- Identify infant and toddler physical and motor developmental milestones and ways to support development for all infants and toddlers.
- Describe the brains role in infant and toddler physical development.
- Recognize influences of physical growth and development.
Learn
Know
Physical Development From the Start
Healthy babies are born with fully developed systems that allow their bodies to function, such as their ability to suck, swallow, and breathe. In order to support the best possible physical development, all infants require responsive care from loving adults, proper nutrition, and appropriate and stimulating environments. Infant and toddler physical development occurs rapidly over the first years of a childs life. It is essential that caregivers understand the various stages of infant and toddler physical development so that they can respond to childrens needs appropriately.
Infants are born to explore the world around them. While each child will grow to master many of the stages in physical development on their own schedule, infants are often eager to progress from those innate abilities to further movement of their mouth, eyes, and bodies as they seek people and objects of comfort or interest. They continue practicing skills and building one form of physical movement upon another, step by step as they move closer to desired objects. Through ongoing observation and frequent conversations with families you can learn what infants are able to do, what theyre learning to do, and what areas they are needing your support in.
Infants develop physically from the top down, starting with their head and neck. At birth, an infant has a very difficult time holding up their head because their neck muscles are not strong enough to provide support. As infants and toddlers grow, their determination to master movement, balance, and fine- and gross-motor skills remains strong. Rolling and crawling occur as infants develop skill in using their large-muscle groups. Grasping and picking up objects with fingers are part of small-muscle growth.
Influences on Early Physical Growth and Development
There is no exact age at which all infants should be able to grasp objects or hold up their head without support. Physical development occurs at different times for all children depending on many factors, such as a childs unique characteristics, the familys values and culture, and access to available resources. However, many infants and toddlers experience developmental milestones within similar timeframes of growth. The information on the chart below is a comprehensive list of physical development milestones that children typically develop during infancy and toddlerhood . A brief version of this information aimed at parents can be found in an easy-to-use checklist from the Centers for Disease Control and Prevention in the Apply section.
Examples of Physical Development Milestones Infants and Toddlers
2 Months
- Holds head up when on tummy
- Kicks both arms and legs while on back
- Briefly relaxes hands from fists for short periods
- Grasps adult finger
- Raises head and chest while lying on stomach
- Primitive reflexes present, including the rooting and sucking reflex
4 Months
- Holds head steady without support
- Maintains hold of a toy placed in their hands
- Swings arm at objects
- Brings hands to mouth
- Pushes up from ground onto elbows when lying on tummy
6 Months
- Rolls from tummy to back and may roll from back to tummy
- Pushes arms straight when on tummy
- Uses hands to support when sitting
- 勛圖厙s weight equally on legs when standing with support
9 Months
- Moves into the sitting position without support
- Transfers items from one hand to the other
- Uses fingers as a rake to pull food and objects towards self
- Sits without support
- Lowers body with control while using support
12 Months
- Pulls up to stand
- Walks or cruises along furniture for support
- Drinks from a cup without a lid with adult support
- Uses thumb and finger pincer grasp to pick up small items
15 Months
- Takes a few steps independently
- Feeds themself finger foods
- Squats to pick up an object from the floor and then stands up without support
- Makes marks on paper using crayon
18 Months
- Walks independently
- Drinks from a cup
- Tries to use a spoon
- Climbs on and off furniture independently
- Tries to kick a ball after observing an adult
24 Months/ 2 Years
- Kicks a ball
- Runs
- Walks up and down the stairs while holding on for support
- Eats with a spoon
- Turns doorknobs
30 Months Years
- Uses hands to twist and unscrew objects
- Takes off loose clothing alone
- Jumps off the ground with both feet
- Can turn book pages one at a time
36 Months/ 3 Years
- Strings items onto a string such as large beads or macaroni
- Dresses self in loose clothing
- Uses a fork
- Pedals a tricycle
Source: Centers for Disease Control and Prevention (2021). Developmental Milestones.
All children develop at different rates, so keep in mind that the milestones above are simply the average ages at which specific skills are observed.
