There is still hyperexcitability, skin cyanosis with not prolonged crying and mottled skin. When the child cries, there are invisible cramps, which force him to lie down on the floor. As a result, parents and others start to think that the child is so spoiled that he wants to get everything by lying on the floor, but he does not. Due to muscle contraction and increased muscle tone, it is difficult for the child to keep balance. For this reason, he is forced to fall down and of course expresses his outrage, discomfort and pain. The child may experience shaking of hands or legs. Cramps can be strong or only chin can shake. The child lags behind his age-mates in motor development approximately for a couple of months or immediately starts to stand up without crawling, sometimes walks on tiptoes.
Note that physical lag or advance can affect learning material. First, it is harder for the brain of the child to analyze the material in a kindergarten and then at school. Children with perinatal encephalopathy see that they do not have time to learn the material and that they lag behind others. For this reason, in order not to realize themselves as bad students, they unconsciously start to disturb other children, do other stuff or just mess around.
Due to the non-normalized muscle tone in the neonatal period, the muscles of the back do not let the child sit quietly and make the child restless and hyperactive. Children with these problems can learn well only some of the subjects that are of particular interest to them and they have bad grades in the rest of the subjects.