Hudson's Story Hudson has cerebral palsy and has been attending Brainwave since 2015 We first met Hudson in February 2015 when he was three years old. Hudson has a diagnosis of cerebral palsy and presents mainly with physical difficulties. He was born at 38 weeks with no problems detected at birth. However, from an early age his parents noted his development was delayed; he only tended to look or turn his head to one side, he was reluctant to be on his tummy and was not sitting at nine months. This prompted a series of investigations, though a lot of test results were normal or insignificant including MRI and genetic tests. Nevertheless, Hudson was given a diagnosis of cerebral palsy subject to further investigation. At his initial assessment, Hudson was already able to sit up from the floor and commando crawl, though he was not yet able to crawl on his hands and knees and to pull himself at furniture to stand. He was adopting a “W- sitting” position and was unable to assume cross-legged sitting by himself. When facilitated to cruise he tended to take wide steps. In terms of his hand function and self-help skills, Hudson tended to reach out with his right hand but his left hand was often closed and slightly fisted. He also seemed to be more sensitive in his left hand than in his right. He was not yet able to feed himself using his fingers or a spoon. Hudson’s understanding was better than he was able to express. Hudson’s Therapy Programme designed by his therapists was about helping him to improve his core stability and tolerate positions, improve his ability to transfer between positions, improve his standing balance, develop his ability to take some steps, improve his body awareness, decrease sensitivity in his hands, support his fine motor development and also to encourage his communication skills. When Hudson and his parents returned for their first reassessment in July 2015, after 5 months, Hudson had already made some extremely encouraging changes both physically and cognitively. He could crawl on his hands and knees reciprocally covering short distances and was able to stand pulling at furniture from the floor. He was able to assume a cross-legged sitting position on his own and when placed sitting on a bench, he could get off it without support. Hudson’s standing balance and tolerance also improved and he was much more stable in propping or leaning on furniture. When supported to cruise along a table, he took narrower steps with more stability compared to his previous visit, where he took wider steps with lots of instability. In terms of his hand function and self-help skills, he was much more exploratory with his hands and far less sensitive than when he was first seen. His parents reported that he was reaching out to touch trees, leaves or flowers when they were out and about which he could not do at his initial assessment. He was more amenable to finger feeding and took a loaded fork to his mouth. Hudson used both of his hands to hold an open cup. His hands are open more often and he has become more tolerant of taking weight through his hands. His communication skills also improved. Hudson was able to make some choices and on occasions, he had tried hard to copy adult’s words. He produced a greater range of sound and babble than he did when we first met him and had learnt a lot more signs which he demonstrated independently. These were only some of the improvements therapists noted amongst other changes that he made which were also significant. Hudson was awarded three certificates during his first reassessment, in recognition of his crawling independently on all fours, pulling up on furniture to stand and signing a few Makaton signs. Hudson continues to follow a Brainwave Therapy Programme and visits for reassessments regularly. Our therapists say it is always a pleasure to work with Hudson. He is a lovely little boy who works hard during his reassessments and we look forward to his next reassessment. We commend his parents who are working hard to carry out Hudson’s home-based Therapy Programme and continually support him in his development.