Difficulties and FAQ's

Many children with movement difficulties also behavior, emotion regulation and attention difficulties which impact on their function and participation at home and at school. These children often have a diagnosis of sensory processing disorder and receive sensory integration therapy. 


Children with generalised joint hypermobility often have loose joints but some tight muscles. The muscle tightness causes abnormal stresses in the joints and can lead to pain and discomfort. 

Many children with joint hypermobility (low muscle tone) have problems with flat feet. Flat feet are associated with leg muscle tightness, weakness, balance problems and rotational malalignment of the leg. 

Some children with flat feet also experience pain with walking distances and running.

Walking over rough terrain or in a crowded space requires close attention to the environment, looking ahead for potential hazards, adapting the direction and speed of walking to deal with changing circumstances and so on.

tripping and falling

Children who trip and fall a lot  have often not yet mastered one or more of the following abilities needed for good dynamic balance: ability to look ahead and anticipate obstacles, the ability to react quickly to situations that throw one off balance, as well as the muscle strength needed to support the body when there are rapid changes in speed or direction of movement. 

Children with joint hypermobility and low muscle tone often sit between their legs (known as W-sitting or M-sitting.  This position imposes abnormal stresses on the hip and knee joints and tightness in hip muscles and tibial torsion which in turn cause hip and knee pain during and after exercise.   

Drawing and handwriting involves coordination of shoulder and elbow movements to move the hands across the page. Children with movement difficulties (low muscle tone, joint hypermobility, DCD, autism) often lack shoulder strength, flexibility and coordination needed for effective control of shoulder movements needed for drawing and handwriting. 

Yesterday 5-year-old Angela attended her weekly physiotherapy session. Angela is a slightly built child, with a small pretty pixie face and a wonderful imagination world filled with fairies. She is is also hypermobile, is generally quite weak, does not like running or climbing on the monkey bars and her drawing is very immature. 


hypermobile child with poor standing posture

Children with movement difficulties (joint hypermobility, low muscle tone, ASD and developmental coordination disorder often have weak core muscle strength and stability, and poorly developed postural response mechanisms. This affects their posture in sitting and standing, as well as their gross motor skills.