High Normal Muscle Tone

Hello! I recently found your page and was wondering if you could answer a question for me if you have time! I saw that one of your sons has normal high tone. My son was recently said to have this as well by his Pediatrician, he is 4.5 months old. He tends to be pretty tight at times in his arms and legs, other times it seems his tone is normal. I just wanted to know your experience when your son was a baby if these symptoms were similar or any input from other specialists on this page. I’m just trying to understand the best way to help him moving forward and to make sure he meets his milestones. So far he is not rolling but doing great on tummy time, great head control, and is grasping for objects above and in front of him. Thank you so much for your time!

Thank you for reaching out. I will definitely let @tots-allison respond but my first thing I would say is to avoid doing a lot of early standing instead of other milestones and to avoid as much as possible the exersaucer/standing pieces of equipment. I only say this because sometimes if kids trend towards higher tone they sometimes prefer standing because it is easier and promoting this too early helps them to avoid other skills. Let me know if that doesn’t make sense!

Oh that makes perfect sense! I have noticed that he really loves to be in the standing position but I will definitely limit that from now on. Do you have an recommendations for helping roll? He’s done it once but I think it was by accident. He seems to have a solid, sturdy base and doesn’t seem too interested! I notice when I try and help him roll that his little feet cross at the ankles sometimes which I think makes it even more challenging fit him.
I really appreciate the reply!

Hi! Yes my older son is higher/normal tone, but I don’t remember that tightness you’re describing.

What @Starfishtherapies suggested is spot on-avoiding too much extension and standing in devices. Also, when your baby is lying down, I like to rotate and flex each of the joints throughout the body (ankles, knees, hips, wrists, elbows, shoulders) to prevent tightness and prevent that extension pattern.

I also like the exercises in this video to help promote more flexion and less tension through the trunk and hips:

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