Stray-Gundersen, K. (Ed.) Babies with Down syndrome: A new parents guide (2nd Ed.), p. 158, 160-1.

Reprinted with the permission of Woodbine House E-Mail: info@woodbinehouse.com Copyright © 1997 by Woodbine House, Inc. All rights reserved

	Phase I: 0-8 Months	Phase II: 8-14 Months	Phase III: 14-24 Months	Phase IV: 24-36 Months
Gross Motor	head control turns over sits crawl	pulls to stand cruises lowers self from standing position walks alone climbs upstairs	stops and recovers climbs into chairs stands on one foot walks up/down stairs holding on kicks/throws ball rides mobility toy	runs, climbs jumps in place pulls wagon rides tricycle
Fine Motor	looks at hands follows with eyes 180° brings hands together reaches explores objects with hands transfers objects hand to hand	pincer grasp scribbles pushes toys pokes at objects one hand helps other	builds tower of cubes completes simple puzzles turns pages of book turns knobs	string beads works latches and hooks turns pages of book singularly snips with scissors
Language	listen to sounds turns to sound babbles laughs responds to own name makes vowel sounds	recognizes names of common objects enjoys listening to music first spoken words	uses jargon expands vocabulary uses some phrases names pictures follows simple directions	names body parts uses some adjectives (color, size) ask questions understands some prepositions
Cognitive	looks from one object to another looks after fallen object pull string to get object uncovers toy he has seen hidden	imitates use of toy find hidden toy (emergence of memory) begins demonstrating cause and effect	uses objects as tools fits related objects together uses trial and error can arrange objects by size	ability to use abstractions draws recognizable face understands "1", "2" names common color makes associations
Self Help	reaches for bottle finger feeds hold bottle drinks from cup with help	drinks from cup with spilling attempts spoon feeding takes off socks	drinks from cup independently combs hair uses spoon independently unzips remove some clothes partially toilet trained	scan put toys away anticipates daily activities pours unties and removes shoes puts on some clothes toilet trained
Social	social smile reaches for familiar person smiles at mirror image repeats performance laughed at	understands "no" cries when parents leaves can play alone short periods understands parent as a resource	understands dramatic play/pretend wants to be near other children parallel play negativism	expands imaginary role play shows sense of ownership can wait turn can ask for help works problems our with less action, more reasoning