Certain conditions must exist for an infant or toddler to grow and develop. A young childs basic physical needs, include:
- Food (nutritious and age-appropriate)
- Shelter (protection from harm)
- Warmth
- Clean air and environment
- Health and dental care
- Activity and rest
We also know that the way we ourselves were raised is important to our understanding of how and in what contexts children develop. The values and beliefs held by our family and culture contribute to our knowledge of growth and development.
Culture Affects How We See and Interpret Behaviors and Development
Understanding the practices, beliefs, and values of the families you support can help you understand how culture shapes so many parts of an infants and toddlers development. Without this understanding, it is difficult to interpret the infants or toddlers behaviors and development. For example, you may believe it is important to help toddlers learn to become independent and begin to feed themselves using their fine motor skills. A family, however, may not view independence as important because they believe it is more valuable to depend upon one another.
Other influences on infant and toddler physical growth and development are:
- Prenatal care and development including, genetic inheritance and makeup, family growth patterns, exposure to drugs and alcohol, and birth experience
- Prematurity (birth before the 38th week of development) and a low birth weight may result in respiration difficulties, vision problems, feeding and digestive problems
- Temperament, or other ways an infant or toddler approaches and interacts with their world
- Familys composition, lifestyle, level of education, and housing
- Maturation, or the genetic or biological development that reflects a pattern of growth from conception through adolescence
- Developmental delays or disabilities, including health and medical concerns
Review the handout, Infant and Toddler Physical Development located below in the Learn activities section to learn more about important milestones in physical development, as well as variations in the rate of physical development for infants and toddlers.
The Brains Role in Physical Development
You can easily observe infants making movements with their bodies and refining their motor skills. Thanks to advances in research and technology, we can now also see how the brain changes and grows as young children develop. At birth, the brain is 25 percent of its adult size, and by age 5, it reaches 90 percent of adult size. Infants and toddlers early-life interactions and experiences help them make sense of the world and form connections between different parts of the brain.
These supportive experiences and connections help improve coordination and strengthen muscles. As infants repeat and practice different movements, such as turning their heads, rooting, or reaching for an object, they build and maintain connections between brain cells. In essence, the brain is busy making sense of surroundings and learning from experiences.
It is important for infants and toddlers to have time for these new experiences and to explore the world around them with a trusted and caring family child care provider. Repeated exposure to experiences with trusted caregivers allows children to feel safe and secure, and allows them to focus on experimenting, developing, and mastering new skills. The safe place that you create for their exploration ensures that their brains are able to focus on learning, developing, and making connections. If infants and toddlers do not have nurturing and responsive adults to help make them feel safe, their brains will instinctually focus on survival. This kind of stress on a childs brain may make them more hesitant to engage in exploration, and experimentation; causing them to have less opportunities to create and strengthen connections in the brain that further their growth and skill development.
勛圖厙ing Physical Development for All Learners
Physical development, including gross and fine motor skills, consumes the interest of infants and toddlers as they practice learned skills and look to develop new ones. Healthy physical development is dependent on adequate nutrition, brain development, the central nervous system, muscles, bones, and the interactions and experiences offered to infants and toddlers. All children develop at their own pace but recognizing signs of possible developmental delays during infancy or toddlerhood allows early intervention to be more effective than if the delays are not acknowledged until later in childhood. Below are some characteristics of possible physical concerns and developmental delays by various sources:
Signs of Impaired Physical Development - Infants & Toddlers
By 2 months |
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By 3 months |
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By 4 months |
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By 6 months |
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By 9 months |
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By 12 months |
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By 15 months |
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By 18 months |
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By 24 months |
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By 30 months |
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By 36 months |
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Delays in physical development may affect more than gross and fine motor skills. For example, if an infant is unable to smile at parents or lift their arms to be picked up, this could affect social and emotional development in terms of relationship building. Recognizing some of the delays listed above can be critical to a childs development. The connections in a babys brain are most adaptable in the first three years of life. These connections, also called neural circuits, are the foundation for learning, behavior, and health. Over time, these connections become harder to change. Early intervention can help children improve their abilities and learn new skills.
