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Gross Motor Scales- Reflexes
With hands around the trunk, hold child in standing position facing away. Tilt child slightly forward. Brush top of child's feet against edge of table, then hold child so feet are resting on table
(Lying on back, head toward examiner)
Turn child's face so left cheek is parallel to surface. Hold his or her head in that position for 3 seconds and observe child's reaction. Repeat procedure to right side.
Hold child suspended horizontally, stomach toward floor, side toward you with your hands under his or her chest and stomach.
(Either kneel on floor or stand facing table so when child is tilted forward, he or she can reach surface) Hold child in suspended horizontal position, stomach parallel to floor, buttocks toward you, then quickly tilt child's head toward the surface.
(Sitting, back toward you)
With hands at hips, support child in sitting position, then quickly tilt child 45 degrees to one side.
(Sitting, back toward you)
With hands at hip, support child in sitting position, then quickly tilt child 45 degrees forward
(Sitting back toward you)
Place hands on child's shoulders and pull him or her backward 20 degrees from vertical. (Be prepared to catch child if no reaction occurs)
(Sitting, facing you)
Place your hands on child's chest and push gently and rapidly backward at least 45 degrees. (Have someone prepared to catch child or stop fall if no reaction occurs)
Stationary
(Lying on stomach, head turned to side with cheek resting on surface; examiner out of eyesight)
Shake rattle 3 times behind child's head. Repeat procedure with opposite cheek resting on surface
(Sitting, facing you)
Support child in sitting position by holding his or her wrists and arms. Observe position of child's back.
(Sitting, head hanging forward, back to you)
With hands around trunk, support child in sitting position. Observe head alignment in relation to trunk.
(Lying on back, pulled to sitting)
Grasp child's hands and wrists and gently pull to a sitting position. Observe head alignment during movement cycle and head position at end of cycle.
(Lying on back, pulled to sitting)
Grasp child's hands and wrists and gently pull to a sitting position. Observe head alignment during movement cycle and head position at end of cycle.
Held in a suspended vertical position with head toward ceiling, feet toward floor. Pick child up (facing you) with your hands around trunk. Observe head alignment.
Held at shoulder. Hold child at your shoulder with one hand under buttocks and other on child's back. (Head is not supported) Gently bounce child up and down 3 times.
Held in suspended vertical position with head toward ceiling, feet toward floor. Pick child up (facing you) with your hands around trunk. Slowly tilt child 45 degrees to left of midline. Without pausing, return to midline and tilt 45 degrees to right. Return to midline. Observe alignment of child's head throughout cycle. (Count 4 seconds per segment of movement cycle: left, midline, right, midline)
(Sitting) Support child in sitting position (side toward you) by holding his or her hips. Child's hands can be placed on surface for additional support
Sitting, supported with pillows around hips. Dangle toy on a string 12 in. in front of child. Slowly move toy in 180 degree arc, from in front of child to his or her left side, back to front, and then to right side. (Count 4 seconds per segment of movement cycle: left, front, right, front)
Place child in sitting position, hands on surface beside knees. When balance is secure, release child.
Sitting, pillows supporting hips. Attract child's attention to toy on a string suspended at midline 12 in. in front of child's chest.
Lying on back, feet toward you. Hold index fingers out, touching child's hands, if necessary, to get child to grasp them. Once fingers are grasped, say, "get up". Pull your hands back so child's arms become straight.
Place child in sitting position and release your support.
Place child in sitting position and release your support. Place toy 12 in. in front of child. Say, "get the toy".
Place child in sitting position and release your support. Give toy to child and say, "Play with the toy."
Lying on back. Place child on back on floor. Attract child's attention to toy and then place it on chair where child can see it. Say, "Get the toy."
Lying on stomach. Place child on stomach on floor. Attract child's attention to toy; then hold toy out of child's reach, about 2 ft. above floor. Say,"get the toy."
Place child in a kneeling position, buttocks not resting on heels. Keeping toy at child's eye level and about 2 ft. away, move it in arc to one side of child. Say, "watch the toy." Return toy to starting position and then move it in arc to other side. (Take about 4 seconds for each segment of movement cycle: front to left, left to front, front to right, right to front.)
Stand on 1 foot, hands on hips with free leg bent back at knee. Say, "put on hands on your hips and stand on 1 foot like I did."
Stand on 1 foot, hands on hips with free leg bent back at knee. Say, "put your hands on your hips and stand on 1 foot like I did."
Stand on tiptoes with hands held overhead for 3 seconds. Say, "Hold your hands over your head and stand on your tiptoes like I did."
Stand on 1 foot, hands on hips with free leg bent back at knee for 5 seconds. Say, "Put your hands on your hips and stand on 1 foot like I did."
Stand on tiptoes with hands held overhead for 8 seconds. Say, "hold your hands over your head and stand on your tiptoes like I did for as long as you can."
