Important fine motor milestones for Medical Pg entrance with mnemonics and images to help u in remembering it well

1. - DR.AKIF A.B

2. -Involutary grasp reflex diappears at 2-3months
- Voluntary grasp reflex develop at 4th month

3. -Hand regard is seen in babies between 3-5 months of age
- It occurs when a baby is seen lying supine, watching the movement of the hands.
- persistence beyond 5months = Abnormal
Mnemonic: In hand there are 5 fingers
and persistence beyond 5months is
abnormal

4. -Bidextrous approach ; approaching towards object by both hands = 4-5months
- unidextrous approach: approaching towards object by both hands= 5-6months
-Ulnar grasp : holding things with ulnar(medial) side of palm = 6-7months
- radial grasp : holding things with radial(lateral) side of palm = 7-9months
-Immature pincer grasp: partially holding pen between index and thumb = 9-10months
- mature pincer grasp: fully holding pen between index and thumb = 11-12 months
Mnemonics: My Immature Radius & Ulna Simply Breaks
Mature
pincer
grasp
Immature
pincer
grasp
Radial
grasp
Ulnar
grasp
Single(uni)
Dextrous
approach
Bidextrous
approach

5. RADIAL
GRASP
ULNAR
GRASP
PINCER
GRASP
UNIDEXTROUS
APPROACH
Mnemonic: 1) ulnar means medial ,which has 6letters;; so 6months
2) radial means lateral, which has 7 letters= so 7months
3) unidextrous – uni- 3letters-multiply by 2= 6 = so 6months
4) Bidextrous – Bi- 2letters -multiply by 2= 4 = so 4 months

7. Making tower of 2cubes: 13- 15months
Making tower of 10cubes: 36months
Making tower of 6cubes: 24months
Mnemonic: 13 months = 13 = minus between 1 &3 = 2
so 3-1=2=2cubes
Mnemonic: 36 months = 3&6 = add 3 &6= 9
so 36 months = 9cubes (approx 10)
Mnemonic: 24months =2 &4= add 2 &4= 6
so 24months =6cubes

9. Line
O (circle)
Cross
Square
Triangle
diamond (hexagon)

10. -Uses cup and spoon but spills over all = 12months
- Cup without spilling = 15months
-Spoon without spilling = 18months

11. -Turns 2-3 pages simultaneously : 18months
- Turns each page separately : 2years

12. -Involutary grasp reflex diappears at 2-3months
- Voluntary grasp reflex develop at 4th month
-Hand regard is seen in babies between 3-5 months of age
-Bidextrous approach ; approaching towards object by both hands = 4-5months
- unidextrous approach: approaching towards object by both hands= 5-6months
-1month: Lifts head spontaneously in prone position
- 1.5months: lifts head spontaneously in supine position
- 3 months: lifts head in prone position on both arms/
partial head control in supine
- 6months: lifts head in prone position on both extended hands/
complete head control/ sitting with support

14. -Ulnar grasp : holding things with ulnar(medial) side of palm = 6-7months
- radial grasp : holding things with radial(lateral) side of palm = 7-9months
-Immature pincer grasp: partially holding pen between index and thumb = 9-10months
- mature pincer grasp: fully holding pen between index and thumb = 11-12 months
-Voluntary release of objects/ transfer between hands : 7months
-Releases objects on request : 12 months
-Uses cup and spoon but spills over all = 12months
-7 months:: lifts head in prone position on one extended hand
-8 months : sitting without support/crawling
-9months Pivots/ standing with support
- 10 months: Creeping/walking with support
-12 months : standing without support

16. Making tower of 2cubes: 13- 15months
Making tower of 6cubes: 24months
Making tower of 10cubes: 36months
-Turns 2-3 pages simultaneously : 18months
- Turns each page separately : 2years
- Cup without spilling = 15months
-Spoon without spilling = 18month
-Copies line =2yrs…..circle=3yrs
- scribbles : 15months
-13-15months: walking without support
-15 months: Creeps on stairs
-18months: Runs
-2yrs: Walking backwards/ walking on stairs one by one step

22. LIFTS HEAD SPONTANEOUSLY – 6WEEKS(1.5months)
PARTIAL HEAD(NECK) CONTROL – 3months
COMPLETE HEAD CONTROL - 6 months
Mnemonic : multiply by 2 each time: 1.5*2=3……3*2=6
Checked by pulling both hands to sit

26. (Mnemonic: first sits than stands and walks
with support first…..in sequence: 9,10-11,12,13-15)