Understanding Joint Hypermobility in Children: More Than Just “Bendy”

Understanding Joint Hypermobility in Children: More Than Just “Bendy”

As a paediatric occupational therapist, one of the common, but often misunderstood challenges I encounter is joint hypermobility in children. You might know it as being “double-jointed” or unusually flexible, but there’s much more to it than just touching your toes or doing the splits.

Joint hypermobility means that a child’s joints move beyond the typical range. While that might sound like a benefit in activities like dance or gymnastics, it can often come with unexpected difficulties that impact everyday function.

Common Signs of Joint Hypermobility in Kids

Children with joint hypermobility may:

  • Appear clumsy or uncoordinated
  • Fatigue easily during physical tasks
  • Struggle with handwriting, drawing, or using scissors
  • Avoid playground equipment or sports
  • Sit in unusual positions (like the “W-sit”)
  • Complain of frequent aches and pains, especially after activity

Many of these children are working twice as hard to maintain stability and control, often without anyone realising it.

How Occupational Therapy Can Help

Occupational therapy plays a vital role in supporting children with hypermobility. We focus on:

  • Improving postural stability through core strengthening activities
  • Enhancing fine motor skills with adapted tools and exercises
  • Building endurance with graded movement and pacing strategies
  • Developing motor planning to improve coordination and confidence
  • Educating families and teachers about appropriate supports and expectations

Simple changes, like using pencil grips, reducing written workload, or adjusting seating, can make a big difference in comfort and performance. Our goal is to help each child feel capable, confident, and included.

A Hidden Challenge, A Real Impact

Joint hypermobility is often overlooked because it doesn’t always come with a formal diagnosis. But left unsupported, it can lead to frustration, low self-esteem, and even pain. Understanding this condition allows us to provide the right support early on.

If you’re a parent, teacher, or fellow clinician and suspect a child may be experiencing challenges related to hypermobility, don’t hesitate to reach out. Early recognition and tailored support can make a world of difference in how a child moves, learns, and engages with the world around them.

Let’s work together to make sure every child, bendiness and all, has the tools they need to thrive.