Personal Injury Lawyers

Cerebral Palsy: Development Milestones for Babies

Babies grow at an amazing rate. Besides weight and height, they also grow in the areas of physical development, such as rolling over and crawling; speech development, such as sucking and swallowing; and play development, such as reaching for nearby toys and stacking blocks.
 
3 Months
 
Typical Speech Development
 
Sucks and swallows well during feeding

Quiets or smiles in response to sound or voice

Coos or vocalizes other than crying

Turns head toward direction of sound
 
Typical Play Development (While lying on their back)

Visually tracks a moving toy from side to side

Attempts to reach for a rattle held above their chest

Keeps head in the middle when watching faces or 

Typical Motor Skill Development (While lying on their stomach)

Pushes up on arms
Lifts and holds head up
Signs of a possible problem in Motor Skill Development

Difficulty lifting head

Stiff legs with little or no movement

Pushes back with head

6 months
 
Typical Speech Development
 
Begins to use consonant sounds in babbling, e.g. "dada"

Uses babbling to get attention

Begins to eat cereals and pureed foods
 
Typical Play Development

 Reaches for a nearby toy while on their stomach

Transfers a toy from one hand to the other

Reaches both hands to play with feet
 
Typical Motor Skill Development

Uses hands for support in sitting

Rolls from back to tummy

While standing with support, accepts entire weight with legs

Signs of a possible problem in Motor Skill Development

Rounded back

Unable to lift head up

Poor head control

Difficulty bringing arms forward to reach out

Arches back and stiffens legs

Arms held back

Stiff legs

9 Months

Typical Speech Development
 
Increases variety of sounds and syllable combinations in babbling

Looks at familiar objects and people when named

Begins to eat junior and mashed table foods

 Typical Play Development 

In a high chair, holds and drinks from a bottle

Explores and examines an object using both hands

Turns several pages of a chunky (board) book at once

In simple play, imitates others

 Typical Motor Skill Development

Sits and reaches for toys without falling

Moves from tummy to back into sitting

Creeps on hands and knees with alternate arm and leg movement

Signs of a possible problem in Motor Skill Development

Uses one hand predominately

Rounded back

Poor use of arms in sitting

Difficulty crawling

Uses only one side of body to move

Inability to straighten back

Cannot take weight on legs

Typical Speech Development

Meaningfully uses “mama” or “dada”

Responds to simple commands, e.g. “come here”

Produces long strings of gibberish (jargoning) in social communication

Begins using an open cup
 
Typical Play Development

Finger feeds self

Releases objects into a container with a large opening

Uses thumb and pointer finger to pick up tiny objects

Typical Motor Skill Development

 Pulls to stand and cruises along furniture

 Stands alone and takes several independent steps

Signs of a possible problem in Motor Skill Development

Difficulty getting to stand because of stiff legs and pointed toes

Only uses arms to pull up to standing

Sits with weight to one side

Strongly flexed or stiffly extended arms

Needs to use hand to maintain sitting

 15 Months
Typical Speech Development
 
Vocabulary consists of 5-10 words
 
Imitates new less familiar words

Understands 50 words

Increases variety of coarsely chopped table foods

Typical Play Development
 
Stacks two objects or blocks
           
Helps with getting undressed

Holds and drinks from a cup

Typical Motor Skill Development

Walks independently and seldom falls

Squats to pick up a toy

Signs of a possible problem in Motor Skill Development

Unable to take steps independently

Poor standing balance, falls frequently

Walks on toes
 
 
 

Birth Injury Topics

Birth Injury Case Evaluation

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