This is a girl with Kabuki syndrome who is learning how to jump on a trampoline. She recently learned to jump on the floor but the trampoline gives her the opportunity to jump repeatedly and maintain her balance. Jumping gives her a lot of vestibular input that can help with her learning about how her body moves and how to control that movement. Although this is a gross motor activity, we always try to incorporate language and cognitive skills into our session when we are able. You can see that she is using sign language to communicate at this time.