Stand on 1 foot with hands on hips for 10 seconds, then on other foot for 10 seconds. Say, "put your hands on your hips and stand on each foot like I did," Count seconds out loud to encourage child to balance longer.
Standing. Stand 3 feet from child. Say," I am going to move my arms and I want you to copy my movements." Do practice move (one not on test) to see if child understands. Do not use verbal cues. Present 6 positions one at a time at 10 second intervals.
Stand on 1 foot with hands on hips for 10 seconds, then on the other foot for 10 seconds. Say, "put your hands on your hips and stand on 1 foot and then the other like I did." Count seconds out loud to encourage child to balance longer.
Lying down on mat. Demonstrates sit-ups on mat. Please child in starting position on mat. Hold child's feet and say, "Do as many sit-ups as you can." Stop child after 30 seconds.
Lying down on mat. Demonstrate sit-ups on mat. Place child in starting position on mat. Hold child's feet and say, "do as many sit-ups as you can." Stop child after 30 seconds.
Lying face down on mat. Demonstrates 3 push-ups. Say, "Do as many push-ups as you can." Stop child after 20 seconds
Locomotion
Lying on back. Stimulates leg thrusts by holding child's feet and pushing them toward his or her body so knees are flexed, legs bent, and heels almost touching buttocks. Then pull child's feet out until legs are fully extended. Repeat motions. Let go of child's feet. Observe for more than 1 minute.
Lying on side, legs bend to maintain balance, examiner in back of child. Shake rattle 3 times behind child's back. Repeat procedure with child lying on opposite side.
Lying on back. Stimulates arms by bringing child's hands together at midchest with elbows bent. Then stretch arms out to sides until elbows are straight and hands touch surface. Repeat. Let go of child's hands. Observe for 1 minute.
Standing. Hold child in a standing position facing you with his or her feet resting on table or counter top. Observe leg position and whether child can bear weight for 3 seconds.
Lying on stomach, head turned to side, forearms resting on surface. Attract child's attention by shaking rattle 1in. above surface. Continue to shake rattle and move it 6in. above child's head.
Lying on back; feet toward you. Shake rattle 18 inches from child's nose and then move in to within 12 inch
Lying on stomach, chin and forearms resting on surface. Attract child's attention to toy on a string and then suspend it 12in. above child's face.
Lying on back, feet toward you. Shake rattle at midline 12 in. above child's face. Slowly move rattle in arc toward surface. Repeat procedure to other side.
Lying on stomach, head toward you. Attract child's attention to toy on a string that you dangle at midline 12 in from child's head. Observe child's arms and legs for 5 seconds.
Lying on back, bare feet. If child has socks on, remove them and then gently bend both legs toward child's face, wiggle and then release them.
Lying on back, head in midline. Attract child's attention to toy on a string that you dangle at midline 12 in. from child's head. Observe child's arms and legs for 5 seconds.
Lying on stomach, chin and forearms resting on surface. Attract child's attention to toy on a string just out of reach. Say, "Get the toy."
Lying on back, bare feet. Gently bend both legs toard head 3 times. Do not place feet in child's hands, but encourage child to grasp them by saying, "get your feet."
Lying on stomach, head turned to side, forearms resting on surface. Attract child's attention to rattle. Shake rattle 12 in. in front of child's forehead and 6 in. above child's head
Lying on back. Shake toy on a string and then hold it 12 in. to right of child's head and 12 in. above surface. Repeat procedure to opposite side.
Lying on back. Shake rattle at midline 12 in. above child. Lower rattle to surface on child's left, out of child's reach. Repeat procedure on opposite side.
Lying on back. Attract child's attention to toy by shaking it to side of child. Repeat procedure on opposite side.
Lying on stomach. Place toy 5 ft. in front of child. Say, "get the toy."
Lying on stomach. Sit 3 ft. in front of child. Hold your hands out to child and say, "come here."
Positioned on hands and knees. Place toy on floor 6 ft. in front of child. Say, "get the toy." Move toy back as child approaches.
Sitting. Sit beside child on floor. Say, "watch me." Demonstrate scooting by using your hands to propel your body forward on your buttocks to retrieve toy. Place toy 5 ft. in front of child. Say, "scoot like I did and get the toy."
Sitting. Place child in sitting position on floor. Attract child's attention to toy, then place it 2 ft. from child's right side. Say, "Turn and get the toy." Repeat procedure on opposite side.
Sitting next to stable object, such as chair or table. Attract child's attention to toy, then place it on edge of stable object, out of child's reach. Say, "get the toy."
Sitting on floor to one side of you. Sit with legs straight and knees touching. Attract child's attention to toy, then place toy on the other side of your legs so child will have to climb across your legs to retrieve it. Say, "get the toy."
Standing. Have child hold our index fingers. Stimulate bouncing by moving your hands up and down 2 times.
