Aaron's Asymmetrical Development

1362 Words 5 Pages
Aaron had limitations in ROM of UE due to protraction and elevation of the shoulders. He arms stay in a flexed position in sitting, however in supine he has a strong extensor synergy. Aaron’s tone is asymmetrical in that his right side is more affected then his left. There was no observed voluntary movement of his UE. Strength was not tested due to tone. The LE was not tested for tone, strength or ROM due to subluxation of his hips at this time, however LE tone was observed as high extensor tone. The tone is low in his trunk, neck and head making moving against gravity difficult. At points Aaron presents with extension synergy pattern when startled or excited. His posture is asymmetrical as he keeps his head turned to the left and flexed down. The child’s voluntary movement was limited, however was able to move head from flexion back into extension in sitting after therapist-facilitated movement. He showed the best movement in this sitting position as he worked on head control with the therapist. During this he used …show more content…
His therapist transferred him into this position and moved his legs into flexion at the knees to provide comfort to his hips. His legs had to be supported there otherwise they fell into extension and external rotation of the hips. His head faced to the left and he was able to bring close to midline when the therapist would speak to him, however he was not able to hold it there long. Aaron’s arms stayed in flexion while in supine. Clonus reflex was observed as UE tone was being tested. His high flexor tone in UE is more involved on the right side. It was not observed him bringing his hand to his mouth. He was not given the opportunity to handle objects, or reach for things so I cannot acquire his UE midline skills. The movement in supine was very limited and mostly involuntary. At the time supine observation was being made, the child was very sleepy as this was his first therapy of the

Related Documents