Trisha is generally hypotonic throughout her body. She has mild flexor tone in her lower extremities, with increased flexion and external rotation at the shoulder and flexion at the elbow. She tends to move into this upper extremity posture when she feels poorly supported or insecure. Trisha has good head control but no trunk balance. She is nonverbal but does respond to yes or no questions with head movements.
Cognition is mildly impaired.
She does have an electronic augmentative communication device but does not use it regularly. There is a mounting device for it, which will have to be transferred to the new wheelchair. She accesses this device with a head pointer. Environmentally, Trisha's home is completely accessible both to the width of her wheelchair and for her functional needs. She is a senior attending public high school and is transported to school on a bus with a lift.