Charissee participated in a cooking session in her kitchen at home to work on meal preparation. Charissee was observed being independent in following the sequence of baking pancakes. Prior first turned on the pancake griddle to preheat up to 350 without problem. Using both hands for support to grasp the pam bottle, she was able to spray to griddle. Due to her low muscle tone, Charissee demonstrated some difficulty pouring the mix into the cup as well as lifting the cup to throw the ingredients in the bowl. For both tasks, she required the assistance of both hands.
Charissee was noted to be right hand dominant however, would use a hand over hand by slightly placing the left hand over the right to lift the cup. Charisse continued to hike right shoulder throughout the task.
Grasp while flipping: With left hand, Charisse used tripod grasp with hands supinated. With the right hand, she used tripod grasp with hands pronated.
Limited fine motor skills due to low muscle tone and ataxia. Independent in sequencing. Independent in positioning and manipulation of objects with some compensatory body adjustments. Good cognitive and verbal ability.
Charissee would benefit from occupational therapy services for body righting to improve posture as well as strengthening.