Developmental Milestones
Grasp Patterns
In-hand manipulation
Tool Use
100

On which side of the hand do grasp patterns first develop? 

What is the ulnar side? 

100

Making a tissue paper mural would promote this skill. 

What is precision grasp? 
100

Having a handful of cheerios, and moving one at a time to fingertips is an example of which skill. 

What is palm to finger translation? 

100

True or false:

Tool use is closely related to cognitive development. 

What is true. 

200

At which age does a child begin transferring objects from hand to hand?

What is 5-6 months?

200

This type of grasp is used to hold a briefcase. 

What is a hook grasp?

200

This type of in-hand manipulation skill:

(Note coin in palm and in fingers). 

What is translation? 
200

A child has the hand skills to use a spoon by this age.

What is 18 months?

300

In which position does bilateral reaching first begin? 

(Cue: Supine, prone, sitting, standing)

What is supine?

300

This is an example of what type of grasp.


What is 3-jaw chuck? 
300

Separating playing cards is an example of which skill. 

What is shifting? 

300

Tools are first held using this grasp. 

What is a palmar grasp? 

400

Which of the following does not influence hand development? 

A. Culture

B. Visual Perceptual Skills

C. Somatosensory Function

D. Trunk Rotation

What is trunk rotation? 

400

A child who has this type of pencil grasp has not yet developed which skill? 


What is hand separation? 

400

Retrieving 3 coins from a coinpurse is an example of this type of hand skill. 

What is finger to palm translation? 

400

By this age, grasp is dynamic, allowing effective tool use, and a child can use an object while holding it, like brushing teeth with a toothbrush. 

What is 2 years old? 
500
In the developmental sequence of reaching, which of the following occurs first? 

A. Bilateral  symmetrical reaching

B. Bilateral asymmetrical reaching 

What is symmetrical reaching? 

500

This type of grasp 


What is cylindrical grasp?

500

Removing a crayon from the box and preparing to color is an example of this skill. 

What is rotation? 

500

By this age, a child can open and close scissors with one hand, and make one snip at the paper. 

What is 2 - 2.5 years? 

600

Hand dominance is typically established at this age. 

What is 4 years old? 

600

A pitcher on a baseball team uses this type of grasp to hold the ball.

What is spherical grasp? 

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