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
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