If you have concerns about an infants or toddlers physical development, be sure to speak with your coach, trainer, administrator and/or the childs parent. They may wish to share your concerns with the childs health-care provider. Early intervention can help children improve their abilities and learn new skills. To find your state or territorys early intervention contact information, go to:
For more information, including what to say when you contact early intervention and how to get support for your family, visit:
See
Do
How can you make sure you are providing age-appropriate experiences to support infant and toddler physical development? Take a moment to read and review the sets of guidelines on the following webpage from SHAPE America (Society of Health and Physical Educators, formerly known as the National Association for Sport and Physical Education, or NASPE): .
Next, try one or more of the following activities with the infants or toddlers in your care:
- When an infant is awake and active, offer tummy time lay the baby on the floor on his or her tummy while you interact with the infant. Provide stimulating and high contrast toys or pictures for the infant to look at. Because suffocation is swift and silent, remember to never leave an infant alone when they are on their stomachnot even for a second.
- Hold an infant or dance with a toddler to music. Toddlers can also swing colorful scarves in the air, dance, or play maracas while the music is playing.
- Encourage imitation of gestures and other movement experiences in which mobile infants and toddlers can use their bodies to interact and play.
- Have toddlers experience kicking, catching, rolling, and bouncing balls.
- Encourage toddlers to scribble on paper with crayons.
Incorporate daily physical play into your daily routines. Infants and toddlers enjoy being active!
Explore
Review the handout, Scenarios: Gross and Fine Motor Development below, and consider what you have learned so far throughout this lesson. In the activity, think about which characteristics or behaviors would be considered fine motor skills and which would be considered gross motor skills. Then write these down and think about possible ways you could support the young children in each scenario.
You can also review the Infant and Toddler Physical Development handout in the Learn section for additional ideas.
Once finished, share your thoughts and responses with your trainer, coach or family child care administrator.
Apply
Consider using the following resources in your family child care program. Use the Milestone Moments document to monitor the physical development of the children in your program. Parents may be interested in the Milestone Tracker Mobile App from the CDC, which they can access using this link: . The resource, What Grown-Ups Understand About Child Development, is a national benchmark survey sponsored in part by ZERO TO THREE. Read over the survey findings of this study and think about your work with families and the way you gather and share information with them regarding the physical development of the infants and toddlers in your care.
Glossary
Demonstrate
Allen, K. E., & Marotz, L. (2001). By the ages: Behavior and development of children pre-birth through eight. Clifton Park, NY: Thomson Delmar Learning.
Berger, S. E., & Adolph, K. E. (2003). Infants use handrails as tools in a locomotor task. Developmental Psychology, 39: 594-605.
Blakemore, C. (2003). Movement is essential to learning. Journal of Physical Education, Recreation and Dance, 74(9): 22-25, 41.
Bosco, F. M., Friedman, O., & Leslie, A. M. (2006). Recognition of pretend and real actions in play by 1- and 2-year-olds: Early success and why they fail. Cognitive Development, 21: 1-10.
Bourgeois, K. S., Akhawar, A. W., Neal, S. A., & Lockman, J. J. (2005). Infant manual exploration of objects, surfaces, and their interrelations. Infancy, 8: 233252.
Centers for Disease Control and Prevention. (2021). Developmental milestones.
Claxton, L. J., Keen, R., & McCarty, M. E. (2003). Evidence of motor planning in infant reaching behavior. Psychological Science, 14: 354-356.
Clearfield, M. W., Osborne, C. N., & Mullen, M. (2008). Learning by looking: Infants social looking behavior across the transition from crawling to walking. Journal of Experimental Child Psychology, 100: 297-307.
Comfort, R. L. (2005). Learning to play: Play deprivation among young children in foster care. Zero to Three, 25: 50-53.
Paul H. Brookes Publishing Co., Inc. (2002). Ages and stages questionnaire(ASQ).
The National Early Childhood Technical Assistance Center (NECTAC). (2011). The importance of early intervention for infants and toddlers with disabilities and their families.
Ward, M., Lee, S., & Lipper, E. (2000). Failure to thrive is associated with disorganized infant-mother attachment and unresolved maternal attachment. Infant Mental Health Journal, 21(6): 428-442.
Waters, E., Weinfield, N., & Hamilton, C. (2000). The stability of attachment from infancy to adolescence end early adulthood: General discussion. Child Development, 71(3): 703-706.
Zeanah, C. (Ed.). (2000). Handbook of Infant Mental Health(2nd ed.). New York: The Guilford Press.