Causes of low tone tinnitus,kissing the ear meaning english,tinnitus and jaw misalignment pregnancy,fluid sound in ear when chewing - New On 2016

Author: admin, 31.08.2015
Don’t be alarmed if your child falls into the category of low tone, because many children do, and they manage just fine as they mature. But keeping in mind that we want to connect all those synapses and reach for the child’s full potential, you want to address the issue early.
If weight is not the issue, then what do you look for?  There are many hallmarks to observe.  If your infant has poor head and neck control and cannot maintain control after the first few weeks, you want to start making notes.
For the babies who are trying to crawl on all fours, does their tummy sink toward the floor and the lower back droop?
Does he or she scoot on their bottom, or lie on their back and push across the floor using their feet? Disclaimer: ” The opinions and recommendations on this blog are my own, and that caregivers should seek medical advice prior to starting any treatment.
Hypotonia is a condition of abnormally low muscle tone (the amount of tension or resistance to movement in a muscle), often involving reduced muscle strength. Hypotonic patients may display a variety of objective manifestations that indicate decreased muscle tone. Since hypotonia is most often diagnosed during infancy, it is also known as "floppy infant syndrome" or "infantile hypotonia." Infants who suffer from hypotonia are often described as feeling and appearing as though they are "rag dolls" or a "sack of jello," easily slipping through one's hands. Children with normal muscle tone are expected to achieve certain physical abilities within an average timeframe after birth.
The low muscle tone associated with hypotonia must not be confused with low muscle strength.
Diagnosing a patient includes obtaining family medical history and a physical examination, and may include such additional tests as computerized tomography (CT) scans, magnetic resonance imaging (MRI) scans, electroencephalogram (EEG), blood tests, genetic testing (such as chromosome karyotyping and tests for specific gene abnormalities), spinal taps, electromyography muscle tests, or muscle and nerve biopsy. There is currently no known treatment or cure for most (or perhaps all) causes of hypotonia, and objective manifestations can be life long. Along with normal pediatric care, specialists who may be involved in the care of a child with hypotonia include developmental pediatricians (specialize in child development), neurologists, neonatologists (specialize in the care of newborns), geneticists, occupational therapists, physical therapists, speech therapists, orthopedists, pathologists (conduct and interpret biochemical tests and tissue analysis), and specialised nursing care. For most hypotonics, the National Institute of Health recommends "physical therapy [to] improve fine motor control and overall body strength. Low-tone infants often have difficulty feeding, especially coordinating the suck-swallow reflex required for proper breastfeeding. In Down Syndrome and many other conditions, hypotonia is one of the typical features – nearly everyone with Down Syndrome, for example, has low muscle tone as well. For five years, I reckoned the physiotherapists were just not making sense describing my son, Jacob, as having low muscle tone.
I found out from a visiting physiotherapist from the Adelaide Womens and Childrens Hospital, that muscle tone comprises a second feature, which is the speed of the muscles’ responses. For example, with jumping off steps, kids with hypotonia will often land in the frog position, as their muscles cannot respond fast enough to keep them on two feet. Another example is with running – wider gait and leaning forward is typical of those with hypotonia. On a more positive note, because hypotonia is also related to the speed of nerve impulses and so on, hypotonia will tend to DECREASE in severity as a kid reaches nine years of age. At nine years of age, most of the neurons have developed fully ( have completed the mylenation process ), giving rise to faster neuron responses, which helps the muscles to move faster and allows the kid with hypotonia to perform faster and better.
When you consider how muscles are tied to every physical endeavour we do, from eating, to talking, to facial gestures, to just sitting still, you can then start to appreciate the significance this has to an individual suffering from hypotonia. Hypotonia occurs in every muscle, so any activity that requires muscles is likely to be impaired. Walking, sitting, crawling will be delayed, requiring help from physiotherapists, while fine motor movement for picking things up, drawing with a pencil will be delayed requiringoccupatiotional therapist assistance. Yes, your physiotherapist will give you exercises to do with your kid for the hypotonia – they will sometimes work hands on with your kid individually, sometimes your kid will be seen in a group along with kids of similiar age who also have hypotonia. There is not one drug or nutrient that can help, high calorie foods cannot improve the stamina of the muscles, but we can help the neurons along a bit, as you will find out as you read on. Jacob, for example, can do the splits very easily and bend himself into positions that make me cringe – his muscles just are not providing the support to the joints to prevent excessive movement. In this photo of Jacob, you can see that the hypotonia has not stopped him from having fun. Over the years kids will learn to live with their hypotonia: They will tend to avoid games that involve physical exertion, as they just cannot keep up with their peers.