Standing next to low table. Place child in standing position at end of table. Place toy on opposite end of table. Say, "get the toy."
Place child in standing position with side next to stable object (chair or low table) for support. Place toy on floor in front of child. Say, "sit down and play with the toy."
With child facing you, support child in standing position with your hands around trunk. Say, "let's walk."
Place child in sitting position straddling one line of taped 3x3 ft. cross. Attract child's attention to toy, then place it on line 2 ft. behind child. Say, "turn and get the toy."
Place child in standing position next to stable object (chair or low table). Stand 4 ft. in front of child with your arms outstretched. Say, "come here."
Place child in standing position away from anything that can be used for support. Release your support of child. (Be ready to catch child if necessary.)
From in front, support child in standing position by holding 1 hand. Say,"Let's walk."
Sitting cross-legged on floor. Demonstrate standing up from sitting position. Place palms of hands on floow beside hips. Push down with hands, straighten arms, and shift weight to feet. Stand up without turning body more than 20 degrees to wither side. Say, "Get up like I did."
Standing. From the side, support child by holding 1 hand. Say, "Let's walk."
Standing. Hold toy 2 ft. in front of child. Say," Come get the toy." Move back as needed to keep toy just out of reach.
Standing. Place toy on floor 2 ft. in front of child. Say, "Get the toy and bring it to me."
Sitting on floor, facing stairs. Place toy on 3rd step. Say, "Get the toy." Move toy up as child gets closer. (Be prepared to catch child if necessary.)
Stand on 10 ft. in front of child, and hold your arms out. Say, "Come to me." [Record the time it takes to walk 10 ft. in next Item. It will be used later on in Item 41.]
Record time to walk 10 ft for use in Item 41.
On stairs, knees on 4th step, hands on 5th step. Stand 2 or 3 steps below child. Sat, "Come to me." Move backward as necessary.
Standing, facing flight of stairs, close to railing or wall. Place toy on 6th step. Get behind child and say, "Walk up the steps and get the toy."
Run away from child and say, "Catch me!"
Record time in next Item
Record time to walk 10 ft.
Walk backward while pulling pull toy. Give cord to child and say, "You pull it like I did."
(Standing on 4th step, next to wall or railing, facing down) Stand beside child and offer him or her your finger. Say, "Let's walk down the steps."
Demonstrate walking backward using a normal stride (heels not touching toes). Say, "Walk backward like I did."
Stand 12 ft in front of child and say "Run to me as fast as you can."
(Taped line, 2in x 2ft), Stand on line with one foot in front of other, toe of back foot touching heel of front foot. Say "Stand on the line like I did."
Face child and say "Watch me." Step sideways, leading with same foot, for 10 ft. Say "Walk like I did."
(Taped line, 4in x 8ft), Walk on the line with one foot on line and other foot beside it. Say,"Walk on the line like I did."
(Taped line on floor 2in x 2ft), using 2-footed takeoff and landing, jump forward 12 in. from starting line. Say,"Jump like I did." Measure distance from line to point where nearest heel touches the floor.
Demonstrate jumping up with your feet together, knees flexed, and body propelled upward. Say "Jump like I did."
(Standing on step 7 in high), Stand in front of child and say, "Jump down."
(Standing, facing flight of stairs, at middle of step width.), Place toy on 6th step. Say "Walk up the steps without holding on."
(Standing on 4th step, facing down stairs, next to wall or railing.), Stand 2 steps below child. Say "Walk down to me." Move down as child begins to descend.
Demonstrate walking backward 10 ft using a normal backward stride (without touching heels to toes.) Say "Walk backward like I did."
(Standing next to a wall) Mark on wall at standing reach and line 2 in higher. Demonstrate jumping up and touching wall as high as you can. Point to line and say, "Jump up and touch as high as you can."
(Taped line 4in x 8ft), Using a normal stride (heels not touching toes), walk forward 3 steps on line. Say "Keep your hands on your hips and walk on the line like I did."
(standing at foot of stairs), Get behind child and say "Walk up the steps."
(Standing on stable object 16-21 in high), Say "Jump down."
Walk on tiptoes with your hands on hip sfor 5 steps. Say, "Keep your hands on your hips and walk on your tiptoes like I did."
(with taped lines 2in x 2ft,30 ft apart) Place child with toes behind starting line. Stand 1 yd behind finish line and say "Run to me as fast as you can." Time from when chid starts running to when he or she crosses finish line.
(standing with toes on the line, taped line, 2in x 2 ft). Demonstrate jumping forward using 2-footed takeoff and landing. Say "Jump like I did."
(Standing on stable object 18-24 in high)-Say "Jump down with both feet together."
(String or rope tied between 2 chair legs, 2 in off floor and 3 ft apart. Tie loosely to prevent tripping.) Stand 6 in away from and facing string. Using 2-footed takeoff and landing, jump over string. Say "Jump over the string like I did."
