Be Healthy

This is a very informative article by Jen Guest from Smart Health Training and Services. It is detailed, could be a bit confronting, but also offers ways to help children who have hypermobility. Jen is a physio and pilates teacher at Smart Health so she certainly knows her stuff!

Hypermobility is where the joint range of movement that exists is beyond that of normal. This may occur in one or more joints and is commonly, though not exclusive to, the elbows and knees. 5% of the population have at least one hypermobile joint. It is a little more prevelant in females, younger people and the Asian backgrounds.

Hypermobility is caused by;

Shallow bone ends leading to poor joint congruency

Poor joint proprioception

Hypotonia (low tone in muscles)

Protein deficiency and Hormonal changes causing structural changes in the collagen that builds the ligaments. Proteins such as Elastin and Relaxin

Connective tissue disorders such as Marfan’s Syndrome, Ehlers Danlo’s Syndrome, Osteogenisis Imperfecta)

The concerns with the more extreme cases of hypermobility are recurrent strains, dislocation and subluxation and possibly damage to joint capsules, labrum or cartilage. There may even be increased anxiety with the fear of recurrent dislocations leading to abnormal movement patterns. A study in 2003 indicates that there is an association between hypermobility and orthostatic intolerance, leading to chronic adrenalin release and increased anxiety levels. (Gazit etal. American Journal of Medicine 2003)

Due to the increased neutral zone at the hypermobile joint, the intrinsic muscles are relatively inefficient in maintaining a level of joint control. As a result, the extrinsic muscles tend to be overactive and global guarding may occur. This can lead to muscle fatigue and possibly connects to Chronic Fatigue Syndrome.

Benign Hypermobility Joint Syndrome is a common condition in children where they report pain and discomfort. It is where they experience daytime soreness, night time awakening and discomfort after exercise. It is commonly described as growing pains. The discomfort often reduces as the child ages and their soft tissues shorten, becoming relatively tighter and thus helping to stabilize. The condition is described as benign to differentiate from hypermobility conditions that involve organs such as ears and heart.

The tests for hypermobility include;

Fingers flex back beyond 90 degrees

The thumb can be pulled back to the forearm

The elbows and knees extend beyond 10 degrees extension

The hands touch flat to the floor in forward bend

The lumbar spine hyperextends

Treatment options for the hypermobile client include stabilizing the joints, thus Pilates is ideal. We can also offer taping, bracing and splinting. Medication such as anti inflammatories are useful for symptom relief.

In extreme cases, Prolotherapy may be prescribed. Proliferation therapy where saline, glucose or protein rich plasma is injected into the joint space, ligaments of tendons to create an irritant and set of a sticky inflammatory process thus stabilizing the joint.

Jen Guest is a Physiotherapist and Senior Pilates Practitioner at Smart Health Training & Services who holds a strong belief in working with junior dancers through their developmental years to achieve maximum potential.
Web: https://www.smarthealthtraining.com.au/
FB: https://www.facebook.com/Smart-Health-Training-and-Services
P: (08) 8293 1100
E: reception@smarthealthtraining.com.au
Address: 12-22 Richmond Road, Keswick

You might also be interested in

  • Entering the sickness journey with children suddenly gets you a PHD in all things medicine, what works, what does not and then understanding about Antibiotics. It seems Antibiotics is not for everything all of the time... Antibiotics - why are we given them for some illnesses and not others? Antibiotics are used to kill bacteria in the human body, and therefore are only useful when the illness is caused by bacteria. Antibiotics cannot help with viruses such as the common cold, as colds are caused by a viral infection. Even so, antibiotics are only necessary for treating certain infections which bacteria cause. Children are able to take antibiotics for bacterial infections, and the important thing is for your child to take them as prescribed by your regular GP. Your regular GP will also have a medical history for your child in case they are allergic to certain antibiotics, for example penicillin. When antibiotics are taken unnecessarily, this can cause issues as the antibiotics start killing the normal and protective bacteria in our bodies. In its place grows new bacteria which is more resistant to antibiotics. Hence, this makes it harder to treat in future when you get sick. Some other…

  • Ear infections = virus. For a first time parent experiencing a infant or child with an ear infection it can be scary and unknown as sometimes it is hard to tell if your child has an ear infection or not, especially if they're not yet old enough to simply say “my ear hurts”. Very common in young children, ear infections are often caused by a virus. There are two types of ear infections: middle ear and outer ear. Middle ear infections are when fluid collects behind the eardrum, whereas outer ear infections are caused by extra moisture in the ear canal or damage to it. Young children are more susceptible to middle ear infections as the Eustachian tubes that connect the middle ear to the throat are smaller. This allows for germs to travel up from the throat more easily. Children can have ear infections several times in a year before they get older and their Eustachian tubes grow, causing less chance of an ear infection. Some symptoms of ear infections may include: tugging on ear reduced appetite trouble sleeping trouble hearing sounds unpleasant smell coming from ear red and swollen ear fever If you think your child has an…

  • 12 am vomit sheet change. Round the clock vomits. Projectile vomits. Milk vomits. What the Vomit?! Not sure why your child is vomiting? Sometimes it can be hard to identify, as vomiting can be caused by a range of things such as a virus, stomach bug, food poisoning or allergies to something which has been eaten. However, the most common reason for vomiting is Gastroenteritis (gastro), an infection of the bowel which causes diarrhoea and vomiting. While the vomiting may only last a couple days, diarrhoea can last between five to seven days. It is important to note that if you have a baby under six months old and you think they have gastro, you must visit your regular GP as babies have a higher risk of dehydration. Some symptoms of dehydration in a baby include: sunken eyes a sunken soft spot (fontanelle) on a baby’s head few or no tears when they cry a dry mouth fewer wet nappies dark yellow urine Additionally, any child older than six months that is showing symptoms of gastro should see a GP if they: keep vomiting are tired or drowsy has ongoing stomach pain has high fevers have blood or mucus in…

Looking for something?

Generic filters




Baby Bunting


Love to Dream