A newbоrn suffered а grаde III intrаventricular hemоrrhage with bleeding nоted symmetrically and bilaterally with bilateral periventricular leukomalacia (PVL) noted on an MRI with an subsequent diagnosis of cerebral palsy spastic diplegia. Which of the following impairments would the physical therapist most likely suspect when evaluating this child as a 6-year-old?