Rosie has had the most dramatic improvement: She's "gained muscle mass through our exercise and nutritional programs, she even became a little chubby and is now slowly losing weight to her ideal size." A huge part of her success is that her trunk function is improving: She used to only be able to swing her trunk to her left and now she can swing it to her right and has developed her own system of feeding herself where she sways and throws it up in her mouth. While she may not get her full trunk function in her lifetime, the improvements have given her the confidence she was sorely lacking throughout her life.