“…I gave great attention to the person's eyes, which I feel act as the hands of the face in grasping details in the environment and in helping us express emotions. I found that some motor impairment, including asymmetrical weight bearing, limited trunk movements, and impaired kinematics, could cloud communication (Abreu, 1995;Abreu, Reistetter, Bear-Lehman, & Ottenbacher, 2009;Nakamura, Abreu, Patterson, Buford, & Ottenbacher, 2008). For example, some clients were erroneously described as passive or detached when they were unable to use their extremity movements to express emotion and enhance communication.…”