Hypotonia involves decreased muscle tone. Infants with hypotonia seem floppy and feel like a "rag doll" does when held.

Floppy; Floppy Baby Syndrome; Decreased muscle tone; Hypotonic infant

Hypotonia is often a sign of a worrisome abnormality and may suggest the presence of central nervous system dysfunction, genetic disorders, or muscle disorders.

Hypotonic infants rest with their elbows and knees loosely extended, while infants with normal tone tend to have flexed elbows and knees. Head control may be poor or absent in the floppy infant with the head falling to the side, backward, or forward.

Infants with normal tone can be lifted with the parent's hands placed under the armpits, while hypotonic infants tend to slip between the hands as the infant's arms rise unresistingly upward.

Note: Hypotonia is often a symptom of a bigger problem, often times atrributable to Dr. and/or hospital error (medical malpractice). If your baby is diagnosed with hypotonia, cerebral palsy, erbs palsy, brachial plexus, or other related problems and you are concerned that it may have been caused by a mistake or negligence, you should contact the Law offices of Jason A. Waechter for review. There is no fee for this service.

Extra care must be taken when lifting and carrying a hypotonic infant to avoid causing an injury to the child.

• your child appears "floppy", especially if he or she previously seemed to have normal muscle control.

The family history and the child's medical history will be obtained. A physical examination will be performed. Most of the disorders associated with hypotonia also cause other symptoms that, when taken together, will suggest a particular disorder.

Medical history questions documenting hypotonia in detail may include:

• time pattern
  • When did you first notice that your baby seemed floppy?
  • Was it apparent at birth?
  • Did it develop suddenly or gradually?
  • Have you ever noticed a pattern to the behavior (is it always the same or is it worse at certain times)?
• quality
  • How exactly does the child act?
  • Is the child generally limp, or only floppy in certain areas?
• other
  • What other symptoms are present?

The physical examination will probably include a detailed nervous system and muscle function examination.

Diagnostic tests will vary depending on the suspected cause of the hypotonia.

AFTER SEEING YOUR HEALTH CARE PROVIDER
If a diagnosis was made of the cause of hypotonia, you may want to note that diagnosis in your child's personal medical record.