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• Provide patient's parents with home program PROM sheets
• Begin gentle PROM exercise in supine to increase joint flexibility and muscle tone. 2-3 daily PROM x 10 reps in all motions
• Provide tactile stimulation to involved extremity using various textured materials, koosh balls, vibration and massage to increase sensory awareness of that extremity in overall body scheme
• Joint compression/weight bearing throughout involved extremity to increase proprioceptive input/muscle co-contraction
• Active use of involved extremity using a variety of developmentally appropriate activities to increase strength and coordination beginning in gravity eliminated then advance to against gravity
• Always include bimanual/bilateral motor planning activities
• Pool therapy