Hypotonia

The term hypotonia ( hypotonic = with reduced power / voltage) is understood in the striated muscle in medicine is a lack of muscle strength and muscle tone ( low muscle tone). The opposite of hypotonia is muscle hypertension, ie an unusually high muscle tone ( spasm ).

A hypotonia makes during childhood for example, by noticeable that a child has to work while breastfeeding much, it is unusual little move and lift the head is not age-appropriate or may hold.

The hypotonia in infants is usually part of the so-called floppy infant syndrome (german floppy infant, " floppy baby "). Among the onset of symptoms triad of abnormal posture, reduced movements against resistance and abnormal joint mobility is understood.

Causes

Many possible causes for hypotonia being:

  • Central causes: premature birth
  • Hypoxic ischemic encephalopathy
  • Hypoglycemia
  • Sepsis
  • Electrolyte shifts
  • Drug- induced
  • Inborn errors of metabolism
  • Hypothyroidism
  • Genetic disorders such as Down syndrome, Prader -Willi syndrome and Zellweger syndrome
  • Malformations of the central nervous system
  • Benign congenital hypotonia
  • Spinal muscular atrophy, particularly spinal muscular atrophy type Werdnig -Hoffmann
  • Myasthenia gravis
  • Congenital muscular dystrophies
  • Congenital myopathies
  • Metabolic myopathies
  • Peripheral neuropathies

Therapy

Hypotonia can be treated with physiotherapy, among others.

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