With low muscle tone, learning to endure the tiredness is more what adjustment to their life is about.
If that wasn’t enough, the longer the test or exam, including intelligence tests, the worse the expected score likely to be achieved. Just thought I’d let you know, that Jacob, after spending almost 18 months in kindergarten, no longer shows himself to be overtired at the end of each session.
Also, the school is learning how to teach Jacob more effectively through being flexible with routines – if Jacob appears tired in one activity, he is moved onto a different activity which is more appropriate at that time for him. Obviously, if your kid or baby has Down Syndrome, or any other condition, that condition will likely be seen as the cause of the hypotonia. Remember, if you want to come back to this low muscle tone web page again, please book mark it now or add it to your favourites now! Given your observations, I am surprised that doctors and allied health professionals haven’t noticed the symptoms. Hi, if you want to contribute financially to say thank you or help us build this site up with even more content, just click the donation button below. Please note that due to increasing pressures and demands, that we are often unable to respond to individual emails.
Also, because it requires more energy to get the muscles moving, these individuals may be reluctant to move, or conversely, they may move more because sitting still is exhausting and uncomfortable. You might not believe it from the above description, but several athletes actually have low muscle tone – Michael Phelps, Michael Jordan and many Olympic gymnasts, to name a few!
Rachel, thank you for this very informative and quick to read description of low muscle tone!


Low muscle tone, also known as floppy baby syndrome or hypotonia, is a developmental disorder that occurs in babies and children, and can cause severe delays in coordination, strength and movement. One of the first ways to begin treating low muscle tone is by diagnosing any underlying condition that could be causing the hypotonia. If you have a child or baby with low muscle tone, get her moving as much as possible to help build and tone muscles. Infants and babies with low muscle tone may need sensory stimulation to help them get acquainted with their bodies and get their nerves and senses working. Physical therapy can benefit some children with hypotonia by reversing the effects of the condition. It is not really a diagnosis, but rather a description of the quality of the muscle capability.  When an activity requires the muscle to contract, low tone muscle does not respond as quickly and strongly as “normal tone”. As your baby attempts to move, do the elbows start to bend  and the arms get wider, as well as the legs forming what is called a “frog leg pattern”?  Low tone babies usually sink to the surface very quickly when trying to crawl, and their legs end up flat on the floor with knees pointing outward and bent. Hypotonia is not a specific medical disorder, but a potential manifestation of many different diseases and disorders that affect motor nerve control by the brain or muscle strength.
Motor skills delay is often observed, along with hypermobile or hyperflexible joints, drooling and speech difficulties, poor reflexes, decreased strength, decreased activity tolerance, rounded shoulder posture, with leaning onto supports, and poor attention and motivation. Most low-tone infants have delayed developmental milestones, but the length of delay can vary widely. Low-tone children learn to speak later than their peers, even if they appear to understand a large vocabulary, or can obey simple commands.
In body building, good muscle tone is equated with good physical condition, with taut muscles, and a lean appearance, whereas an out-of-shape, overweight individual with fleshy muscles is said to have "poor tone." Neurologically, however, muscle tone cannot be changed under voluntary control, regardless of exercise and diet.
For example, if you quickly straighten the flexed elbow of an unsuspecting child with normal tone, the biceps will quickly contract in response (automatic protection against possible injury). Mild or benign hypotonia is often diagnosed by physical and occupational therapists through a series of exercises designed to assess developmental progress, or observation of physical interactions. The outcome in any particular case of hypotonia depends largely on the nature of the underlying disease.
If the underlying cause is known, treatment is tailored to the specific disease, followed by symptomatic and supportive therapy for the hypotonia. Occupational and speech-language therapy can help breathing, speech, and swallowing difficulties. Early diagnosis of hypotonic newborns can help mothers find the support and information they need to establish a successful breastfeeding relationship. So, after getting the stock standard definition when I asked the new physiotherapist what hypotonia was, I pushed in a lot harder until I got an explanation of low muscle tone that made sense to me.
