
Can floppy infant syndrome be treated?
The nature and extent of improvement after treatment for Floppy Infant Syndrome depends on the underlying cause of the condition. In some cases, it is seen that the muscle tone and strength improves with time or the child is able to learn certain mechanism to overcome the defects caused by Floppy Infant Syndrome.
Can adults get floppy infant syndrome (FIS)?
Floppy infant syndrome (FIS) is present at birth, and doctors diagnose hypotonia most frequently during babyhood before your child is six months old. Hypotonia can also affect adults. How common is Floppy infant syndrome (FIS)? FIS is the most occurring condition that affects a newborn infant’s motor skills.
What is hypotonia (floppy infant syndrome)?
Hypotonia is a medical word for low muscle tone. If your baby has it, they will likely feel limp in your arms, like a rag doll. That’s why it’s also called floppy infant syndrome. Doctors can diagnose the condition in the first few minutes of life. They do routine checks of newborns’ muscle tone at 1 minute and 5 minutes after birth.
How is floppy infant syndrome diagnosed?
Floppy Infant Syndrome can be normally observed within the first few months of life when the child is unable to meet milestones on time. To definitively confirm the diagnosis of Floppy Infant Syndrome the doctor will take a detailed family history of the child to make sure that there is no family history of this condition.

Does floppy baby syndrome go away?
But sometimes, there's no cure for the problem that causes hypotonia. If an inherited condition caused it, your child will have that condition for life. No matter the cause of hypotonia, your child can have therapy to strengthen their muscles and improve coordination.
What causes a floppy infant?
A variety of neuromuscular disorders and central nervous system (CNS) disorders cause floppy infant syndrome (FIS). CNS disorders are the much more common causes of the syndrome than neuromuscular disorders. On long-term follow up, cerebral palsy and mental retardation turn out to be the 2 most common causes of FIS.
Can low muscle tone be cured?
Low muscle tone CANNOT be changed. But your child's muscle strength, motor control and physical endurance CAN be changed.
Can a child with hypotonia walk?
Will my child ever walk? Although some severe cases of hypotonia confine people to wheelchairs for their entire life, the majority of kids learn to walk. It will simply be on their own schedule.
Is it normal for newborns to be floppy?
Young infants may seem "floppy" until they develop more muscle control. But if your baby seems especially limp or droopy, it could mean she is sick or has an infection. Jitters or shakes too much. Many newborns have shaky hands or quivery chins, but if their whole bodies are shaking, it could signal a medical problem.
What drugs cause floppy baby syndrome?
Benzodiazepine intake during early pregnancy may be teratogenic, and their intake during late pregnancy may be associated with neonatal withdrawal syndrome and 'floppy infant' syndrome.
Does low muscle tone mean autism?
Hypotonia, or low muscle tone, is common in autistic children. Some studies have shown that over 50% of children with ASD experienced hypotonia. Because of its prevalence among autistic children, hypotonia often serves as an early indicator that your child may fall on the autism spectrum.
Is floppy baby syndrome genetic?
Spinal muscular atrophy (SMA), also known as floppy baby syndrome, is an inherited neuromuscular disease. In its two most severe forms, sufferers die early, often before their first birthday.
What does it mean when a baby is floppy?
Decreased muscle tone; Floppy infant. Hypotonia means decreased muscle tone. Hypotonia is often a sign of abnormality in the case of a newborn or older infant, and may suggest the presence of central nervous system dysfunction, genetic disorders, or muscle disorders.
Is hypotonia a long life?
Hypotonia can be a life-long condition. In some cases, however, muscle tone improves over time.
Is hypotonia a genetic disorder?
In fact, hypotonia is associated with over 600 known genetic conditions, and potentially many more yet unnamed conditions.
Does hypotonia always mean cerebral palsy?
Hypotonia means decreased muscle tone. It can be a condition on its own, called benign congenital hypotonia, or it can be indicative of another problem where there is progressive loss of muscle tone, such as muscular dystrophy or cerebral palsy.
What is the meaning of floppy baby?
Floppy baby syndrome: A general medical reference to an abnormal condition of newborns and infants manifested by inadequate tone of the muscles. It can be due to a multitude of different neurologic and muscle problems. See also Hypotonia.
How do I know my baby is floppy?