(Taped line, 4in x 8ft)-Walk on tiptoes, hands on hips, for entire length of line. Say, "Keep your hands on your hips and walk on your tiptoes like I did."
(Standing centered at foot of stairs.) Place a toy on the 6th step. Stand behind child and say, "Walk up the steps and get the toy."
(Taped lines 2in x 2ft, 45 ft apart.) Place the child within 6 in behind a taped line on the floor and then stand 3 ft behind finish line. Say "Run to me as fast as you can without stopping."
(Taped line 2in x 2ft) Demonstrate jumping forward using a 2-footed take-off and landing. Say "Jump like I did."
(Taped line 4in x 8ft)-using a normal stride (heels not touching toes),walk forward on line. Say "keep your hands on your hips and walk on the line like I did. Try not to step off the line."
Say "When I say go, run fast and keep running until I say stop." Stop child after 10 seconds.
(Taped line 4in x 8ft)-Using a normal stride (heels not touching toes), and with hands on hips, walk forward on line. Say "Keep your hands on your hips and walk on the line like I did. Try not to step off the line.
(Standing on 4th step facing down stairs)-Stand 2 or more steps below child and say "Walk down the steps without holding on." Move down as child descends
Jumping forward on 1 foot (Taped line 2in x 2 ft)-Jump forward on 1 foot without letting other foot touch floor. Say "Jump forward like I did." Measure from line to point where back of heel touches floor.
(standing next to wall)- Mark on wall at standing reach and line (2in x 1 ft) 3 in. higher. Demonstrate jumping up and touching wall as high as you can. Point to line and say "Jump and touch as high as you can."
Demonstrate running and stopping on command. Say "When I say go, run until I say stop." Stop child after 3 cycles.
(taped line 4in x 8ft)-Using normal stride (heels not touching toes) an with hands on hips, walk backward on line. Say, "Put your hands on your hips and walk backward like I did."
(taped line 2 in x 2ft)- Demonstrate jumping forward using a 2-footed takeoff and landing. Say "Jump like I did." Measure from line to point where back of nearest heel touches floor.
Hop forward on 1 foot for 5 hops, then on other foot for 5 hops. Say "Hop like I did."
(Taped line 4in x 8ft)With toes touching heels and hands on hips, walk backward on line. Say "Put your hands on your hips and walk backward touching your heels withyour toes like I did. Try not to step off the line.
(crouching on edge of mat) Demonstrate forward roll. Place child on edge of mat in crouching position. Say "Turn a forward roll like I did."
Gallop 8-10 ft.(same foot leading.) Say, "Gallop like I did."
(taped line 2 in x 2 ft)-from taped starting line, demonstrate jumping forward using 2-footed takeoff and landing. Say "Jump like I did as far as you can."
(standing with hands on hips, feet 2-4 in. on either side of line)-Taped Line (2in x 2ft). With body not deviating more than 20 degrees from vertical, jump and turn 180 degrees. Land with feet opposite original position. Say "Jump and turn in the air like I did."
(2 taped lines, 2in x 2ft, 3 ft apart.) Hop on one foot from one line to the other, change feet and hop back to the first line. Say,"Hop like I did." If necessary, remind child to change feet when hopping back.
(String or rope tied between 2 chair legs, 3 feet apart, 10 in. off the floor. Tie loosely to prevent tripping.) Stand 6 in. away from and facing string. Using 2-footed takeoff and landing, jump over string. Say, "Jump over the string like I did."
(2 taped lines, 2in x 2ft, 10 ft apart; empty soft drink can) Place can on one line. Have child stand just behind the other line. Say, "When I say go, run as fast as you can, pick up the can, and bring it back across the starting line." (Allow 30 seconds of rest between trials.
Demonstrate skipping for 10 steps. Say, "Skip like I did."
(Standing, hands on hips, side to line, Taped line, 2in x 2ft) With feet together and without pausing, jump back and forth(sideways) over line for 3 left-right cycles. Say, "Jump across the line like I did."
Demonstrate skipping 10 ft. Say, "Skip like I did."
(2 taped lines, 2in x 2ft, 20 feet apart) Place child behind starting line. Say, "Hop on 1 foot to the other line as fast as you can."
Fine Motor Scales - Object Manipulation
24 Items testing from 12 months to 72 months.
Sitting, legs spread apart facing you, you and child sitting 3 ft. apart. Roll ball from between your legs to child. Say, “Catch the ball.”
Sitting, legs spread apart facing you, you and child sitting 3 ft. apart. Roll ball from between your legs to child. Place ball on floor between child’s knees. Say, “Roll the ball to me.”
Standing in an open area. Give tennis ball to child and stand 5 ft. away. Extend your hands to child and say, “Throw the ball to me.”
