Fluctuations in the child’s postural tone are sudden and cause movement in extreme ranges.Righting, equilibrium, and protective responses are poorly developed and may continue to be limited throughout life.Deep pressure, brushing, and toweling over the cutaneous surfaces will help the child to develop awareness of self in relationship to the world.Work toward a limited number of functional movement patterns at a time, rather than emphasizing a variety of movement patterns or wide-range movements.In general a variety of involuntary movements can occur as the child attempts to coordinate a purposeful movement.Presentation of food must be carefully graded as the child tends to overreact to the activity.Work on developing controlled movement in midranges, because the hypotonic child tends to passively hold selective positions.Sustained joint compression can be utilized to facilitate holding and placing as well as symmetry.The child with ataxia experiences fluctuations in tone in much smaller than the child with athetosis.The child needs to build up endurance and sustained muscle activity.