Fine Motor Milestones
Hand Skill Progression
OT Strategies
Impact on Play
Bonus
100

At age 4, children are typically able to cut along what type of line?

A straight line.

100

What comes before cutting shapes?

Cutting straight lines.

100

What type of scissors might be introduced to support Sofia’s cutting?

Adaptive loop scissors.

100

Limited fine motor skills can affect participation in which classroom routines?

Writing, crafts, and self-care tasks.

200

By age 4, children should be able to copy which basic shapes with a crayon? 

Circle and cross.

200

What grasp comes before tripod grasp?

Answer: Whole hand grip.

200

Name one activity to strengthen hand muscles for crayon use. 

Playdough squeezing and rolling.

200

Preference for gross motor play may strengthen which developmental area?

Core strength and coordination.

300

What grasp pattern is expected to emerge around age 4 for holding crayons?

Tripod grasp.

300

What environmental adaptation could encourage Sofia’s participation in art?

A slant coloring board.

300

What environmental adaptation could encourage Sofia’s participation in art?

Offering vertical surfaces like easels for coloring.

300

What might she miss during group art?

Playing with friends.

400

Name one fine motor skill that supports self-care at age 4.

Buttoning large buttons.

400

What do both hands do when cutting?

One cuts, one holds the paper.

400

Which preparatory activity supports grasp development before fine motor tasks?

Animal walks (bear crawl, crab walk).

400

How might avoidance of art impact social participation?

Reduced peer interaction during group art projects.

500

What is one goal for Sofia in preschool?

Help her enjoy art and use her hands more.

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