Standing in an open area. Kick a stationary ball so that it travels 3 ft. forward. Place ball 6 in. in front of child and say, “Kick the ball like I did.”
Standing in an open area. Give tennis ball to child and stand 5 ft. away. Say, “Throw the ball to me.”
Standing in an open area. Kick a stationary ball so it travels 3 ft. forward. Place ball 6 in. in front of child and say, “Kick the ball like I did.”
Standing in an open area. Demonstrate throwing tennis ball overhand at least 3 ft. forward. Give ball to child. Say, “Throw the ball as far as you can.”
Demonstrate throwing tennis ball underhand at least 5 ft. Give ball to child. Say, “Throw the ball as far as you can.”
Standing in an open area. Kick stationary ball so it travels 3 ft. forward. Place ball 6 in. in front of child and say, “Kick the ball like I did.”
Standing in an open area. Stand 5 ft. in front of child. Say, “Catch the ball.” Toss ball so that it arrives at chest height, contacting child’s outstretched arms.
Standing in an open area. Demonstrate throwing tennis ball overhand at least 7 ft. Give ball to child. Stand 8 ft. away and say, “Throw me the ball.”
Standing in an open area. Demonstrate throwing tennis ball overhand at least 7 ft. forward. Give ball to child. Stand 8 ft. away and say, “Throw me the ball.”
Standing in an open area. Kick stationary ball so that it travels at least 6 ft. forward. Place ball 6 in. in front of child and say, “ Kick the ball hard like I did.”
Standing in an open area. Stand 5 ft. in front of child. Say, “Catch the ball.” Toss ball so that it arrives at chest height, contacting child’s outstretched arms.
Standing in an open area. Demonstrate throwing tennis ball overhand at least 10 ft. Give ball to child. Stand 11 ft. away and say, “Throw the ball as far as you can.”
Standing 5 ft. from wall. From 5 ft away, toss tennis ball, underhand to 2 ft. target taped on wall (2 ft. above floor). Say, “Throw the ball and hit the target like I did.”
Standing in an open area. Stand 5 ft. in front of child. Say, “Catch the ball.” Toss ball so that it arrives at chest height.
Standing 5 ft. from wall. From 5 ft. away, toss tennis ball twice overhand to 2-ft. raget taped on wall (2 ft. above floor). Say, “Throw the ball and hit the target like I did.”
Standing in an open area. Demonstrate throwing tennis ball underhand at least 10 ft. Give ball to child. Stand about 12 ft. away and say, “Throw the ball as far as you can.”
Standing 12 ft. from wall. From 12 ft. away, toss tennis ball overhand to 2 ft. target taped on wall (2 ft. above floor). Say, “Throw the ball and hit the target like I did.”
Standing 5 ft. from wall. Using 1 hand, bounce tennis ball so it bounces once and then hits wall. Give ball to child and say, “Bounce the ball like I did.”
Standing in an open area. Stand 5 ft. in front of child. Say, “Catch the ball.” Toss tennis ball in a 45 degree arc so it arrives at child’s hands.
Standing in an open area. Kick a stationary ball so that it travels in the air for at least 12 ft. Place ball 6 in. in front of child’s feet and say, “Kick the ball like I did.”
Bounce tennis ball on floor once and catch it with 1 hand. Say, “ Bounce and catch the ball like I did.”
Grasping
26 Items testing 3 months to 54 months
(Lying on back) Stimulate child's palm by inserting your index finger into thumb side of palm
(Lying on back) Spread washcloth over your forearm. Place child's hand on top of washcloth.
(Lying on back) Place rattle in child's hand. After child holds rattle for 5 seconds, observe amount of time before release.
(Lying on back) Lightly touch child's palm with rattle. Say, "Get your rattle."
(Lying on back) Place rattle in child's hand.
(Lying on back) Shake rattle and place it in child's hand. Say "Shake your rattle."
(Sitting on lap facing table) Place rattle on table within 3 inches of child's hand. Say, "Get your rattle,"
(Lying on stomach) Place toy on a string so string is at midline between child's hands. Say, "Get the toy."
(Sitting on lap facing table) Place 8,5x11 inch paper within 3 inches of child's hand. Say, "Get the paper."
(Sitting on lap facing table) Place cube on table within 3 inches of child's hand. Say, "Get the block."
(Sitting on lap facing table) Place cube on the table within 3 inches of child's hand. Say, "Get the block." Observe how the child picks up the cube.
(Sitting on lap, facing table) Place rattle in child's hand. Say, "Shake your rattle."
(Sitting on lap, facing table) Shake rattle back and forth through a 90 degree arc 3 times. Place it on table in front of the child. Say, "Shake the rattle."
(Sitting on lap facing table) Place cube on table within 3 inches of child's hand. Say, "Get the block." Observe how the child picks up the cube.
