Can holding onto a 2yo by the hands and swinging them lead to futrure problems? (Full Version)

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SBS -> Can holding onto a 2yo by the hands and swinging them lead to futrure problems? (January 23, 2004 5:23:00 PM)

I was recently asked by a relative... Could it lead to future shoulder problems if I continue to swing my 2 yo son around (while only holding onto his hands) because of his developmental immaturity? Any suggestions?

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tc -> Re: Can holding onto a 2yo by the hands and swinging them lead to futrure problems? (January 26, 2004 10:24:00 PM)

What do you mean by developmental immaturity? Does he have any specific problems or do you just mean his age?



tc -> Re: Can holding onto a 2yo by the hands and swinging them lead to futrure problems? (February 4, 2004 6:17:00 PM)

Well, even though you didn't answer yet, I wanted to reply in case any other people have the same question.
The short answer to the question is : yes, it could lead to shoulder problems, and if it was my child, I'd rather not take the chance.
If a child has any type of tone problem you need to be especially careful of any type of activity where you pull them up by their arms or hands. Even pulling them up by their hands or arms to pick them up is NOT a good idea. In a child with low tone, you could do major damage to the brachial plexus (nerves in the underarm, if you aren't a PT [IMG]http://www.rehabedge.com/forums/smile.gif[/IMG] )and in a child with high tone you could be feeding into the tone at the shoulder girdles. Even in a "typical" child there is the possibility of causing damage to the brachial plexus or subluxing the shoulder if enough force is used, so it is always best to play it safe and to pick up a child by holding on to them at the trunk, not the hands, and avoid the type of play where you swing a child around by the hands.



danapt -> Re: Can holding onto a 2yo by the hands and swinging them lead to futrure problems? (February 20, 2004 3:08:00 PM)

i know you never want to hold a child and subject their elbow joint to the weight and force of their body weight.... nurse maids elbow is a condition that is common by doing that....resulting in a dislocation at the elbow jt.



Andrew M. Ball PT PhD -> Re: Can holding onto a 2yo by the hands and swinging them lead to futrure problems? (March 1, 2004 12:47:00 AM)

Generally, in kids under about 5 or so, the radio-humeral joint is highly unstable. I've seen many nurse-maid elbows in my career, but very few shoulder dislocations caused by holding or picking up a child this way.

Doesn't mean it couldn't happen --- just less likely than elbow dislocation.

Drew



tc -> Re: Can holding onto a 2yo by the hands and swinging them lead to futrure problems? (January 26, 2004 10:24:00 PM)

What do you mean by developmental immaturity? Does he have any specific problems or do you just mean his age?



tc -> Re: Can holding onto a 2yo by the hands and swinging them lead to futrure problems? (February 4, 2004 6:17:00 PM)

Well, even though you didn't answer yet, I wanted to reply in case any other people have the same question.
The short answer to the question is : yes, it could lead to shoulder problems, and if it was my child, I'd rather not take the chance.
If a child has any type of tone problem you need to be especially careful of any type of activity where you pull them up by their arms or hands. Even pulling them up by their hands or arms to pick them up is NOT a good idea. In a child with low tone, you could do major damage to the brachial plexus (nerves in the underarm, if you aren't a PT [IMG]http://www.rehabedge.com/forums/smile.gif[/IMG] )and in a child with high tone you could be feeding into the tone at the shoulder girdles. Even in a "typical" child there is the possibility of causing damage to the brachial plexus or subluxing the shoulder if enough force is used, so it is always best to play it safe and to pick up a child by holding on to them at the trunk, not the hands, and avoid the type of play where you swing a child around by the hands.



danapt -> Re: Can holding onto a 2yo by the hands and swinging them lead to futrure problems? (February 20, 2004 3:08:00 PM)

i know you never want to hold a child and subject their elbow joint to the weight and force of their body weight.... nurse maids elbow is a condition that is common by doing that....resulting in a dislocation at the elbow jt.



Andrew M. Ball PT PhD -> Re: Can holding onto a 2yo by the hands and swinging them lead to futrure problems? (March 1, 2004 12:47:00 AM)

Generally, in kids under about 5 or so, the radio-humeral joint is highly unstable. I've seen many nurse-maid elbows in my career, but very few shoulder dislocations caused by holding or picking up a child this way.

Doesn't mean it couldn't happen --- just less likely than elbow dislocation.

Drew



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