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Building Strength: Understanding and Managing Low Muscle Tone in Children

Welcome to our paediatric physiotherapy blog, where we aim to provide you with valuable insights and guidance on various childhood conditions.

Today, we’ll be discussing a common condition known as low muscle tone and how it can affect children. While low muscle tone, also known as hypotonia, can present unique challenges, it’s important to remember that with the right approach, children with low muscle tone can build strength, improve their motor skills, and lead fulfilling lives. In this article, we’ll explore the causes and symptoms of low muscle tone and provide practical tips and strategies for managing this condition.

Understanding Low Muscle Tone

Low muscle tone refers to decreased muscle tension or muscle “floppiness.” It can affect various muscle groups and result in challenges with posture, balance, coordination, and overall strength. It’s crucial to understand that low muscle tone is not a reflection of a child’s intelligence or potential. It simply means that their muscles may require additional support and strengthening. It might affect one part of the body more than the other e.g., low muscle tone in the upper limbs might affect handwriting, swimming, and hanging from monkey bars whilst truncal low tone affects sitting and standing postures and gross motor skills.

Early Intervention

Early intervention is key when it comes to managing low muscle tone. If you suspect your child has low muscle tone, consult a pediatric physiotherapist who specializes in working with children. They can assess your child’s muscle tone, strength, and motor skills, and develop a personalized treatment plan.

Building Core (Postural) Strength:

Core (postural) strength is vital for overall stability and coordination. Encourage activities that engage the core muscles, such as crawling, tummy time, and exercises on stability balls. Working with a physiotherapist, you can learn specific exercises tailored to your child’s needs to help strengthen these muscles.

Sensory Integration

Children with low muscle tone often have sensory processing difficulties. Sensory integration techniques, such as deep pressure activities or sensory play, can help improve body awareness and coordination. Seek guidance from a physiotherapist or occupational therapist to incorporate these techniques into your child’s daily routine.

Encouraging Physical Activity

Engaging in regular physical activity is crucial for children with low muscle tone. Encourage activities that promote strength, balance, and coordination, such as swimming, bike riding, or dance classes. These activities not only help build muscle strength but also boost confidence and social interaction.

Assistive Devices and Adaptive Equipment

In some cases, assistive devices or adaptive equipment may be beneficial for children with low muscle tone. These devices, such as walkers, orthotics, or specialized seating, provide additional support and aid in mobility. Consult with a physiotherapist or occupational therapist to determine if any assistive devices could benefit your child.



While low muscle tone can present challenges, with early intervention, support and targeted therapies, children with this condition can thrive. By focusing on building core strength, promoting physical activity and incorporating sensory integration techniques, you can help your child develop their muscle tone, improve coordination, and increase confidence. Remember, each child is unique, and progress may vary. Celebrate every milestone along the way and seek guidance from healthcare professionals specialized in paediatric care.

We hope you found these tips helpful! If you have any further questions or concerns, don’t hesitate to reach out to our friendly team at Movement Solutions Physiotherapy. Stay tuned for more informative blogs from us.

Melissa Locke, Consultant Physiotherapist

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