(Sitting on lap facing table) Place 2 food pellets on table within child's reach. Say, "Get all the food."
(Sitting on lap, facing table) Cut 8.5x11 inch sheet of paper in half. Place half on the table. Say, "Watch me crumple the paper." Crumple paper in 1 hand. Place other half of paper within 3 inches of child's hand. Say, "Crumple the paper like I did."
(Sitting on lap, facing table) Place 2 food pellets on table within child's reach. Say, "Get all the food."
(Sitting on lap, facing table) Place 2 food pellets on table within child's reach. Say, "Get all the food."
Sitting on lap, facing table. Place cube on table within 3 in. of child’s hand. Say,” Get the block.” Observe how child picks up cube.
Sitting on lap, facing table. Place 2 cubes side by side. Pick up both cubes with 1 hand. Place cubes on table and say, “Pick up both blocks with 1 hand like I did.”
Sitting at table. Place paper and marker by child’s hand on table. Say, “Make a mark.” Observe how child holds marker.
Sitting at table. Place paper and marker by child’s hand on table. Say, “ Make a mark.” Observe how child holds marker.
Sitting at table. Place button strip on table. Say, “Unbutton these as fast as you can.”
Sitting at table. Place button strip on table. Unbutton the buttons. Point to an end button and say, “Button and unbutton this one as fast as you can.”
Sitting at table. Place paper and marker by child’s hand on table. Say, “Make a mark.” Observe how child holds marker.
At the rate of 1 touch per second, beginning with index finger, touch each finger in succession to thumb. Say, “Touch like I did as fast as you can.”
VISUAL-MOTOR INTEGRATION
Start: 1-2 months
Lying on back. Hold rattle 12 in. from child’s nose. Slowly move rattle in a 90 degree arc to one side (almost to the surface)> Return to midline and repeat procedure to other side.
Lying on back, head turned to side. Hold rattle 12 in. from child’s nose. Slowly move rattle in arc to midline. Repeat with child’s head turned to other side.
Sitting on lap, facing away from table. Using an upward movement, gently brush the back of hcild’s hand against table edge.
Lying on back. Hold rattle 12 in. from child’s nose. Slowly lower rattle to within 1 in of nose.
Lying on back. Hold child’s hands and wave them in front of face. If child’s arm are too short, turn child’s head to side and wave 1 hand.
Sitting on lap, facing table, examiner sits with side to table. Roll tennis ball on table from left to right. Say, “Watch the ball.”
Sitting on lap, facing table, examiner sits with side to table. Roll tennis ball on table from right to left. Say, “Watch the ball.”
Lying on back with head turned to side. Hold rattle 12 in. from child’s nose. Slowly move rattle in a 110 degree arc through midline. Return rattle to side position. Repeat with child’s head turned to other side.
Lying on back. Shake rattle and then hold it 12 in. above child’s chest. Say, “Get your rattle.”
Dangle toy on a string 12 inches above child's chest. Say, "Get the toy."
Lying on back. Hold child’s arms between wrist and elbow and bring child’s fingers together at midline; then release your hands.
Sitting on lap, facing table. Place cube in child’s hand. Say, “Play with your block.”
Lying on back. Shake and hold rattle 12 in. from child’s nose. Say, “Get your rattle.”
Sitting on lap, facing table. 2 cubes. Place cube on table and say, “Get the block.” After child picks up cube, place 2nd cube on table. Say, “Get this one, too.”
Sitting on lap, facing table. 2 cubes. Place cube in child’s hand. Place 2nd cube on table within reach of hand already holding cube and as far away as possible from empty hand. Say, “Get this one, too.”
Sitting on lap, facing table. Place food pellet on table within child’s reach. Say, “Get the food.”
Sitting on lap, facing table. Bang cup 3 times on table; then set it down. Say, “Bang the cup.”
Sitting on lap, facing table. Put pegboard on table in front of child. Demonstrate poking index finger into hold. Say, “You do it.”
Sitting on lap, facing table. Place pegboard with 3 pegs loosely inserted in front of child. Say, “Get the pegs.”
Sitting on lap, facing table. 2 cubes. Place cube in child’s left hand. Place 2nd cube near right hand. Say, “Get this one, too, and bang them together.” Demonstrate if necessary.
Sitting facing examiner. Clap your hands wihle you say, “Do a pat-a-cake” or “Clap your hands.”
Sitting on lap, facing table. 3 cubes. Place cube in each of child’s hands. After child has retained cubes for 3 seconds, place 3rd cube on table. Say, “Get this one, too. Hold all the blocks.”
Sitting on lap, facing table. Toy on a string. Place string on table with toy below table and out of sight. Say, “Get the string.”
Sitting on lap, facing table. Lace pegboard with 3 pegs loosely inserted in front of child. Say, “Take out the pegs.”
