Fine Motor Red Flags

Fine Motor Development Red Flags for Referral

  • Hands remain in a fisted position after 6 months of age
  • Not bringing both hands to midline (center of body) by 10 months of age
  • Not clapping hands by 12 months of age
  • Not deliberately releasing objects by 12 months of age
  • Not able to hold bottle by themselves and keep it up, without lying down, by 12 months of age
  • Not using a mature pincer grasp (tip to tip pinch) by 18 months of age
  • Not able to use scissors by 30 months of age
  • Using only one hand to complete tasks, not being able to move/open one hand/arm
  • Drooling during tasks that require concentration
  • Uncoordinated or jerky movements when doing activities
  • Hand and arm tremors
  • Clumsiness with hands, frequently dropping objects
  • Hands move at the same time, one hand “mirrors” the other’s movement
  • Unable to use hands together for activities such as stringing beads, cutting paper