with arms and hands in sitting

Second Year

12 Months

Transitions to stand using hands and feet
Walks 8 feet with one hand held
Walks 5 steps independently
Traps a ball with arms and hands in sitting

13 Months

Maintains kneeling position on knees for 5 seconds
Stoops to retrieve object from the floor without using a stable surface and takes 3 steps
Rolls a ball 3 feet forward in sitting
Flings a small ball while standing

14 Months

Creeps upstairs on hands and knees
Walks 10 feet with without falling (not walking on toes)

15 Months

Creeps downstairs independently
Walks upstairs with both rails – non alternating
Lifts foot to contact ball
Throws ball overhand without losing balance

16 - 18 Months

Walks fast
Walks Backward 5 steps
Walks downstairs with support of one finger, non-alternating

19 - 20 Months

Runs forward 10 feet
Stands heel to toe on a line for 2 seconds
Kicks ball 3 feet
Throws ball overhand 3 feet
Rides a push bike

21 - 22 Months

Runs forward 10 feet
Walks sideways 10 feet
Walks with 1 foot on line for 6 feet
Walks with one foot on balance beam

23 - 24 Months

Jumps forward 4 inches
Jumps up 2 inches
Jumps down from step
Walks upstairs without rail
Throws ball underhand 3 feet
Kicks ball 3 feet with direction
Climbs up jungle gym

Third Year

25 - 26 Months

Walks down 4 steps without rail
Walks backward for 10 feet
Presents arms and attempts to catch ball
Negotiates slide independently

27 - 28 Months

Takes three consecutive steps when walking on a line – hands on hips
Walks upstairs with a rail alternating feet
Throws ball 7 feet overhand
Walks across a 6 inch balance beam

29 - 30 Months

Jumps down 21 inches independently
Walks on tiptoes for 5 feet with hands on hips
Runs 30 feet in 6 seconds
Throws ball 7 feet underhand
Kicks ball 6 feet forward using opposing arm and leg movement

30 - 31 Months

Stands on one foot for 3 seconds with hands on hips
Jumps forward 24 inches
Jumps down 24 inches

32 - 34 Months

Jumps over a 2 inch hurdle
Walks on tiptoes for 8 feet with hands on hips
Catches ball with arms extended from 5 feet

35 - 36 Months

Walks upstairs without a rail alternating feet
Rides a tricycle

extra Months

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Fourth Year

37 - 40 Months

Runs 45 feet in 6 seconds
Jumps forward 26 inches
Throws ball overhand
Throws ball underhand to hit target from 5 feet

41 - 42 Months

Stands on one foot with hands on hips for 5 seconds
Walks 4 feet on a line with hands on hips
Catches large ball hands only 5 feet (not using chest to trap the ball)
Climbs down rock wall independently

43 - 44 Months

Stands on tiptoes with arms overhead for 3 seconds
Walks downstairs without a rail using an alternating pattern
Hops forward 6 inches on 1 foot
Throws ball overhand to hit target from 5 feet

45 - 48 Months

Stands on one foot for 5 seconds
Runs and stops within 2 steps
Walks backwards on a line 4 feet with hands on hips
Jumps forward 30 inches
Hops 3 - 5 times on each foot
Throws ball underhand 10 feet while stepping
Walks across a 4 inch balance beam with hands on hips

49 - 52 Months

Stands on tiptoes for 8 seconds
Walks backwards on a line 5 steps with hands on hips
Performs a forward roll
Gallops 10 feet
Throws overhand to hit target from 12 feet
Bounces a ball so it hits floor then wall
Catches a small ball thrown from 5 feet hands only
Rides a 2 wheeler with training wheels
Rides a 2 wheeled scooter

Fifth Year

49 - 52 Months

53 - 58 Months

Stands on one foot for 6 seconds
Imitates 4 positions with arms and legs
Jumps forward 36 inches
Performs a turning jump
Hops forward 3 feet on each foot
Jumps over 10 inch hurdle
Skips 8 feet
Pumps self on swing
Able to jump over a partner turned jump rope
Able to roller skate – without coordination

59 - 62 Months

Stands on one foot for 10 seconds with hands on hips
Performs 3 sit - ups in 30 seconds
Jumps sideways over a line 3 cycles
Skips 10 feet
Skips 10 feet
Jumps over 10 inch hurdle
Skips 10 feet
Able to jump over a self turned jump rope several consecutive times

63 - 72 Months

Performs 5 sit - ups in 30 seconds
Performs 8 push - ups in 20 seconds
Hops 20 feet in 6 seconds
Kicks a ball 12 feet in the air
Bounce catches a ball with one hand
Takes three consecutive steps on a 2 inch balance beam
Able to roller skate – with coordination
Able to perform the monkey bars
Drop kicks a ball with direction

Extra Months

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Milestones

804 E. Navajo StreetFarmington, NM 87401

P: 505-386-0075F: 833-696-0775Email us: adaptivetherapiesnm@gmail.com

copyright 2026 Adaptive Therapies, LLC

804 E. Navajo Street
Farmington, NM 87401

P: 505-386-0075
F: 833-696-0775
Email us: adaptivetherapiesnm@gmail.com