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On seeing Rachael's feet sticking off her foot plates on her wheelchair, Sharon said that she would order a "tray" to give her feet more protection. She took all the details from the chair and said she would contact them. During the session, her right foot and right thumb began twitching uncontrollably. This happens increasingly after exercise. Sharon also discussed Rachael's muscle loss in her legs, choking at night and change to feed routine.