So your kid may seem to do everything just fine, but keep the same muscles working for any length of time and they will tire faster than a normal person’s muscles. The higher you go for the jump down, the more likely the frog position, as the muscles have to adjust due to the free fall changing the body position rapidly in flight. Even though muscles and balance may be made stronger and better, the muscle’s stamina improves only slowly and not by a great deal in those with hypotonia. As a result, Jacob will also be more likely to develop arthritic conditions as a result of the damage to the joints that hypermobility causes over an extended time.
However, although the stamina side of hypotonia is difficult to alter, we have been using a product called Efalex with Jacob, which contains oils, such as fish oil, that helps neurons. Running down the slide like that takes a good deal of balance and his muscles appear to be coping quite well with the rapidly changing body position.  What this means, is that at 7 years of age, Jacob has his hypotonia well under control and is able to enjoy the same activities as his peers.
This is a valuable point to remember about low muscle tone – the sufferer can often be assisted by modifying the environment.
I remember reading that it can have 1000’s of causes and quite often you will end up having your kid undergo tests for months on end without a cause ever being found for the low muscle tone. Although he has had constant medical monitoring for choking related issues and all-around check-ups, no one had suggested low tone. As stated above, individuals with low tone muscles often have increased flexibility at many joints.
Increased flexibility at some joints is actually helpful for performing some athletic events. Outside of neurological events (like a traumatic brain injury or seizure) the actual length of the muscle at rest cannot be changed. It’s interesting to learn that some well-known athletes have low muscle tone and that it actually helps them perform their sport. It can coexist with muscle weakness, breathing and speech difficulties as well as poor reflexes. Conditions such as Down syndrome, cerebral palsy, muscular dystrophy, Tay-Sachs disease or Prader-Willi syndrome can cause hypotonia as can environmental factors, traumas and genetic disorders, according to the National Institute of Neurological Disorders and Stroke. Whether it is putting your baby on her belly to help her strengthen her neck and back muscles, enrolling your toddler in swim lessons or helping your first-grader learn to play soccer, exercise and physical activity are important to combat hypotonia.
Babies need to be put on their tummies for extended periods to help build neck and back muscles. Therapy generally targets the symptoms of hypotonia and may improve small muscle skills while also building muscle all over the body. Recognizing hypotonia, even in early infancy, is usually relatively straightforward, but diagnosing the underlying cause can be difficult and often unsuccessful.
The extent and occurrence of specific objective manifestations depends upon the age of the patient, the severity of the hypotonia, the specific muscles affected, and sometimes the underlying cause. They are unable to maintain flexed ligaments, and are able to extend them beyond normal lengths. Difficulties with muscles in the mouth and jaw can inhibit proper pronunciation, and discourage experimentation with word combination and sentence-forming. When the perceived danger has passed, which the brain figures out really quickly once the stimulus is removed, the muscle then relaxes, and returns to its normal resting state.
Since a hypotonic child has difficulty deciphering his spatial location, he may have some recognizable coping mechanisms, such as locking the knees while attempting to walk.


In some cases, muscle tone improves over time, or the patient may learn or devise coping mechanisms that enable him to overcome the most disabling aspects of the disorder. In very severe cases, treatment may be primarily supportive, such as mechanical assistance with basic life functions like breathing and feeding, physical therapy to prevent muscle atrophy and maintain joint mobility, and measures to try and prevent opportunistic infections such as pneumonia. Hypotonic babies may take longer to breastfeed because of the poor timing of sucking bursts and the need for long rests.
You have likely been given the standard explanation about your kid’s muscles being floppy and you just cannot see it in your kid.
Due to the speed of the muscle response being slower, kids with hypotonia have trouble keeping up with the speed and agility of similiarly aged kids.
