Tag Archives: effects of heat on muscle tone

Helping Children With Low Muscle Tone Manage Summertime Heat

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I write a version of this post every summer.  Puzzled parents ask me about their child’s sometimes dramatic reactions to playing outside in the heat.  Kids are melting like popsicles, tripping and whining.  Time to explain the way low tone and heat interact to create less safety, less stability, and less cooperation.

Yup, low tone has behavioral consequences.  How to comprehend and manage it is one of the cornerstones of my first book, The Practical Guide to Toilet Training Your Child With Low Muscle Tone.  When parents understand that low muscle tone is more than a motor issue, things start to improve.

Heat has predictable effects on muscles.  That is why people use heating pads on muscle spasms.  But when a child has low tone, heat isn’t helpful.  It makes it even harder to initiate and maintain a muscle contraction.  Ambient heat and internal body heat combine to create problems for kids.

What does a child with low muscle tone look like when they spend time in a very warm environment?

  • They fatigue more rapidly.  They could walk to the ice cream stand but want to be carried back.
  • They feel uncomfortable, but in a way that isn’t “sick”.  It is a combination of sluggish and unsteady.  The younger the child, the less they can express the difference between how they felt inside in the A/C and how they feel outside.
  • They become more stubborn, more contrary, or simply more irritable.  This can happen even if a child is typically the most even-tempered of kids.  Add humidity?  You might be in for a real rollercoaster ride.
  • They are often significantly less safe when they move.  They can have just enough of a delay in their ability to catch themselves when they fall, or fail to place their foot in the right spot climbing a stair.  They can even slide off the chair they are sitting on!

What can parents do?

  • Plan active fun for the cooler times of the day, or at least do active play in the shade.

  • Dress your child in breathable clothing, perhaps even tech clothes with breathable panels or special fabrics.

  • Dress them lightly and in light-colored clothing.

  • Make sure that they are well hydrated at all times.

  • Offer healthy popsicles and cool drinks frequently.

  • Have a cool place to bring your child, so that they can literally “chill out”.

  • Teach them about the effects of heat on low muscle tone so that they can understand and eventually act independently.

Looking for more information on helping children manage low tone?  

I wrote more posts for you to read: Is Your Child With Low Tone “Too Busy” to Make it to the Potty? ,  One Fun Way to Help Kids With Hypotonia Align Their Feet: Stomp-Stomp!  and How To Improve Posture In Children With Low Muscle Tone… Without a Fight!

Need more information?  I wrote three e-books for you!

Look on Amazon.com and Your Therapy Source.com for The Practical Guide to Toilet Training Your Child With Low Muscle Tone,  and both volumes of The JointSmart Child.  Read more about these unique (and very practical) books here:   A Practical Guide to Helping the Hypermobile School-Age Child Succeed and The JointSmart Child Series: Parents of Young Hypermobile Children Can Feel More Empowered and Confident Today!

 

Low Tone In The Summer: Why The Heat Affects Your Child’s Safety

 

rawpixel-653771-unsplashIf you have a child with low muscle tone, you may have seen them wilt like flowers in the sun.  Even if they are well-hydrated, even if they are having fun, they just can’t run as fast or sit as steadily when they are warm.  Add a SPIO vest or other compression garment, and the tripping and falling seems to happen more often.  What gives?

Just like a warm bath relaxes your tight shoulders after a long day, heat relaxes muscles.  It doesn’t matter if the heat is environmental or neutral warmth, the kind that is generated by your child’s own body and is held in by the SPIO or her clothes.  It is still heat.  And some kids with low tone don’t sweat efficiently, using the body’s natural method of heat reduction.  This isn’t a minor concern if you have a child that is pretty unsteady on a cool day.  Kids with low tone that are out and about in the heat can become so floppy that they stumble and get injured.  That is a problem.

What can you do?  Well, you may not be able to wear that SPIO in the heat.  Try kineseotaping instead.  (ask your OT or PT if they have been trained in it’s use).  Alternate time in air conditioning and time outside.  Offer cold drinks and ice pops if they can lick and swallow an ice pop safely.  Dress lightly and choose clothes with fabrics that evaporate body heat.  Choose shoes that offer more support, not Crocs or sandals.  This is not the time to pick the least-supportive footwear.

Most importantly, monitor them for safety and be aware that children really cannot judge whether or not they should come in and cool off.  They are counting on you to keep them safe!

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