A parent reports their 5-year-old has progressive muscle weakness and a waddling gait. Which additional sign supports concern for Duchenne muscular dystrophy?

The child uses their hands to alternatively to lift themselves upright from sitting position due to a weak pelvic girdle.

Early tooth eruption and advanced speech due to overactive pelvic girdle.

Hyperextensible joints and hyperactivity due to overactive pelvic girdle.

Increased fine motor and gross motor coordination due to overactive pelvic girdle.