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. Her balance is poor. She reponds to touch but is unable to participate in testing vibratin graphesthesia and stereognosis. Deep tendon reflexes are generally decreased but assymmetric and occasionally increased.