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When the Body Braces From the Inside: Rethinking Low Muscle Tone

  • mrglhic
  • May 23
  • 5 min read

What if low tone isn't what we think it is?
What if low tone isn't what we think it is?

What if low muscle tone isn’t a fixed trait—but the body’s way of saying, “I don’t feel safe enough to hold myself up yet”?


This article explores how inner bracing, fluid displacement, freeze, and incomplete reflexes can all shape what we call “hypotonia”—and why true tone often emerges not through effort, but through integration.


We’re told that low muscle tone is a fact—unchangeable, unresponsive, permanent.“He just has low tone.”“She’s always been floppy.”“It’s neurological—you can’t fix it.”


But what if those statements aren’t the full story?


What if “low tone” isn’t a deficit to correct, but a signal—a strategy the body has adopted to hold itself together when outer structures of support aren't yet in place? What if, instead of labeling these children as weak, we asked: Where is the stability coming from? Where is the body bracing to compensate for what isn’t available elsewhere?


Because the truth is: when the outside of the body lacks tone, the inside starts doing the work.


What We Think Low Tone Means


The term "hypotonia" gets thrown around early and often. It shows up in evaluation reports, therapy plans, and medical notes. The underlying belief is usually the same: This child is weak. They need to strengthen. It will take years. They may never catch up.


From there, the plan becomes effort-based: prompt the muscles, cue the posture, correct the movement. Over and over. And when the child doesn’t respond, the system assumes it’s because of the low tone itself—not the failure of the approach.


But what if low tone isn’t the cause of the problem—but the body’s solution to something deeper?


What’s Actually Happening in the Body


Tone is not just a muscular issue—it’s a full-body state of relationship between the inner and outer architecture of the system.


When the outer musculature—those surface-level, postural muscles—doesn’t have enough activation to support the body, the system doesn’t just give up. It adapts. The body has to find a way to hold itself up, stay together, and move through space. So the inner structures take over: fascia, visceral bracing, spinal tension, breath-holding, pelvic floor gripping.


The result? A child who looks floppy on the outside but is bracing deeply on the inside. The gut is tight. The breath is shallow. The fascia is doing the job the muscles can’t. These are children who can’t relax, even though they appear limp.


This kind of compensation is invisible to most providers—but it is absolutely exhausting for the child living inside that body.


When Fluid Gets Stuck: The Missing Link in Low Tone


Low tone doesn’t just affect movement—it affects fluid.


Muscles, when active, act as pumps. They help move lymph, blood, and interstitial fluid throughout the body. But when muscle tone is low and fascia is bracing to compensate, fluid doesn’t circulate well. It gets displaced—pushed into areas where it collects without being absorbed or moved.


This often shows up as a body that looks soft or “pudgy.”But what you’re seeing isn’t fat—it’s fluid that has nowhere to go.


Tight fascia and underactive musculature can create a system where the body holds onto water and inflammation simply because it doesn’t have the tone or rhythm to move it out.


This is why, as tone returns and fascia unwinds, children often look visibly different. Their shape changes. Their tissues soften and lift. Fluids begin to flow again. The body doesn’t just move better—it drains, breathes, and organizes more efficiently.


The Role of Freeze and Dissociation


Now take that internal bracing and combine it with another layer: a nervous system in freeze.


Children who have experienced trauma—whether physical, medical, relational, or developmental—often enter a chronic freeze or dissociative state. In this state, the connection between brain and body diminishes. The pathways that should be lighting up with movement, tone, and coordination go dim. Myelination suffers.


The message isn’t getting through. The body isn’t “lazy”—it’s unplugged. The child isn’t disengaged—they’re not here. They’re surviving in the only way they know how: by going still.


And stillness, in this case, is mistaken for weakness. But it’s not. It’s a neurologically wise response to overwhelm.


Why Traditional Therapy Often Fails


When therapy tries to activate a system that’s in freeze—or one that’s already bracing deeply from the inside—it backfires.


Effort-based therapy piles demands on top of a system that’s not ready to respond. It can even reinforce the freeze, because the child is being pushed instead of understood.


This is why years of therapy may yield little change in postural tone: we are not treating the root. We’re prompting a body that’s disconnected from its own core.


And meanwhile, the child internalizes the message that they’re failing—again.


What Changes When We Listen Differently


But it doesn’t have to be that way.


When we work at the level of the nervous system, the outcomes are profoundly different. Through biodynamic craniosacral therapy, the deep internal bracing begins to soften. The fascia releases. The diaphragm moves. The system starts to feel safe.


Through reflex integration, the brain begins to re-map the body. Primitive reflexes—those foundational motor patterns—lay down the scaffolding for more complex, postural movement. Movement becomes possible again, not because we forced it, but because the sequence is now complete.


In my own practice, I’ve seen muscle tone shift in as little as four to six weeks. Not from effort. Not from drills. But from restoring safety, sequencing, and connection.


Tone emerges not because we chased it, but because we made it safe for the body to show up.


Tone Is a Byproduct of Integration, Not Effort


Tone is not something you create through repetition.It’s something that emerges when the conditions are right.


When the nervous system feels safe.

When the reflexes are integrated.

When the inner bracing unwinds.

When the child begins to re-inhabit their body.


We have to stop treating low tone like a muscle problem.It’s a systems problem—and one that can change.


Diagnosis Describes—It Doesn’t Define


We’ve been told that low tone goes hand in hand with certain diagnoses. That if it shows up in the same breath as cerebral palsy, autism, Ehlers-Danlos, Down syndrome—it’s fixed. Inherited. Unchangeable.


But I don’t buy that anymore.


Because I’ve seen the difference that nervous system work makes. I’ve felt it in my own body—joints that used to collapse, now holding. Breath that used to disappear, now moving freely. Reflexes coming online that changed the shape of how I move and feel.


A diagnosis may describe what was happening.

But it doesn’t get to dictate what’s possible.


If the nervous system is in freeze…If the reflexes are incomplete…If the fascia is gripping for stability the muscles can’t provide…Of course tone is going to be low.


But that’s not a disease. That’s a message.


And when we respond to that message with attunement instead of assumption, the body starts to rewire. Movement becomes possible. Tone becomes possible. Safety becomes real.


Diagnosis is a point on the map.

It’s not the whole landscape. And it’s never the limit.


Final Reflection: A New Way to See the Body


What if low tone isn’t a life sentence?

What if it’s the body’s quietest cry for help?


What if the child who seems floppy is actually working harder than anyone else—just to hold themselves together?


And what if, instead of trying to force them into postures they’re not ready for, we asked what would make their system feel safe enough to try again?


That’s the work I do.

That’s the difference.

 
 

Your system knows.
Sometimes, we don’t need more effort. We need more listening.
If something in you feels seen reading this—trust it.

Morgan Hickey,  CCC-SLP, LMT

Restorative, Regulation-Focused Bodywork Across the Lifespan
Serving clients in Loveland & Denver Metro Region, CO and online

© 2025 Morgan Hickey. All Rights Reserved.

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