It's not just a matter of symantics - for some kids, everything is literal. In parenting several kids with FAS/FAE, I've found that you have to be very careful with your instructions - because they'll be followed!
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PLAY Tip
Take extra care handling kids with hypotonia!
Children with hypotonia (low muscle tone) often have loose ligiments supporting their joints. Extra care must be taken not to pull too hard on children's limbs. For example - If a child who can't stand independantly is pulled to stand by the hands, it is possible to dislocate a shoulder or elbow.
Any tender, swollen, or protected joints in children with hypotonia should be seen by a doctor right away!