James was born preterm with spastic diplegia cerebral palsy (CP), which causes an increase in tone and postural fixations. Typically, children with CP show signs of difficulty integrating sensory information in addition to the motor disorder, caused by lack of independent movement. The main occupation for children at this stage in life is play. Children at this age are typically extremely active, and engage in organized, constructive, and goal-oriented play. According to Case-Smith & O’Brien (2010), “constructing a final project is important, and the child is motivated to complete it and show others the final results” (p. 74). Due to the increase in tone in his lower extremities, James has a typical CP gait pattern and ambulates using Ankle
