Abbie first visited the North West Centre in November 2012 with her parents Lynne and Richard when she was 2 years and 7 months old.

Abbie was born at full term by spontaneous normal delivery after an uneventful pregnancy.  She was generally well at birth although she had a pronounced cleft lip and palette which was corrected when she was 4 months old.  Also at four months old Abbie started to have seizures, an MRI scan was carried out and a diagnosis of Holoprosencephally and Epilepsy was confirmed.  Since Abbie has also been diagnosed with Diabetes Insipidus.

At her initial assessment Abbie was able to sit independently with good balance and saving reactions and her parents were keen to obtain advice on activities they could carry out at home.

Abbie has hypermobile joints throughout her body which contributes to her lack of stability and also her poor body awareness.  Abbie’s movements around the floor are more of a sensory seeking nature – giving Abbie information and feedback as to where her body is.  Some of the aims in her programme were directed towards her sensory needs ie: deep pressure and sensory feedback activities were included some of which to encourage the use of her hands as well as trying to increase oral motor desensitisation. Transitional movement exercises were also included to encourage Abbie to become more independent.  Abbie has little motivation towards toys or activities however she responded well to proprioceptive input in the form of the massage tube and vibrating pillow.

On subsequent reassessments Abbie has shown that she is now able to transition from lying to sitting and will tolerate weight bearing through her hands and feet, enabling her to get into the crawl position, she is also more willing to explore different textures through the palms of her hands.

Abbie has recently been back to the Centre for her fourth reassessment and is now attending special school full time. She is able to make choices and independently sit to stand from her potty chair. She is showing more interest in cause and effect toys and is beginning to make choices between two objects.  She is progressing with her transitional movements and can obtain a reciprocal crawl stance.

Future aims of the programme are to:

  • Increase communication through photo picture matching
  • To develop her transitions of movement
  • To develop reciprocal crawling
  • To develop walking – facilitated walking and with her pacer walker
  • To continue to use familiar routines in play
  • To continue to use objects of reference for nursery rhymes / songs
  • To continue to use proprioceptive input through the body and in particular hands to encourage body awareness.

Abbie has two older sisters who also get involved with her therapy together with their parents. Her parents recently commented that Brainwave’s input has been invaluable to them, most recently towards Abbie’s progression with her crawling and walking, the desensitisation of her hands has made a big impact on her crawling potential.