Some symptoms of impaired fine motor skills may appear up to age two. These symptoms include having a difficult time sitting up or raising the head, being unable to stand without help or having a very hard time standing without help, being unable to crawl or having a very hard time crawling, and walking very late or having a hard
time walking. Other symptoms usually appear during the preschool or grade school years. These may include the child having difficulty holding a pencil or drawing, throwing a ball, riding a bicycle, playing sports, having a hard time with clothes that have buttons or zippers, having poor handwriting, and being clumsy.
Children with any one or combination of these symptoms should be seen by a pediatrician who specializes in motor skills development delays. Children who lose previously acquired motor skills should also be seen by a doctor. There are many ways to address fine motor skills impairment, such as physical therapy. This type of therapy can include treating the underlying cause, strengthening muscles, and learning how to compensate for impaired movements.