Your baby is unable to lift their head or control neck muscles. Your baby feels limp when held. Your baby cannot place weight on their legs. Your baby's arms and legs hang straight at their sides without a bend at their elbow or knee.
What causes hypotonia in infants?
Hypotonia can happen from damage to the brain, spinal cord, nerves, or muscles. The damage can be the result of trauma, environmental factors, or genetic, muscle, or central nervous system disorders.
Is hypotonia related to autism?
Hypotonia, or low muscle tone, is common in autistic children. Some studies have shown that over 50% of children with ASD experienced hypotonia. Because of its prevalence among autistic children, hypotonia often serves as an early indicator that your child may fall on the autism spectrum.
How to help a floppy infant?from physiotherapy-treatment.com
Physiotherapy for floppy infants is aimed at stimulating normal movement, co-ordination and strength through use of play and functional activities. This makes it more fun for children, more meaningful in terms of everyday activity, and reproducible at home and school. It should encourage as much involvement from parents and carers as possible in their child’s rehabilitation, in order for them to feel very much part of the process. It should be able to give parents specific activities that will help to develop their child’s skills and movement control, and taylor rehabilitation to the needs of individual children.
What is a floppy baby?from physiotherapy-treatment.com
Floppy baby syndrome include infants with benign congenital hypotonia who typically exhibit the condition at 6 to 12 months old, with delayed gross motor skills. Muscle tone is defined as resistance to passive movement.
Why is the distinction between upper and lower motor neuron disorders in infants blurred?from physiotherapy-treatment.com
The clinical distinction between upper and lower motor neuron disorders in infants is blurred because incomplete myelinization of the developing nervous system limits expression of many of the cardinal signs, such as spasticity. Neuromuscular and cerebral disorders may produce hypotonia in a young child or infant. The two critical clinical points are whether the child is weak and presence or absence of the deep tendon reflexes. Hypotonia and weakness coupled with depressed or absent reflexes suggest a neuromuscular disorder. A stronger child with brisk reflexes suggests an upper motor neuron source for the hypotonia.
How to tell if a baby is floppy?from physiotherapy-treatment.com
Signs of Floppy Baby Syndrome. Infants with benign congenital hypotonia typically exhibit the condition at 6 to 12 months old, with delayed gross motor skills. They are unable to sit, creep, or crawl, but have good verbal, social, and manipulative skills and an intelligent appearance. Strength appears normal, and the infants can kick arms ...
What are the symptoms of a neonatal floppiness?from physiotherapy-treatment.com
Infants who have a connective tissue disorder, such as Ehlers-Danlos syndrome, Marfan syndrome, or familial laxity of the ligaments, may exhibit marked passive hypotonia, "double jointedness," and increased skin elasticity.
What does it mean when an infant is prone?from physiotherapy-treatment.com
When lifted, their heads flop, they "slip through" at the shoulders, do not stand upright on their legs, and form an "inverted U" in prone suspension (Landau posture). When placed prone as neonates , they may lie flat instead of having their arms and legs tucked underneath them. Passive tone is decreased, but reflexes are normal. This clinical picture may be associated with significant cerebral disease or may be a benign phenomenon that is outgrown.
When should specific treatments be offered?from physiotherapy-treatment.com
Once the correct diagnosis is confirmed, specific treatments should be offered if available
What is the floppy baby syndrome?
Floppy baby syndrome means hypotonia means decreased muscle tone. If your baby has it, they will likely feel not strong in your arms, like a rag ball. That’s why it is called a floppy baby syndrome. It is often the symptom of an underlying medical condition.
Who does floppy baby syndrome affect?
Floppy infant syndrome (FIS) is present at birth, and doctors diagnose hypotonia most frequently during babyhood before your child is six months old.
How common is Floppy infant syndrome (FIS)?
FIS is the most occurring condition that affects a newborn infant’s motor skills. The exact rate of the event is unknown, as hypotonia is often a symptom of another condition.
Is Floppy baby syndrome a disability?
Hypotonia, as a symptom, is not a disability, although the underlying diagnosis could be a disability.
What are the symptoms of Floppy baby syndrome?
Children with FIS have symptoms where their bodies look like rag dolls. Doctors also refer to your baby as being “floppy” from their diagnosis. Symptoms of FIS include:
What are the causes of this Floppy baby syndrome?
