Milestone: Pull to sit without head lag

Description

Evaluate pull to sit with attention to head lag, until achieved

Surveillance & Next Steps

If a child has head lag at 4 months, carefully evaluate other age-appropriate motor milestones (e.g., rolling) and refer to early intervention for developmental stimulation. Re-evaluate in one month.

If child is not age-appropriate: CK and referral

What does weakness in pull to sit look like?

Developmental norms

Pull to sit with no head lag*: 50% by 3.5 months, 75% by 4 months, 90% by 6.5 months

*Source: Denver II