1. What is the child’s medical, educational or social condition prompting OT involvement?

MEDICAL MyaGrace has asymmetrical muscle tone, with the right side more tense than the left side. Her muscle tone differences make it hard for her to more and walk, reach and play with toys. There is concern about MyaGrace using a “W” sitting position. SOCIAL The family and team are concerned about MyaGrace’s self-feeding, playing with toys appropriately, throwing toys and food EDUCATIONAL The family and team members want help to know how to stimulate developmental skills with MyaGrace.

2. What are the common disabilities and/or daily living limitations that typically result from this condition?

Delayed ability to interact with other children, play with toys appropriately, and self feed

3. What performance components are typically affected by this condition?

SENSORIMOTOR components, including: Sensory awareness ....due to: (food around mouth) ??Sensory processing?? parents are wondering whether some of her behaviors related to this component? NEUROMUSCULOSKELETAL components, including: Range of motion, muscle tone, postural control, postural alignment... due to... with cerebral palsy, these components are likely to be affected. MOTOR components, including: Bilateral integration, fine coordination/dexterity, .. due to... under developed hands use spills cup when trying to drink oral motor control... due to... she is not chewing her food. she is spilling from sides of mouth.

4. What contextual factors typically affect performance?

for this question, we highlighted the comments that lead to these statements about the contextual factors.... PHYSICAL: e.g., how the house and play areas are arranged. number and placement of objects for eating and playing. SOCIAL: e.g., brother's social skills to engage MyaGrace CULTURAL: e.g., parents' expectations with 3 young children TEMPORAL: e.g., what will be expected of MyaGrace considering her age and place in the family.