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Occupational Therapy Milestones: Birth to 6 Months

Your child develops motor skills from a combination of physical maturation and exploration opportunities in their environment. You as a caregiver play a vital role in encouraging your child to explore and learn from their environment leading to the acquisition of skills. Below is a chart to help you better understand the milestones of development from birth to 6 months old. During this time period your child will be developing gross motor skills, fine motor skills, and visual-motor integration skills. Your child will begin to visually track toys/objects, progress to reaching for these toys, then grasping toys, and then release toys. It is important to note that at these stages your child is still developing. Grasp and release are two key developments; grasp of toys develops slowly, and voluntary release only begins to occur only at 7-9 months of age. Other important milestones in this age range include rolling and sitting.

As you go through these milestones,  keep in mind that children can grow quickly at times, and slowly at other times, and regression may even take place. This is a natural process, and common in development. The key takeaway is that your nurturing as a parent plays the greatest role in your child’s development. Use this guide to provide age appropriate exploratory opportunities for your child to aid in their development. The chart is arranged with skills listed at the earliest stage of possible emergence. Therefore please  remember you may begin to see these skills developing at any point after the date listed, and they will take some months to develop.

1-2 Months  
Brings hands within range of eyes and mouth
Moves head from side to side when lying on stomach
Hands are generally kept in tight fists, with displays of jerky arm movements
Tracks toys with eyes when lying on back
Holds toy for 30 seconds when placed in hand
Displays involuntary release from 1-4 months
3 Months

Raises head and chest when lying on stomach
Stretches and kicks when placed on back
Opens and closes hands
Brings hands to mouth
Grasps and shakes toys when placed in hands
4 Months
Brings hands to midline and reach toward on object 
Begins to transfer objects from hand to hand 
Begins to display a palmar grasp (fingers are on top of object, with object resting in palm)
5 – 6 Months
Begins to roll: first able to roll  from stomach to back, then back to side, then back to stomach
Begins to sit with self support (arms supporting), and  by about 10 months develops ability to sit independently and play
6 Months Raking grasp observed (child extends many fingers and sweeps objects to them)


Fleming-Castaldy, R. P. (2017). National occupational therapy certification exam review & study guide. Therapyed.Newman, B. M., & Newman, P. R. (2015). Development through life : a psychosocial approach. Cengage Learning.

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Patient Reviews

LLA Therapy

Patient Reviews

Crystal Scheibe

Great place, glad we found them. Been going to Medina over 2 months now and he loves Lauryn and Kyler. Wish they had more ABA therapy places available... live in Wooster and long drive everyday.

Karrie Swan LaRock

My 11 year old son has dyslexia and has made noticeable gains in working At LLA THERAPY. Katie is strong in her approach toward him and also keeps him comfortable enough to perform well. We will continue visiting both the Fairlawn and Hudson offices and recommend them highly.

Ron Monroe

My 9 year old just completed about 9 months of weekly speech sessions (due to his stuttering) with Matt Hagge at LLA and we are thrilled with the experience and results. What I thought might be a negative (what kid really wants to go to speech class?) was made very positive by Matt, and my son never hesitated or complained when we talked about class. He really enjoyed it and really took what Matt taught him to heart. His speech has been greatly improved and we definitely recommend LLA. Thank you so much!

Heather Dougherty-Pantoja

My son’s Occupational Therapist, Jess, is an amazing OT! She gives practical tips on working with my son at home and school!

Terri Apgar

I cannot say enough good things about LLA Therapy. My daughter was a client of Teal Simmons’ for approximately 2 years and was just released from speech therapy! She was diagnosed with Apraxia in 2015 and worked with Teal twice a week. Through Teal’s application of PROMPT therapy, my daughter had age-appropriate speech after one year. All of the staff we interacted with at LLA were absolutely wonderful. They really care about what they do and making sure your child achieves their goals.

Kelli Geisler Davisson

LLA Therapy has been an excellent experience for my son as well as my family! My son always asks, "When can I go see Ms. Jeannine again, is it Monday??" He has also made huge gains in only 5 months! I would highly recommend LLA and have already shared my experience with friends looking for services!

Victoria Hansford-Price

We are so grateful for our Speech Therapist Ms.Teal. We have seen a great improvement with our sons confidence and communication abilities since we have started "Prompt" therapy. What we love the most about LLA and Ms. Teal is that Kohl feels comfortable and relaxed which has played a critical role in his progress. Thank you Ms. Teal for all you have done.

Laura Lee Hogsett

They have helped in numerous ways. Speech, OT and behavioral. I've had numerous compliments on my son's progress thanks in very large part to LLA. I would recommend LLA before I recommend our local children's hospitals, though they are good, they don't have the staff that LLA does.

Amy Furukawa

We had a great experience with Matt Hagge at LLA! Our Middle School age son was becoming very conscious of his voice, which is nasal due to a cleft palate. Matt helped him to better form his sounds and project his voice in a way that makes the unavoidable nasality less noticeable.Our son is more confident and outgoing & even took on a speaking role in the church play. Matt has the perfect personality to relate with our son, and we would recommend him to anyone needing speech therapy services!

Jessica Havalotti

LLA Therapy has been an excellent experience for our daughter. I would highly recommend LLA. Miss Grace was so amazing and I can't believe how quickly our daughter showed improvement. Thank you!
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