What we can do for our kids with low muscle tone, in this regard, is discourage them from over bending their joints – on a side note to this, often when they are old enough to realise they have this special ability, they want to show it off, but it does need to be discouraged. Jacob also has good soccer ball skills – learning to play soccer is considered a therapeutic activity for kids with hypotonia, as it helps teach muscle control and balance. So much school work may not be learned because of tiredness, which in turn means lower school performance. However, it is slowly dawning on me that he has it and I’m struggling to think how I can tell my daughter. The muscles may feel soft and squishy, and because they have increased resting length it literally takes longer for the muscles to contract. However, strengthening the muscles around the joint increases stability and the number of muscle fibers, which will decrease the effects of low muscle tone over time. This article also helps to clear up confusion around being able to change muscle tone; though it cannot be changed, strengthening the muscles to help increase stability, will in turn provide many functional improvements.
Also, therapy for infants will include putting them in various positions for play to help build strength and avoid flattening the back of the developing skull. The long-term effects of hypotonia on a child's development and later life depend primarily on the severity of the muscle weakness and the nature of the cause. For instance, some hypotonics may experience constipation, while others have no bowel problems. Often, the movement of the head is uncontrollable, not in the sense of spasmatic movement, but chronic ataxia.
They can be divided into two areas, gross motor skills, and fine motor skills, both of which are affected. Since the hypotonic condition is actually an objective manifestations of some underlying disorder, it can be difficult to determine whether speech delays are a result of poor muscle tone, or some other neurological condition, such as mental retardation, that may be associated with the cause of hypotonia. A common sign of low-tone infants is a tendency to observe the physical activity of those around them for a long time before attempting to imitate, due to frustration over early failures. However, hypotonia caused by cerebellar dysfunction or motor neuron diseases can be progressive and life-threatening. Treatments to improve neurological status might involve such things as medication for a seizure disorder, medicines or supplements to stabilise a metabolic disorder, or surgery to help relieve the pressure from hydrocephalus (increased fluid in the brain). Hope the arthritis goes no further, and may be worthwhile enlightening your health professionals about it too. Therefore, the individual may seem slow to get going or even lazy, but there truly may be a physiological reason behind it.
Pediatric occupational and physical therapists are trained to recognize low muscle tone and treat the negative effects in a fun and motivating way for children. Hughes received her Bachelor of Arts degree in English with a minor in psychology from Indiana University in 2010.
Sometimes, low muscle tone can improve on its own without any treatment, but treatments often are necessary.
The treatment differs based on the severity of low muscle tone, the child's age and whether the child has other conditions, such as cerebral palsy. Since your child may have a harder time than other children with certain physical activities, competitiveness could be discouraging.
Some children may need to see other specialists, such as pediatric orthopedists, neurologists, opthamologists or gastrointestinal physicians for optimal therapy. Some disorders have a specific treatment but the principal treatment for most hypotonia of idiopathic or neurologic cause is physical therapy to help the person compensate for the neuromuscular disability. Hypotonic infants often have difficulty feeding, as their mouth muscles cannot maintain a proper suck-swallow pattern, or a good breastfeeding latch. Hypotonic infants are late in lifting their heads while lying on their stomachs, rolling over, lifting themselves into a sitting position, remaining seated without falling over, balancing, crawling, and walking.
A baby with low muscle tone may suck better when the head and bottom are level, indicating pillow support in the lap. With low muscle tone, the resting length of the muscles is greater than average and causes hyperextension at the joints, or what some refer to as “double jointedness.” (However, the term double jointed is misleading, as a person doesn’t actually have two joints, just increased muscle length and therefore increased flexibility at the joint).
The Centers for Disease Control and Prevention suggest children get up to 60 minutes of physical activity daily. Fine motor skills delays occur in grasping a toy or finger, transferring a small object from hand to hand, pointing out objects, following movement with the eyes, and self feeding. If the infant tends to arch his back, it may be helpful to swaddle the child loosely with arms drawn across the chest and legs drawn up toward the belly with a rounded spine during feedings. Children with hypotonia may require a different level of physical activity, so talk to your doctor about what is best for your child.
It may be necessary to support the infant's chin with one's hand if jaw, ear, and temple movement are not observed. If the baby tolerates touch to the mouth and face, the mother might gently rub the baby's lips and the outer surface of the gums to stimulate muscle sensitivity before beginning feeding. Getting a deeper latch, making sure the baby is not tongue-tied, and using an asymmetrical latch to increase the amount of tongue in contact with the breast can all be helpful to reduce compression." Finally, if nursing is too frustrating and stressful for mother and child, breast milk can be expressed by use of a breast pump and fed through a bottle.



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