Hypermobility

Hypermobility refers to an increased range of movement in multiple joints, for their age. It is extremely common in children, having been reported in 25 % of those younger than 10 years of age. Many children with hypermobile joints do not need support with everyday activities. However, for some, hypermobility may be associated with recurrent pain or in rare cases, mild swelling of the joints.

What causes hypermobility?

Hypermobility tends to run in families, but its exact cause is not known. Genes that are involved in the production of collagen, a protein important for joint, tendon and ligament function, are believed to play a role.  Some specific neurological or genetic conditions may be associated with severe hypermobility such as Down Syndrome or Marfan’s syndrome.

What are the effects of hypermobility?

For some children the excessive laxity in joints presents no problems. However, in other cases it may lead to:

• Poor sitting / standing posture
• Prone to sprains, subluxations, or dislocations
• Growing pains may be more common
• Fatigue
• Movement difficulties with either gross or fine motor activities
• Pain in joints, or with flat feet

How is hypermobility diagnosed?

A diagnosis of hypermobility is made when a physical exam shows excess range of motion of certain joints. A physiotherapist or physician can assess your child using a test called the Beighton Score.

How can physiotherapy help?

Some children with hypermobility syndrome will eventually grow out of the associated problems as the supporting ligaments get stronger over time. Other children may have persistent problems and will need assistance. A physiotherapist can help with

• Designing an exercises program to help strengthen and improve endurance of muscles to give better support to joints
• Recommend appropriate shoe wear or a referral to a podiatrist if orthotics is required
• Improve core stability
• Advice on posture and ergonomics
• Strategies for joint protection
• Provide advice on appropriate activities or sports
• Balance and coordination training

Keeping active and strong is important and a physiotherapist can hep your child learn to maintain a normal activity level without pain. Let our Physiotherapists at Women & Children Centre help your child with their condition.

 

 

 

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