Case Study : Abbie

1. Case Study : Abbie Janna Presley, Holly Koster, Samantha Newcomb, and Ryan Elsea

2. Overview of outcomes • Outcomes are focused on Abbie’s caregiver’s concerns: • Sitting independently to play • Lack of interest in toys • General delays in development • Worried they are not doing everything needed due to being inexperienced parents • Problems with feeding (frequently chokes/gags)

3. Overview of outcomes • Examples: • While sitting in boppy pillow, Abbie will reach for toys on her own and then hold them on her own during play 3 out of 5 trials each day during the week. • Abbie will reach arm out to catch herself when tilted to the side four out of five times while playing, four days of the week. • Abbie will independently transition in and out of sitting four out of five attempts while playing, three days of the week. • While playing, Abbie will bear weight through her lower extremities when placed in supportive standing three out of five attempts, three days of the week.

4. Overview of outcomes • Examples (continued): • Abbie will eat one meal a day consisting of baby cereal with decreased choking or gagging on 5 days of the week. • Foster family will express increased confidence in positioning Abbie during play. • Foster family will follow up on an ophthalmology and audiology screening.

5. Intervention Strategies • Assistive devices: • Boppy pillow • Supportive chair/seat • Bath seat • Help Abbie engage in play with toys: • Incorporating toys with different textures, lights, and sounds • Increase Abbie’s stability: • Reaching and grasping activities • Tilting reactions • Transitioning and weight bearing activities • Instructing parents to hold at Abbie’s hips • Improve Abbie’s feeding: • Changing the textures of foods • Pacing of feeding • Altering utensils • Changing the alignment of the head, neck, and body when feeding