Nbcot Pediatrics

Front 1

Grasping Pellet
Pincer grasp: between distal pads of thumb and index finger, distal thumb joint slightly flexed, thumb opposed

Back 1

10 months

Front 2

Grasping pellet
No attempt to grasp, but visually attends to the object

Back 2

3 months

Front 3

Grasping pellet
Scissors grasp: between thumb and side of curled index finger, distal thumb joint slightly flexed, proximal thumb joint extended

Back 3

8 months

Front 4

Grasping Pellet
Raking and contacting object

Back 4

6 months

Front 5

Grasping pellet
No voluntary grasp or visual attention to the object

Back 5

neonatal

Front 6

Grasping pellet
Fine pincer grasp: between fingertips or fingernails, distal thumb joint flexed

Back 6

12 months

Front 7

Grasping pellet
Inferior-scissors grasp: raking object into palm with adducted totally flexed thumb and all flexed fingers, or two partiall extended fingers

Back 7

7 months

Front 8

Grasping Pellet:
Inferior pincer grasp: between ventral surfaces of thumb and index finger, distal thumb joint extended, beginning of thumb opposition

Back 8

9 months

Front 9

Grasp cube
Primitive squeeze grasp: visually attends to object, approaches if within one inch, contact results in hand pulling object back to squeeze against the other hand or body, no thumb involvement

Back 9

4 months

Front 10

Grasping Cube
Visually attends to object, may swipe. Sustained voluntary grasp only upon contact, ulnar side used, no thumb involvement, wrist flexed

Back 10

3 months

Front 11

Grasping cube
Visually attends to object, grasp is flexive

Back 11

neonate

Front 12

Grasping cube
radial palmar grasp: fingers on far side of object, press it against opposed thumb and radial side of palm

Back 12

6 months

Front 13

Grasping cube
Radial digit grasp: object held with the opposed thumb and fingertips with wrist extended

Back 13

9 months

Front 14

Grasping cube
Radial digit grasp: object held with the opposed thumb and fingertips

Back 14

8 months

Front 15

Grasping cube
radial palmar grasp: fingers on far side of object, press it against opposed thumb and radial side of palm

with wrist extended

Back 15

7 months

Front 16

Grasping cube
Palmar grasp: fingers on top surface of object press it into center of palm with thumb adducted

Back 16

5 months

Front 17

Releasing Skills

Back 17

initiall involuntary dropping, then object is pulled out of one hand by the other hand

Front 18

Releasing skills
Development progresses from no release

Back 18

0-1 months

Front 19

Releasing skills
Progressing from no released to involuntary released

Back 19

1-4 months

Front 20

Releasing skills
two-stage transfer

Back 20

5-6 months

Front 21

Releasing skills
one-stage transfer

Back 21

6-7 months

Front 22

Releasing skills
voluntary release

Back 22

7-9 months

Front 23

Releasing skills
release by full arm extension

Back 23

9 months

Front 24

Releasing skills
Refinement continues up to age ____ with the attainment of graded releases

Back 24

4 years

Front 25

Bilateral hand use
Asymetric movements prevail until ___ months and then symmetric movements emerge until ___ months

Back 25

3

10

Front 26

Bilateral hand use
baby uses both hands for different functions

Back 26

12-18 months

Front 27

Bilateral Hand use
manipulation skills emerge

Back 27

18-24 months

Front 28

Bilateral hand use
The ability to use two different hands for two very different functions emerges at age ___

Back 28

2 1/2

Front 29

Manipulation Skills
finger to palm translation
ex. picking up coins

Back 29

12-15 months

Front 30

Manipulation Skills
Palm to finger translation
ex. placing coins in a slot

Back 30

2-2 1/2

Front 31

Manipulation Skills
Shift: separating 2 pieces of paper

Back 31

3-3 1/2

Front 32

Manipulation Skills
Simple rotation
ex. unscrewing a small bottle cap

Back 32

2-2 1/2

Front 33

Manipulation Skills
Complex rotation
turn a pencil over to erase

Back 33

6-7

Front 34

Manipulation Skills
In hand manipulation with stabilization
ex. picking pennies up with thumb and forefinger while storing them in the ulnar side of the same hand

Back 34

6-7 years

Front 35

Pre-writing skills
palmar supinate grasp: held with fisted hand, wrist slightly flexed and slightly supinated away from mid-position; arm moves as a unit

Back 35

1- 1 1/2 years

Front 36

Pre-writing skills
Digital prone grasp: held with fingers, wrist neutral with slight ulnar deviation, and forearm pronated; arm moves as a unit

Back 36

2-3 years

Front 37

Pre-writing skills
Static tripod posture: held with crude approximation of thumb, index, and middle fingers, ring and little fingers only slightly flexed, grasped proximally with continual adjustments by other hand, no fine localized movements of digit components; hand moves as a unit

Back 37

3 1/2- 4 years

Front 38

Pre-writing skills
Dynamic tripod posture: held with precise opposition of distal phalanges of thumb, index, and middle fingers, ring and little fingers flexed to form a stable arch, wrist slightly extended, grasped distally, MCP joints stabilized during fine, localized movements of PIP joints

Back 38

4 1/2- 6 years

Front 39

Scissor use skills
shows and interested in scissors

Back 39

2-3 years

Front 40

Scissor use skills
hols and snips with scissors

Back 40

2-3 years

Front 41

Scissor use skills
Opens and closes scissors in a controlled fashion

Back 41

2-3 years

Front 42

Scissor use skills
Manipulated scissors in a forward motion

Back 42

3-4 years

Front 43

Scissor use skills
Coordinates the lateral direction of the scissors

Back 43

3-4 years

Front 44

Scissor use skills
Cuts a straight forward line

Back 44

3-4 years

Front 45

Scissor use skills
Cuts simple geometric shapes

Back 45

3-4 years

Front 46

Scissor use skills
Cuts circles

Back 46

3 1/2- 4 1/2 years

Front 47

Scissor use skills
Cuts simple figure shapes

Back 47

4-6 years

Front 48

Scissor use skills
cuts complex figure shapres

Back 48

6-7 years