At school

Supporting children with hypermobility in their upper limbs

Children with hypermobile joints in their arms and hands may find everyday tasks like writing more difficult. These strategies can help.

Use supportive writing tools

Thicker pens and pencils, or pen grips, can be easier to hold and help reduce strain on the fingers.

Encourage regular rest and stretching

Frequent breaks during writing tasks can help prevent muscle cramps. A helpful stretch is placing the palm flat on a chair seat, with the elbow straight and fingers pointing forward, then gently pressing down to stretch the hand.

Build strength through play

Strengthening the muscles around the joints can reduce tiredness. Activities that use the hands and arms, like playing with playdough, are useful.

See the Playdough and Using my hands advice sheets.

Consider alternative ways to record work

Children with hypermobility in their fingers may struggle with fine motor control, making writing slow or painful. If this causes problems, consider allowing extra time or using alternative ways to record their work.

Supporting children with hypermobility in their lower limbs

Children with hypermobile joints in their legs and feet may need extra support to stay comfortable and safe during physical activities.

Choose supportive footwear

Trainers are better than slip-on shoes or pumps, as they provide more support to the feet and ankles. If a child frequently rolls their ankles, boots may offer better stability.

Avoid high-impact landings

Jumping from heights onto hard surfaces can overstretch joints and cause injury. Encourage safer play and avoid these types of landings.

Allow rest during physical activity

Children with hypermobility may tire more quickly, especially during repetitive movements. Long-distance running, particularly on uneven surfaces, may need to be adapted. Always allow rest if an activity causes pain.

Sitting posture matters

Avoid W sitting (kneeling with bottom between the knees), as it can affect leg alignment. Encourage cross-legged sitting or sitting with legs straight out in front. If this is difficult, offer a chair instead.

Support good posture by ensuring the child sits with their bottom well back in the chair and the chair pulled up to the table. A writing slope may help.

See Good Seating advice sheet.

General advice for managing hypermobility

Encourage children to carry school bags over both shoulders and reduce the weight by using lockers and avoiding unnecessary items.

Choose well-fitting shoes with secure fastenings like laces or Velcro. Avoid high heels and slip-ons.

If the school site is large and walking causes soreness, children may need to use lifts where available.

Children can still take part in PE unless advised otherwise by their GP or physiotherapist.