thank you so much for your response... I am so sorry it took a little while to respond. i have been seeing the infant for a month now and have seen hugh gains. patient is now rolling all around. patient is now able to pull arm out from underneath body when he rolls over onto stomach. Prior to today he would always need assistance with positioning L arm because he did not have enough strength to pull his arm out from under him.

You asked about his head control. he has great head control. Day one he was looking all around almost to much . Just meaning some times he turns his head so far around or leans back he automatically loses balance in sitting. He still has difficulty with decrease protective responses. He is gaining some with R UE and did place hand L and R down when lying over roll to reach for toy. He suppport himself for the first time today. it was wonderful. You should hear us cheering. Last week we constrained the R arm by putting his jacket on and keeping left arm out . He actually is putting thumb and fingers to mouth. He also grasped a rattle and with several tries took to mouth.

I have a new concern now. The mother was the main one that got her pediatrician to send patient to therapy. She was seeing neuro MD at a bigger city but no scheduled appt with either for another 2-3 months. The OT and I have noticed a few instances that we feel he may be having seizure activity but cant pinpoint for sure. He the other day did something where he leaned his head to the side like laying on his shoulder 3-4 x mother had never seen this either but he looked to be looking at his daddy but then would straighten head and smile. He also has had a few times that he will have his L hand in a fist so tight it is hard to pry his fingers open but other times he can slowly open and close hand and grasp without trouble. i dont want to alarm the mother but he doesnt have a MD appt for quite some time. There are also times he seems to get upset for no reason. Although i feel like it may be due to him coming out of a seizure where he is staring. Do you think any of this sounds like seizure activity. The OT and I both wanted to do another session or so to see if these continue and then will probably recommend a check up but I am afraid that the regular pediatrician may dismiss it since he didnt see much deficiet with normal check up but it was the mother who pressed the issue of him not using his left side. Like I mentioned before we are rural and deal more with middle to older adults with CVA, orthopeadic etc. Is this seizure activity or do you have some info on what things to look for? I have looked on Utube a various videos of infant spasms and seizures but none exactly like his.

thanks