Physiotherapist's Report

Anita shows a severe hypotonia, and when sitting her up, she lacks the postural control of her head, trunk and limbs. In supine position she keeps her head turned towards right, arms abducted, flexed at the elbows, legs abducted, flexed at the knees and scoliotic posture of the spine (wide curve left convex) with rotation and asymmetrix of the rib cage that results higher on the right side.
Anita cannot yet roll but, when stimulated, she turns her head left and right and moves her arms towards the median line, without reaching it.
She has no selective movements at the elbows. On request, she opens her palms but does not grab objects easily.
She flexes and extends her knees accomplishing stereotyped movements conditioned by global pathological schemes in extension and flexion. There are pathological reflexes: rooting (pivoting), grasp, tonic asymmetrical of the head, tonic symmetric of the head, postural reflex, tonic labyrinthine of the head, stretch reflex (clonus).
When prone, she can flex the legs but cannot roll nor crawl.
She follows with eyes and head movements of objects and people that interest her.
Sometimes she goes from a strong hypotonia to a state of hypertonia, activating global pathological schemes.
She interacts with the external world; she is serene and expresses her pleasure or discomfort with smiles and facial grimaces.

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