One to Three months of age

• Moves arms symmetrically
• Hand to mouth movement may be observed
• Hands starting to spend time open

Three to Six months of age

• Grasp reflex inhibited so starts to drop objects
• Eyes move independent of the head
• Hands open most of the time
• Uses radial palmar grasp

Six to Nine months of age

• Will attempt to pick up small object
• Bangs toy on a table
• Transfers toys between hands
• Voluntary release

Nine to Twelve months of age

• Takes toy out of a container
• Pokes with index finger
• Imitates a scribble
• Bangs blocks together

What to do!

• Introduce toys for grasp and release
• Encourage visual tracking
• Provide appropriate toys for hand manipulation and exposure to hand movement