Fine and gross motor skills,
body awareness, physical health
| Stage 1 | Palmar-Supinate Grasp (1 and 1.5 year olds) | Held with fisted hand Wrist slightly flexed Wrist slightly supinated away from mid-position Arm moves as a unit |
| Stage 2 | Digital-Pronate Grasp (2 and 3 year olds) | Held with fingers Wrist straight Wrist pronated wrist slightly ulnar deviated Forearm moves as a unit |
| Stage 3 | Static Triposture (3.5 and 4 year olds) | Held with crude approximation of thumb,
index, and middle fingers Continual adjustments by other hand Ring and little fingers only slightly flexed Grasped proximally No fine localized movements of digit components, hand moves as a unit |
| Stage 4 | Dynamic Tripod Posture (4.5 and 6 yaer olds) | Held with precise opposition of distal
phalanges of thumb, index, and middle fingers Ring and little fingers flexed to form stable arch Wrist slightly extended Grasped distally MCP joints stabilized during fine, localized movements of PIP joints (Test by drawing tiny circles) |