Developmental Milestones and What to Look for in Boise, Meridian, & Nampa, Idaho

Every child develops at their own pace, but certain signs or delays can indicate the need for support from a Physical Therapist (PT), Occupational Therapist (OT), or Speech-Language Pathologist (ST). Early evaluation and intervention can help children thrive in play, school, and daily life.

Physical Therapy (PT)

Focus: Gross motor development, strength, coordination, balance, and mobility.

Signs PT may help:

  • Delayed motor milestones: Rolling, crawling, sitting, standing, walking later than expected
  • Balance or coordination issues: Frequent falls, trouble navigating stairs or playgrounds
  • Low strength or endurance: Tires easily during play, struggles with climbing, jumping, or running
  • Muscle tone concerns: Persistent stiffness or low muscle tone affecting movement
  • Unusual movement patterns: Toe-walking, “W-sitting,” or asymmetrical gait

Benefits of early PT:

  • Builds strength, coordination, and stability
  • Supports developmental milestones
  • Prevents long-term orthopedic issues
  • Promotes independence in play and daily activities

Occupational Therapy (OT)

Focus: Fine motor skills, sensory processing, self-care, and functional independence.

Signs OT may help:

  • Fine motor delays: Difficulty with grasping, using utensils, scissors, or buttons
  • Sensory sensitivities: Overreacting or underreacting to textures, sounds, lights, or movement
  • Self-care challenges: Trouble dressing, feeding, brushing teeth, or toilet training
  •  Coordination difficulties: Trouble with hand-eye coordination or multi-step tasks
  • Attention or focus issues: Difficulty staying on task during play or school activities

Benefits of early OT:

  • Improves independence in daily routines
  • Builds fine motor coordination for school readiness
  • Supports sensory processing and focus
  • Boosts confidence and participation in everyday activities


Speech Therapy (ST)

Focus: Communication, language, and oral-motor development.

Signs ST may help:

  • Delayed speech or language: Limited vocabulary, trouble forming sentences, or following directions
  • Speech clarity issues: Sounds are unclear or difficult to understand
  • Social communication challenges: Trouble taking turns, maintaining eye contact, or understanding social cues
  • Feeding or swallowing concerns: Difficulty chewing, swallowing, or tolerating textures
  • Stuttering or voice concerns: Frequent repetitions, prolonged sounds, or pitch/volume issues

Benefits of early ST:

  • Enhances communication and social connection
  • Supports safe feeding and swallowing
  • Improves expressive and receptive language skills
  • Boosts confidence in school, play, and social settings

Next Steps for Families

  1. Observe and track concerns: Note what you see at home or school.
  2. Consult your pediatrician: Share concerns and ask about referrals for PT, OT, or ST.
  3. Schedule an early evaluation: Assessments identify strengths, challenges, and a personalized therapy plan.
  4. Act early: Early intervention often results in faster progress and better long-term outcomes.
  • At SkyBreak Therapy, our PTs, OTs, and Speech Therapists work together to provide fun, family-centered, and evidence-based therapy

. If you notice any of these signs, don’t wait — we’re here to help children thrive!