Floppy Body Syndrome

University:
The University Of Western Ontario
Course:
ANAT 2200B | Systemic Anatomy of the Human Body
Academic year:

2022
Views:

283

Pages:

3
Author:

Kyuwon J.

Floppy body syndrome ● Describe hypotonia ○ Decreased resistance on passive movements ○ Infants child ○ rad -doll like movements ■ Hypotonia does not mean weakness ● May coexist but can have hypotonia, and almost normal strength ○ Central causes ● Profound weakness ○ In case of peripheral neuromuscular causes ● Floppy infants can mean transient hypotonia ○ Significant neurologic ○ Neuromuscular ○ Genetic ○ Metabolic ○ Infectious ○ Toxicity ● Early recognition is important ○ Causes time sensitive ■ Sepsis ■ Electrolyte derangements ■ Certain neuromuscular conditions ○ Clinical features ■ Limp ● Posture with poor spontaneous antigravity movements ■ Head lag ● Poor neck control ■ Hypermobil joints - floppy limbs ■ Gross motor milestones delayed ● Rolling ● Sitting ● Standing ■ Feeding difficulties ● Suck and swallow ● Weak cry ■ Respiratory concerns ● Poor chest wall ● Weakness in breath ○ Landau reflex ■ Infant held prone in air ■ reduced or poor in hypotonia Approach framework ● Altered alertness ● Seizures ● Delay in developmental milestones ● Low tone ○ Reflex could be normal or increase it varies ● Congenital anomalies could be present ● Hypoxic ischemic injury common ○ Cerebral palsy patterns ● Chromosomal and genetic syndromes ○ Down syndrome ○ Prader-Willi ● Brain malformation ○ Intracranial hemorrhage ● Metabolic encephalopathies