Amichai has high muscle tone that runs down his right side – but most of it is concentrated in his hand. His thumb tends to close inward into his palm and his hand is sometimes fisted even in a resting state. What makes this even more challenging is that the muscle tone increases as Amichai attempts any activity with his right hand. So, when Amichai wants to open his hand to hold an object, he must overcome the tone firing back at him from all fronts. This makes it difficult to get a grip. ...