Reasons for a Pediatric Physical Therapy Referral
1. Noticeable increase or decrease in muscle tone.
2. Asymmetrical body movements.
3. Excessive crossing of the legs or "stiff legs".
4. Lack of movement, decreased motivation or disinterest to move.
5. Development delays.

What kinds of things should a child be doing at age...?

3 Months
· Starts to gain control of head at midline
· Takes weight on forearms- tummy lying
· Does random swiping, kicking, batting

4 Months
· Lift shoulders off of surface when in prone with forearm weight bearing.
· Hands to midline

5 Months
· Rolls to side and prone to supine
· Reaches with one upper extremity in prone
· Lifts head in supine
· Bridges

6 Months
· Sits with upper extremity support
· Rolls supine to prone
· Brings bilateral feet to mouth
· Grasp and transfer objects

7 Months
· Crawling on hands and knees; stomach may still be in contact with the surface

8 Months
· Sits alone unsupported
· Starts pulling to stand

9 Months
· Cruising emerges
· Throws things to the ground
· Sits back from hands and knees position

10-11 Months
· Cruises along furniture sideways in stand
· Pulls up to stand from sitting, and lowers self down

12 Months
· Pulls to stand through 1⁄2 kneel
· Plays in side sit
· Creeps over obstacles and up 2 steps

15-17 Months
· Walks independently
· Walks holding objects
· Begins walking upstairs with railing

18-23 Months
· Jumps up 2 inches
· Stoops or squats to play or get toy
· Runs 10 ft

2-3 Years
· Stands on one foot 1-3 seconds
· Hops 3x
· Jumps off 1 step or higher

3-4 Years
· Walks upstairs alternating feet
· Walks backwards and sideways
· Begins hopping and skipping
· Throws overhead
· Rides tricycle

5-6 Years
· Skips alternating feet
· Able to do a sit-up
· Dress and undresses independently
· Gallops
· Forward rolls

If you have any concerns regarding your child's development, please contact your pediatrician or primary care physician.