Sitting on lap, facing table. Place cube in child’s hand. Say, “Drop the block in my hand.” Hodl your hand 6 in. below and to the side of child’s hand.”
Sitting on floor. Remove child's shoes and say, “Take off your socks.”
Sitting on lap, facing table. Place food pellet and cup on table. Point to pellet and say, “Put it in the cup.”
Sitting on lap, facing table. Place 7 cubes and cup on table. Say, “Put the blocks in the cup.”
Sitting on lap or in a safe seated position, facing table. Place book with thick cover and thick pages on table, Say, “Open the book.”
Sitting on lap or in a safe seated position, facing table. Demonstrate stirring spoon in cup. Place spoon next to cup. Say, “Stir with the spoon.”
Sitting on lap or in a safe seated position, facing table. Give bottle (without cap) with food pellet inside and say, “Get it out.”
Sitting on lap or in a safe seated position, facing table. Place 7 cubes and cup on table. Say, “Put the blocks in the cup.”
Sitting on lap or in a safe seated position, facing table. Place pegboard on table and 3 pegs between pegboard and child. Say, “Put the pegs in the board.”
Sitting on lap or in a safe seated position, facing table. Demonstrate using horizontal motion to tap cup with spoon. Place spoon on table. Say, “You do it.”
Sitting on lap, facing table. Place formboard on table. Place shapes between child and board under holes in which they belong. Point to shapes and then to hotels and say, “Put the shapes int he board.”
Sit at a table with the child sitting on your lap or in a safe seated position facing the table. Place the bottle and4 pellets on the table in front of the child. Pick up a pellet and put it in the bottle. Point to another pellet and say, “Put it in the bottle.”
Sit at a table with the child sitting on your lap or in a safe seated position facing the table. Use a marker to make 2 vertical lines about 3 in. Long on a piece of paper. Place a 2nd sheet of paper and maker on the table in front of the child. Say, “Do what I did.”
Sit at a table with the child sitting on your lap facing the table. Say, “Watch me build a tower.” Pick up 1 cube and carefully place it on another cube sothat the sides are aligned. Pick up another cube and carefully place it on top of the 2nd cube. Leave the tower standing and put 3 cubes in front of the child. Say, “You build a tower.”
Sit at a table with the child sitting on your lap facing the table. Place the formboard on the table in front of the child. Place 3 shapes between the child and the board but not next to correct holes. Point to shapes and then to holes. Say, “Put the shapes in the board.”
Sit at a table with the child sitting on your lap or in a safe seated position facing the table. Say, “Watch me build a tall tower.” Pick up 1 cube and carefully place it on another cube so that the sides are aligned. Pick up another cube and carefully place it on the top of the 2nd cube. Continue stacking the cubes until 5 cubes are in the tower. Leave the tower standing and put 5cubes in front of the child. Say, “You build a tall tower.”
Sit at a table with the child sitting on your lap facing the table. Place a book with a thick cover and thick pages on the table in front of the child. Say, “Look at the book.”
Sit at a table with the child sitting on your lap facing the table. Place the formboard on the table in front of the child. Place 3 shapes between the child and the board but not next to the correct holes. Point to shapes and then to holes. Say, “Put the shapes in the board.”
Sit at a table with the child sitting on your lap or in a safe seated position facing the table. Place 6 cubes on the table. Say, “Watch me build a tall tower.” Pick up 1 cube and carefully place it on another cubes so that the sides are aligned. Pick up another cube and carefully place it on the top of the 2nd cube. Continue stacking the cubes until all 6 cubes are in the tower. Let the tower stand for a few seconds, then know it down. Give the child the cubes and say, “You build a tall tower.”
Sit at a table with the child sitting on your lap facing the table. Make 2 vertical lines about 3 in. long on a piece of paper. Place a 2ndsheet of paper and a marker on the table in front of the child. Say, “Draw a line up and down like I did.”
Place a food pellet in the bottle and screw on the lid. Give the bottle to the child and Say, “Get the food.”
Place 10 cubes on the table. Say, “Watch me build a tall tower.” Pick up 1 cube and carefully place it on another cube so that the sides are aligned. Pick up another cube and carefully place it on the top of the 2nd cube. Continue stacking up the cubes until all 10 cubes are in the tower. Let the tower stand for a few seconds; then know it down. Put the 10 cubes in front of the child and say, “You build a tall tower.”
Holding your hands so the child can clearly see what you are doing, demonstrate cutting the edge of a piece of paper in 3 places with blunt scissors. Give the paper and scissors to the child. Say, “You cut the paper.”
Make 2 horizontal lines 3 in. long on a piece of paper. Place a 2nd sheet of paper and marker on the table in front of the child. Say, “Draw a line like I did.”
