So it turns out that Ruby has hyper-mobility. This is something that I had never heard of until Ruby was diagnosed with it and yet, I found out that it’s something that I also have, although not to the same extent as Ruby. Someone who suffers from hyper-mobility is basically really flexible, there are differing degrees of it…Ruby is super flexible, like rubber. If you go to pick her up under her arms she’ll basically slide out of your hands if you’re not aware that she has it. I first noticed that something was up with her joints when she was about four or five months old. I noticed that when she was held up in someones arms, that her arms would bend right back behind her, same with her legs when changing her nappies. Considering her birth story, I of course jumped to all sorts of conclusions as to what could be causing this. So when she was called for her six month check up I mentioned it to the health nurse who took a quick look at her. She checked her joints and confirmed that she had hyper-mobility. She explained that it meant that Ruby’s joints were more flexible than what is deemed normal and that it is normally hereditary. So with that she checked both myself and my mother (who came to the appointment with me). She said that we both had it. My mam had it only slightly in her arms and elbows and I had it in my arms, elbows, lower back and hips. And like Ruby I was always really flexible as a child. So the nurse said that Ruby would need to attend physio to assess how much she would be affected by hyper-mobility. Initially I thought that it just meant that she would be really flexible. I had visions off sending her off to be an amazing gymnast or something. But apparently there are a whole host of other problems that can occur because of this condition, depending on its severity. Some of the other problems that can sometimes occur are as follows:
- Late learning to sit, sit with a very rounded back or W-sit.
- Skip crawling and bottom shuffle instead.
- Walk later than normal.
- Hate tummy time.
- Avoid activities that are new or require effort and may have sensory issues.
- Develop coordination and attention problems as they get older.
- Develop digestive system problems.
- More prone to develop dyspraxia as a result of low muscle tone.
- More vulnerable to injury.
- Suffer from extreme tiredness.
- Have limbs that appear to be floppy and weak.
- Pain in the knees, fingers, hips, elbows and lower back.
- Joints can dislocate easily.
- Hyperelastic (very stretchy) skin that bruises easily.
- If there is a more widespread effect on the body, it can usually involve conditions or syndromes like Marfan or Ehlers-Danlos syndrome.
So far Ruby doesn’t seem to be affected by too many of the above symptoms, but we will have to watch her for a lot of the other symptoms as she gets older. It’s important to remember that people who have this may never have any other symptoms besides being really flexible. Hopefully this will be the same for Ruby. I didn’t even know I had it and I don’t think it has effected me in any ill way that has effected my quality of life. Looking back now, perhaps the digestive problems I have and being tired all the time have something to do with my own level of hyper-mobility, but at this stage of my life I am not going to go looking into it! As for Ruby, she was a bit late on her gross motor skills – she was late to roll, sit, crawl and walk. But she was, and still is ahead in her fine motor skills, language and communication skills. She didn’t start crawling until a week before her first birthday and she didn’t walk until she was 18 months. But at that stage we were doing work with her at home that was given to us by the physiotherapist in order to help strengthen her muscles. So if we weren’t doing that, it could have been a lot later. She 100% hated tummy time – although, this is something that I think most babies hate. The only way we could get her to do it was on my bed. We will have to keep a close eye on her – apparently hyper-mobile children can plateau at any stage in their development. She definitely has low muscle tone as a result – her muscles feel like jelly if you touch them and if you wave her arms around they go really floppy. But at the same time, she is a strong as an Ox and always has been.
Thankfully at her last physio check up everything was spot on. I have to bring her back when she is two, by which time the physio said she should be climbing the stairs without my assistance, jumping and kicking a ball. She said if she is able to do all of these things, and as long as nothing else pops up in the mean time, that she would be happy to discharge her, which is fantastic news. So hopefully everything will balance out. I am sure I will document it here should anything else develop. I just wanted to share this as I don’t think it is something that people are aware of – I mean, I suffer from it and didn’t even know about it! Please feel free to contact me if your little ones have hyper-mobility. I would love to hear other peoples views and experiences on the topic.
*Update* October 2017
So Ruby just had her check up for her hypermobilty. For this check up the physio wanted Ruby to be able to kick a ball, climb the stairs with little to no help, run and to jump. She was able to do three out of the four requirements. She can’t really jump yet but she is trying very hard. The physio was pleased with this as she is only gone 26 months and is still a little young to jump properly. The muscles in her legs have strengthened and her hypermobilty has lessoned in this area. However she is still hypermobile in her feet and ankles, which can make her trip a lot so I have to ensure she is wearing shoes with the correct foot support and her hands and wrists are very mobile. But thankfully the physio was so happy with her progress that she has discharged her from the service. She has asked me to watch out for anything out of the ordinary and if the tripping increases to come back. But overall we are all delighted with her progress!!
Until the next blog.
Orla the Irish Mammy xx