Ruth has developed a number of ways to compensate for general hypotonia and peripheral muscle weakness.
Sitting Up
Ruth sits up by doing a modified leg lift, with her arms assisting. Top
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She tends to roll her head to the side to combat
head lag. Top
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Eating
Ruth developed an assist to eating solid food as a 2 year old. She continues to chew tougher foods using the weight of her head with her chin in hand. Top
Writing
Ruth's pencil grip is modified, she uses two fingers on top to control the pencil, and she tends to pull more than push when forming letters. Top
Reaching
This is the highest Ruth can reach. If she has to reach any higher, she bends her back or throws up her hands/arms. Top
![](images/ruth_reaching.jpg)
Dressing
Ruth uses furniture and other objects to assist herself when dressing. It takes a little longer but dramatically increases independence. Top
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Brushing Her Hair
Ruth also uses furniture and other objects to assist herself when brushing her hair. Again, it takes a little longer... Top
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