Holding your hands so the child can clearly see what you are doing, demonstrate stringing 2 beads onto a lace. Pick up a bead sothe hold is facing you. Show the hole to the child. Pick up the lace in your other hand and carefully thread it through the hold from front to back. Pull the bead halfway down the lace. Pick up another bead and string it in the same manner. Hand the lace with the 2 beads on it to the child. Put 4 additional beads on the table and say ,” String the beads like I did.”
Holding your hands so the child can clearly see what you are doing, demonstrate folding the paper in half. Leave the model folded and where the child can see it. Give the child the other half of the paper and say, “Fold it like mine.”
Place 4 cubes on the table. Holding your hands so the child can clearly see what you are doing, demonstrate building a train with 3 cubes aligned and 1 cube on top of the first cube. Push the train across the table making train sounds. Leave it in place where the child can see it. Place the 4 additional cubes on the table in fron of the child. Say, Make a train like mine.”
Holding your hands so the child can clearly see what you are doing, demonstrate stringing 2 beads onto a lace. Pick up a bead sothe hold is facing you. Show the hold to the child. Pick up the lace in your other hand and carefully thread it through the hole from the front to back. Pull the bead halfway down the lace. Pick up another bead and string it the same manner. Hand the lace with the 2 beads on it to the child. Put 4 additional beads on the table and say, “String all of these beads like I did.”
Place 5 cubes on the table. Say, “Watch me build a tower.” Pick up one cube and carefully place it on another cube sothat the sides are aligned. Pick up another cube and carefully place it on the top of the second cube. Continue stacking the cubes until all 5 cubes are in the tower. Let the tower stand for a few seconds, then knock it down. Put 10 cubes in front of the child and say, “Build a tall tower using as many blocks as you can.”
Place 3 cubes on the table. Holding your hand so the child can clearly see what you are doing, demonstrate building a 3 cube bridge as shown. Leave the bridge standing, Place 3 cubes on the table in front of the child. Say, “Build a bridge like mine.”
Place a piece of paper and a marker on the table in front of the child. Show the child that card with a circle on it and place it on the table about the paper. Say, “Draw a circle.”
Place 4 cubes on the table. Holding your hands so that the child can clearly see what you are doing, demonstrate building a pair of 2-cube towers in chich the towers touch each other to make a wall. Leave the wall standing. Place 4 additional cubes on the table in front of the child. Say, “Build a wall like mine.”
Holding your hands so the child can clearly see what you are doing, demonstrate cutting 1 of the 2 papers in half. Place the 2nd sheet of paper and blunt scissors on the table in front of the child. Say, “Cut the paper like I did.”
Show the child a strip with 6 holes, Say, “Watch me lace.” Holding your hands so the child can clearly see what you are doing, lace the stirring from the top down through the 1st hole, up through the 2nd hole, and down through the 3rd hole. Show the strip to the child then remove the lace. Give the strip and the lace to the child. Say, “You do it like I did.”
Sit at a table with the child sitting on your lap facing the table. Make 2 vertical lines about 3 in. long on a piece of paper. Place a 2ndsheet of paper and a marker on the table in front of the child. Say, “Draw a line up and down like I did.”
Give the child the paper and the scissors. As you run your index finger along the line, say, “Cut on the line.”
Place a piece of paper and a marker on the table in front of the child. Show the child the card with the cross on it and place it on the table above the paper. Say, “ Draw lines just like these that cross in the middle.”
Place a bottle (without a cap) and the 10 pellets on the table in front of the child. Say, “Put the food in the bottle as fast as you can. Put only 1 in at a time. “
Place the Paper in front of the child, with the line in a horizontal position. Give the child a marker and, as you move your finger along the length of the line, say, “Draw on this line. Try to stay right on the line.”
Place a piece of paper and a marker on the table in front of the child. Show the child that card with a square on it and place it on the table about the paper. Say, “Draw a square.”
Give the child the paper and the scissors. As you run your index finger around the circle, say, “Cut out the circle along the line.”
Place 6 cubes on table. Holding your hands so the child can clearly see what you are doing, demonstrate building steps with 3 cubes on the bottom, 2 on the next row, and 1 on top. Leave the steps standing briefly. Then disassemble and put the cubes in front of the child. Say, “Build the steps like I did.”
Place the paper on the table in front of the child. Give the child the marker and while painting first to 1 dot to the other dot, say, “Draw a straight line from 1 dot to the other dot.”
Give the child the paper and the scissors. As you run your index finger around the lines of the square, say, “Cut out the square along the lines. “
Place 6 cubes on the table. Holding your hands so the child can clearly see what you are doing, demonstrate building a 6- cube pyramid as illustrated. Leave the model standing. Put 6 additional cubes on the table in front of the child. Say, “Build one like mine.”
Show the child the piece of paper that has been folded with long sides together. Leave the folded paper on the table where the child can see it. Give the child the other sheet of paper. Say, “Fold your paper to look like this one.”
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