A transmission error between the pathways that control movement causes hypotonia. These pathways join the brain, spinal cord, nerves, and muscles; But more often, it’s related to another health problem. There is a number of causes. A few are:
Getting the true diagnosis
The reason that many things can cause FIS, it may take some time to understand what is behind your child’s condition. The doctor will want information about your family’s medical and genetic history & give your baby a physical exam. They may check their:
What causes floppy baby syndrome?
One of the causes of floppy baby syndrome is botulism infection. It is also known as infant botulism. In this type of floppy baby syndrome bacteria named Clostridium botulinum to grow in the digestive tract of the infant.
Why is my baby floppy?
The cause of floppy infant syndrome can occur when there is a problem with the nervous or muscular system. In some cases, the cause of Hypotonia cannot be identified. When the cause of the floppy baby syndrome is not identifiable then it is known as benign congenital hypotonia .
Can a baby with hypotonia move his arms?
The baby with Hypotonia is not able to move his arms and legs easily as they are not so strong. It is not important that Hypotonia occurs only when the baby is born, in fact, it can develop at any age.
Can floppy baby syndrome be treated?
Floppy baby syndrome can be treated in a short period of time or it may be lifelong. Some children slowly develop gross motor skills and fine motor skills. The mild hypotonia children do not face developmental delay issues.
What Is Hypotonia?
Hypotonia, also known as poor muscle tone, is typically detected during infancy or at birth.
What Causes Hypotonia?
Hypotonia is typically caused by problems within the nervous or muscular system.
How Can A Pediatric Physical Therapist Help
A pediatric physical therapist can help by creating a program to improve muscle tone that will consider the underlying cause, if there is one.
How Can A Speech Therapist Help?
A speech therapist will assess your child’s feeding and swallowing abilities.
Book Your Appointment with Triumph Therapeutics Today
As you can see, working with both a pediatric physical therapist and a pediatric speech therapist can be a huge asset if your child has hypotonia.
How is Floppy Infant Syndrome Treated?
This is then followed by symptomatic and supportive therapy for Floppy Infant Syndrome. Physical therapy is somewhat effective to regain some fine motor control and improve overall body strength. Occupational and speech therapy may help with other anomalies like feeding, speaking, and swallowing difficulties.
What is the Prognosis of Floppy Infant Syndrome?
Since there is no cure for Floppy Infant Syndrome as of yet hence this condition is present life long.
Why do babies have floppy hands?
Floppy Infant Syndrome or Infantile Hypotonia can cause the muscles of the child to become loose and stretchy. Children with Floppy Infant Syndrome will always have a floppy appearance and will rest their elbows, arms, and knees loosely. Their head control is also very poor with the head falling to one side frequently. Normal children can be lifted up by placing the hands between the armpits but children with Floppy Infant Syndrome are not able to be lifted with this maneuver as their hands are not able to be lifted appropriately due to decreased muscle tone.
What are the developmental milestones that are delayed?
Delays in meeting developmental milestones like sitting, standing, holding the head straight, and walking is also a symptom of Floppy Infant Syndrome
What causes floppy infants?
These medical conditions are: Down Syndrome: This is a genetic condition caused due to a chromosomal abnormality. 2. Myasthenia Gravis: This is a neuromuscular condition in which there is significant weakness of voluntary muscles of the body usually caused due ...
What is Prader-Willi syndrome?
Prader-Willi Syndrome: This is a congenital disorder in which the child has obesity, decreased muscle tone, and decreased mental capability. 3
Does floppy infant syndrome improve muscle tone?
In some cases, it is seen that the muscle tone and strength improves with time or the child is able to learn certain mechanism to overcome the defects caused by Floppy Infant Syndrome.
What causes floppy infants?
Floppy infant syndrome can happen for no clear reason -- what doctors call benign congenital hypotonia. But more often, it’s related to another health problem. There are many causes. A few are: 1 Brain damage due to lack of oxygen right before or after birth 2 Problems with the way the brain formed in the womb 3 Disorders that affect nerves 4 Achondroplasia 5 Spinal cord injury 6 Cerebral palsy 7 Severe infections
Why do babies get floppy?
Floppy infant syndrome can happen for no clear reason -- what doctors call benign congenital hypotonia. But more often, it’s related to another health problem. There are many causes. A few are: Brain damage due to lack of oxygen right before or after birth. Problems with the way the brain formed in the womb.
What does it mean when your baby's muscles are low?
