Julian has therapy 3 times a week, plus his mom works with him other days.... he WAS sick for a bit. His birthday is next month. At times he has to wear a cast or brace on his left arm, to try and make him use that right hand, which has been clenched shut mostly......plus he will wear a brace on his leg, which allows him to be able to run, which he cannot seem to do if he doesn't have it on.
In the pic, he seems to be not wearing either, but I know he has to do so most of the time. By the way, the dog is sort of a service dog, one especially trained for Julian. They got her as a puppy.