Her back is straight. She has a lower lumbar fat pad and no dimple is present. Genitalia are female. She has an anteriorally placed rectum with a very inefficient sphincter. Extremities are all moveable.
Joints are hyperextensible.
Her cranial nerves are intact. All of her skills are below age level. Muscle mass is normal. Muscle tone is decreased as is strength. She has a difficult time doing gross motor tasks and runs awkwardly and inefficiently.