Treatments. Hypotonia is a medical word for low muscle tone. If your baby has it, they will likely feel limp in your arms, like a rag doll. That’s why it’s also called floppy infant syndrome. Doctors can diagnose the condition in the first few minutes of life. They do routine checks of newborns’ muscle tone at 1 minute and 5 minutes after birth. ...
Why does my baby have a bad muscle tone?
When babies are born too early, they may have poor muscle tone because their bodies haven’t had enough time to develop properly. In this case, things should get much better as weeks and months pass. You just need to make sure your baby is meeting milestones and getting any treatment they need.
How to help a child with hypotonia?
There are many options, including: Sensory stimulation programs : These help babies and young kids respond to sight, sound, touch, smell, and taste.
What is the best treatment for congenital hypotonia?
Speech-language therapy: Helps with problems breathing, speaking, and swallowing. A child with benign congenital hypotonia may not need any therapy, although they may need to see a doctor for related problems, such as joint dislocation. Pagination. 1.
What is the best way to help a child with motor skills?
Occupational therapy: This will help your child get fine motor skills, which are (or will be) essential for daily tasks. Physical therapy: Like occupational therapy, it can help your child get more control of their movements. It can also improve strength and muscle tone over time.
How to help a floppy infant?
Physiotherapy for floppy infants is aimed at stimulating normal movement, co-ordination and strength through use of play and functional activities. This makes it more fun for children, more meaningful in terms of everyday activity, and reproducible at home and school. It should encourage as much involvement from parents and carers as possible in their child’s rehabilitation, in order for them to feel very much part of the process. It should be able to give parents specific activities that will help to develop their child’s skills and movement control, and taylor rehabilitation to the needs of individual children.
What is a floppy baby?
Floppy baby syndrome include infants with benign congenital hypotonia who typically exhibit the condition at 6 to 12 months old, with delayed gross motor skills. Muscle tone is defined as resistance to passive movement.
Why is the distinction between upper and lower motor neuron disorders in infants blurred?
The clinical distinction between upper and lower motor neuron disorders in infants is blurred because incomplete myelinization of the developing nervous system limits expression of many of the cardinal signs, such as spasticity. Neuromuscular and cerebral disorders may produce hypotonia in a young child or infant. The two critical clinical points are whether the child is weak and presence or absence of the deep tendon reflexes. Hypotonia and weakness coupled with depressed or absent reflexes suggest a neuromuscular disorder. A stronger child with brisk reflexes suggests an upper motor neuron source for the hypotonia.
How to tell if a baby is floppy?
Signs of Floppy Baby Syndrome. Infants with benign congenital hypotonia typically exhibit the condition at 6 to 12 months old, with delayed gross motor skills. They are unable to sit, creep, or crawl, but have good verbal, social, and manipulative skills and an intelligent appearance. Strength appears normal, and the infants can kick arms ...
What are the symptoms of a neonatal floppiness?
Infants who have a connective tissue disorder, such as Ehlers-Danlos syndrome, Marfan syndrome, or familial laxity of the ligaments, may exhibit marked passive hypotonia, "double jointedness," and increased skin elasticity.
What does it mean when an infant is prone?
When lifted, their heads flop, they "slip through" at the shoulders, do not stand upright on their legs, and form an "inverted U" in prone suspension (Landau posture). When placed prone as neonates , they may lie flat instead of having their arms and legs tucked underneath them. Passive tone is decreased, but reflexes are normal. This clinical picture may be associated with significant cerebral disease or may be a benign phenomenon that is outgrown.
When should specific treatments be offered?
Once the correct diagnosis is confirmed, specific treatments should be offered if available
Signs And Symptoms Of Hypotonia In Babies
Hypotonia may not be noticeable in babies younger than six months, although they usually have it since birth. Babies with severe hypotonia (floppy baby syndrome) can be like rag dolls without any muscle strength.
Causes Of Hypotonia
The most common cause of hypotonia is abnormalities in neurological control of muscle tone. Muscles need electrical signals from motor nerves for functioning. Any disruption in the signal generation or conduction may affect the muscle tone. Various inherited conditions and other factors can cause hypotonia.
Diagnosis Of Hypotonia
Pediatricians may refer your baby to a specialist if they suspect hypotonia after primary evaluation. Family history, medical history, pregnancy, and delivery-related issues are asked to identify the cause.
