Casey is a 2-year old female child with cerebral palsy.She has hypertonicity and poor postural stability. Yet, she canroll from prone to supine. She attempts to prop on elbows tomaintain a prone position and be able to lift her head up to lookat objects. To look at the musical toy presented to her in sitting,she flexes her neck forward and bends it laterally causing his chinto tip up. Protective reactions are delayed. Her mother is worriedabout her feeding, as she needs high support on her trunk andassistance on her neck to perform the oral movements of biting,chewing, and swallowing.

Guide Questions:

1. Why is the biomechanical frame of reference appropriate tothe case?

2. In terms of assessment, what would you intend to furtherobserve in the clinic in the following areas:

Mobility

Toileting

Use of Technological Aids

3. Based on the information above, describe Casey’s performancein the following areas:

Trunk Control

Control of Arm Movements

Eating

4. What external support of equipment would you suggest toCasey’s mother to enable a safe and efficient feeding? Kindly drawthe equipment and provide a description.

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