Just to share this point again, the girls are not experiencing atrophy. They are experiencing hypertonia that is a direct result of their devastated neurological and metabolic systems. They are not experiencing muscle loss due to under use - just the opposite. Their muscles are strained to the breaking point every moment of every day. It is an act of cruel futility, putting a child with ASD through physical therapy.
In the early days Gwen didn't know this but she does now and keeps the girls in therapy she knows will do no good. The condition they have is relatively unknown so it's not like some state bureaucrat is going to challenge the legitimacy of therapy for children this severely disabled. They can receive daily PT from the best minds in rehab and it would make no difference. The girls need muscle relaxers but Gwen will never let that happen. No physical therapy in the world can help these two girls and Gwen's motives are unclear to me but she knows good and well that PT is useless for either girl.