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.
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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 day. Aaron was placed in sitting for 10 min with the therapist sat behind Aaron to support him. His head faced to the left and downward. He was able to bring his head up into extension when the therapist facilitated the movement. He used oral reactions as he brought his head up. As he began to bring his head back into extension his arms went into extension as well. He has a very strong extension synergy. He kept his head in fair alignment for short periods of
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 day. Aaron was placed in sitting for 10 min with the therapist sat behind Aaron to support him. His head faced to the left and downward. He was able to bring his head up into extension when the therapist facilitated the movement. He used oral reactions as he brought his head up. As he began to bring his head back into extension his arms went into extension as well. He has a very strong extension synergy. He kept his head in fair alignment for short periods of