Hello,
My DS is 7.5 months old. He is currently in PT and OT for gross motor delays. Anyhow, at the PT eval, the therapist says she sees a few things
1) Newborn reflexes are still intact
2) Protective reflexes are absent
3) Hypertonic legs and toe standing
4) Either has all flextion or all extention of all extremities, cannot 'break them up'
5) Left sided weakness
6) Neuro consult pending
Any ideas or experience with any of this? I asked my peds for an impression after the eval and a few sessions and she will give it to me Monday. Until then...... any ideas?
Update:
Had the neuro consult. At this time, the neurologist had diagnoses Central Hypotonia. This means his low muscle tone is driven from CNS depression. His muscle tone is low, so this makes sense. His hyperextended legs are compensatory for the low tone. When she breaks up the hyperflexion, he cannot stand. He bends right in half and his legs do not hold him.
She says he will need to continue physical therapy, need to receive OT and probably speech therapy in the future. She says he needs lots of work to initiate any gross and fine movements, and for me not to look at developmental milestones, because he will not meet them.
We also have an MRI of his brain pending because his head growth had accelerated to off the charts in the last couple of months. I don't really think this is the issue at this time.
Yesterday he had a strange episode where he straightened out his arms and legs and shook, not grossly, but really finely, like tremors. Then he stopped. My husband and I both saw this and were like "What the heck was that?". I am recording this now.
I am calling Birth to three today. Thanks for the suggestions
My DS is 7.5 months old. He is currently in PT and OT for gross motor delays. Anyhow, at the PT eval, the therapist says she sees a few things
1) Newborn reflexes are still intact
2) Protective reflexes are absent
3) Hypertonic legs and toe standing
4) Either has all flextion or all extention of all extremities, cannot 'break them up'
5) Left sided weakness
6) Neuro consult pending
Any ideas or experience with any of this? I asked my peds for an impression after the eval and a few sessions and she will give it to me Monday. Until then...... any ideas?
Update:
Had the neuro consult. At this time, the neurologist had diagnoses Central Hypotonia. This means his low muscle tone is driven from CNS depression. His muscle tone is low, so this makes sense. His hyperextended legs are compensatory for the low tone. When she breaks up the hyperflexion, he cannot stand. He bends right in half and his legs do not hold him.
She says he will need to continue physical therapy, need to receive OT and probably speech therapy in the future. She says he needs lots of work to initiate any gross and fine movements, and for me not to look at developmental milestones, because he will not meet them.
We also have an MRI of his brain pending because his head growth had accelerated to off the charts in the last couple of months. I don't really think this is the issue at this time.
Yesterday he had a strange episode where he straightened out his arms and legs and shook, not grossly, but really finely, like tremors. Then he stopped. My husband and I both saw this and were like "What the heck was that?". I am recording this now.
I am calling Birth to three today. Thanks for the suggestions
older sister has ASD, been in ST since age 2, does awesome! So far only gross motor thus far, maybe some fine motor now you mention it, as the PT had an OT consult because she was concerned about his grasp. Not sure about speech yet, he grunts to communicate, but does some "dadada" sounds
