Hudson's Story

We first met Hudson in February 2015 when he was 3 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 9 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 usually adopts 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 can now crawl on his hands and knees reciprocally covering short distances and is able to stand pulling at furniture from the floor. He is able to assume a cross-legged sitting position on his own and when placed sitting on a bench, he can get off it without support. Hudson’s standing balance and tolerance have also improved and he is much more stable in propping or leaning on furniture. When supported to cruise along a table, he can take narrower steps with more stability compared to his previous visit, where he used to take wider steps with lots of instability. In terms of his hand function and self-help skills, he is much more exploratory with his hands and far less sensitive than when he was first seen. His parents reported that he now reaches out to touch trees, leaves or flowers when they are out and about which he could not do a few months ago. He is more amenable to finger feeding and will take a loaded fork to his mouth. Hudson can use 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 have also improved. Hudson is able to make some choices and on occasions he tries hard to copy adult’s words. He produces a greater range of sound and babble than he did when we first met him and has learnt a lot more signs which he can demonstrate independently. These were only some of the improvements we have noted amongst other changes that he has made that were also significant. Hudson was awarded three certificates in recognition of his crawling independently on all fours, pulling up on furniture to stand and signing a few Makaton signs.


It has always been a pleasure to work with Hudson. He is a lovely little boy who works hard during his assessments and we look forward to his next reassessment. There is still a lot more that we can work on with him, however it is very clear that he does have a great deal of potential both physically and cognitively. We commend his parents who are working hard to carry out Hudson’s home-based therapy programme and continually support him in his development.

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