As a pediatric therapy provider, one of the most common areas we support is fine motor development, the small but mighty skills that help little hands do big things.
Fine motor milestones are important markers in a child’s growth. These milestones guide how well your child is developing the strength, coordination, and control needed for everyday tasks like holding a crayon, feeding themselves, or buttoning their shirt. While every child grows at their own pace, staying on track with these skills helps set the foundation for independence, confidence, and school readiness.
Why Fine Motor Skills Matter
Fine motor skills are closely linked to how children interact with their world. From playtime to classroom learning, these skills allow children to:
- Express creativity through coloring or building
- Perform selfcare tasks like dressing and feeding
- Learn how to write and use school tools like scissors and glue
When these skills don’t develop as expected, children may struggle with tasks that are important for both learning and independence. That’s why keeping an eye on fine motor milestones is so helpful, early support can make a big difference.
Supporting Growth at Every Stage
In our therapy sessions, we often see the positive impact of addressing fine motor delays early. With fun, play-based activities and the right support, children can strengthen their skills, feel more confident, and keep pace with their peers.
Whether your child is just starting to grasp toys or learning how to write their name, we’re here to help them succeed. If you’re unsure whether your child is meeting fine motor milestones, our team can provide guidance, support, and a clear path forward.
We’re Here to Help
At Associates in Pediatric Therapy, we specialize in helping children develop the foundational skills they need to grow and thrive. If you have questions about your child’s fine motor development, reach out to us. If you are concerned about your child’s development, want to schedule an evaluation, or make an appointment, please contact a location nearest to you. Together, we can make sure your child is right on track.


* Please be advised that these milestones have been provided by our Occupational Therapy staff and have been cross-referenced with the Centers for Disease Control and Prevention (CDC) as well as the Peabody Developmental Motor Scales– Third Edition (PDMS-3), with additional resources below. This timeline is intended to serve as a guideline for neurotypically developing children- every child is different and progresses at their own pace! If your child has an underlying medical diagnosis, please note that this timeline may be modified for your child. If you have any concerns or questions, please consult with a pediatrician or your primary care physician.
References :
Alxander, Rona PH., CCC-SP, Boehme, Regi OTR, Cupps, Barbara, PT 1993. Normal Development of Functional Motor Skills
Centers for Disease Control and Prevention. (2024, May, 8). Title of Page. https://www.cdc.gov/ncbddd/actearly/milestones/index.html
Folio, M. R., & Fewell, R. R. (2017). Peabody Developmental Motor Scales (3rd ed.). Pro-Ed.
HELP for Preschoolers Assessment Strands: Ages 3-6 years, Vort Corportation 1999
Jennifer M. Zubler, MD; Laura A. Wiggins, PhD; Michelle M. Hughes, PhD; et al. (2022) Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics, Volume 149, Issue 3, March 2022