- Hypermobility is common feature of normal development in healthy children i.e the term reflects an increased range of movement compared to controls; it is more evident in younger children, females and certain ethnic populations (e.g Indian children are more flexible than white caucasian children).
- More Information about hypermobility is given in the section on Normal Variants.
- Different types of joint move in different planes.
- Hip and shoulder are 'ball and socket' joints that optimise movement.
- The knee and elbow are hinge joints.
- The ankle and wrist joints allow movement in several different directions.
- Describing joint and limb movements
- Abduction Movement away from the mid-line of the body
- Adduction Movement towards the mid-line of the body
- Extension Straightening limbs at a joint
- Flexion Bending the limbs at a joint.
- Rotation A circular movement around a fixed point
Some examples of joint ranges of movement and how they are described
Hand and Wrist - flexion and extension
Hand and Wrist - radial and ulnar deviation
Wrist - supination and pronation
Elbow - flexion and extension
Shoulder - internal and external rotation in shoulder abduction
Shoulder - abduction and glenohumeral rotation
Hip - Abduction
Hip - Extension
Knee - flexion and extension
Foot and ankle - inversion