By the time he had reached the fourth grade, Josh's dystonia caused his right hand to involuntarily clench into a fist so tight that he could only open it by force. His feet turned inward, requiring him to wear braces. The symptoms had forced Josh to quit his baseball and basketball teams after six years of playing, leaving him depressed and angry.
After David Rudolph sprained his ankle during a basketball game, his father noticed that the second-grader couldn't seem to keep his left heel flat on the ground. The problem persisted, sidelining David from his position as catcher on his Little League team, and preventing him from progressing beyond his blue belt in karate.