Hypermobility In Children Research Articles

Measuring joint hypermobility using the hospital del mar criteria—a reliability analysis using secondary data analysis

Background: Joint hypermobility (JH), also known as joint laxity, is a condition which most of an individual's synovial joints present an excessive range of movement (ROM) during passive or active movements taking in consideration the age, gender and different ethnic group of the subject. While various sets of diagnostic criteria for hypermobility have been published, to date there is no recommended gold standard, and diagnosis of hypermobility in children is generally based on clinical judgement.

Prevalence of joint hypermobility in children with inguinal hernia

The Joint Hypermobility Syndrome (JHS) is a multi-system inherited connective tissue disorder caused by defective fibrous tissue matrix proteins such as collagen. Joint hypermobility has been occurred more frequently in children, with diminishing occurrence as age increases in population studies. The prevalence of hypermobility in children has been reported to be between 2.3 and 30%. Hypermobility is associated with weakness of abdominal wall and pelvic floor and predisposes to increased risk of hernia, hiatus hernia, and rectal prolaps.

New criteria for diagnosis of benign joint hypermobility in children

Benign joint hypermobility (BJH) is a clinical condition characterized by an increased ability of joints during passive and dynamic movements.

An update of the managment of hypermobility in children

The management of symptoms potentially related to hypermobility frequently require a Biopsychosocial model of management. This intervention may be provided by a variety of professionals depending upon the individual service provision; however the principals encourage an approach that promotes independent self-management. It is becoming increasingly understood that the degree of flexibility is not as important in predicting symptoms and outcomes as the degree of muscle strength and stamina as well as psychosocial factors such as levels of anxiety and low mood. It is not clear how many children with hypermobility are affected by symptoms, however musculoskeletal pain is common in young people. The principals of the physical treatments should be based around ensuring correct biomechanics are maintained with individual strengthening programmes which are then supported by paced integration into sport and physical activity. Fulltime School should be the goal for all young people with hypermobility as well as inclusion into most activities. The use of aids and adaptations including wheelchairs and crutches should be avoided as this actually promotes muscle weakness and a long term increase in symptoms. It is important that a good sleeping pattern should be restored and then maintained and the use of Active Relaxation Techniques are very effective. Teaching the young person and their family about pain and its non-pharmaceutical management is very helpful in empowering them to manage independently and not to fear pain but to be in control and therefore not limited by it. Hypermobility should be a condition that is self-managed by the young person and their family but the professionals are extremely important in ensuring this approach is understood and effective and it is their responsibility to ensure unnecessary drugs, surgeries or treatments are given to each child. The majority of young people with symptoms related to their hypermobility respond extremely well with this approach.

286. Level of Joint Hypermobility in Children not Associated with Degree of Pain or Restriction in Function

286. Level of Joint Hypermobility in Children not Associated with Degree of Pain or Restriction in Function

Assessment of gait characteristics and orthotic management in children with Developmental Coordination Disorder: Preliminary findings to inform multidisciplinary care

Developmental Coordination Disorder (DCD) is a neurodevelopmental disorder characterised by impaired motor co-ordination and awkward gait. Despite self-reported findings of pes planus and joint hypermobility in children with DCD, there is little objective evidence regarding the clinical management of the foot in children with DCD. The aims of this research were to report clinical findings of foot posture and lower limb hypermobility in children with DCD and to evaluate the impact of foot orthoses on spatio-temporal gait parameters. Children with DCD were recruited into the study. Participants were randomly assigned to an intervention group who received foot orthoses at the start of their rehabilitation programme or to a second group who received foot orthoses at the end of their intervention programme. Foot posture was assessed with the Foot Posture Index and lower limb hypermobility assessed with the Lower Limb Assessment Score. The effect of foot orthoses was evaluated through assessment of spatio-temporal gait characteristics at baseline and post-rehabilitation programme. Fourteen children were recruited (mdn age 7.5 years) with nine children assigned to the group receiving orthoses early (mdn age 8 years) and five children assigned to the post-rehabilitation orthoses group (mdn age 6.5 years). A pes planus foot posture (FPI score=8) and lower limb hypermobility (LLAS score=11) were observed. Changes in spatio-temporal gait parameters failed to reach significance (p>.012) following orthotic invention but demonstrated a trend towards a decreased cadence and increased double support duration. Despite non-significant findings this work offers preliminary support for podiatric intervention in the rehabilitation of children with DCD. Further work is required to understand the biomechanics of gait in children with DCD and appreciate the role of podiatry as a component of multidisciplinary care.

AB1146 Musculo-skeletal pain and joint hypermobility in children: A complex relationship

BackgroundBenign Joint Hypermobility Syndrome (BJHS), is a non-inflammatory condition of generalized joint hypermobility (GJH) associated with musculo-skeletal symptoms such as arthralgia or myalgia in absence of other defined rheumatic diseases....

Sa2014 Questionnaire Based Detection of Joint Hyper Mobility in Children Referred to a Tertiary Paediatric Gastroenterology Centre

Sa2014 Questionnaire Based Detection of Joint Hyper Mobility in Children Referred to a Tertiary Paediatric Gastroenterology Centre

Joint hypermobility in children with idiopathic scoliosis: SOSORT award 2011 winner

BackgroundGeneralized joint hypermobility (JHM) refers to increased joint mobility with simultaneous absence of any other systemic disease. JHM involves proprioception impairment, increased frequency of pain within joints and tendency to injure soft tissues while performing physical activities. Children with idiopathic scoliosis (IS) often undergo intensive physiotherapy requiring good physical capacities. Further, some physiotherapy methods apply techniques that increase joint mobility and thus may be contraindicated.The aim of this paper was to assess JHM prevalence in children with idiopathic scoliosis and to analyze the relationship between JHM prevalence and the clinical and radiological parameters of scoliosis. The methods of assessment of generalized joint hypermobility were also described.Materials and methodsThis case-control study included 70 subjects with IS, aged 9-18 years (mean 13.2 ± 2.2), Cobb angle range 10°-53° (mean 24.3 ± 11.7), 34 presenting single curve thoracic scoliosis and 36 double curve thoracic and lumbar scoliosis. The control group included 58 children and adolescents aged 9-18 years (mean 12.6 ± 2.1) selected at random. The presence of JHM was determined using Beighton scale complemented with the questionnaire by Hakim and Grahame. The relationship between JHM and the following variables was evaluated: curve severity, axial rotation of the apical vertebra, number of curvatures (single versus double), number of vertebrae within the curvature (long versus short curves), treatment type (physiotherapy versus bracing) and age.Statistical analysis was performed with Statistica 8.1 (StatSoft, USA). The Kolmogorov-Smirnov test, U Mann-Whitney test, Chi2 test, Pearson and Spermann correlation rank were conducted. The value p = 0.05 was adopted as the level of significance.ResultsJHM was diagnosed in more than half of the subjects with idiopathic scoliosis (51.4%), whilst in the control group it was diagnosed in only 19% of cases (p = 0.00015). A significantly higher JHM prevalence was observed in both girls (p = 0.0054) and boys (p = 0.017) with IS in comparison with the corresponding controls. No significant relation was found between JHM prevalence and scoliosis angular value (p = 0.35), apical vertebra rotation (p = 0.86), the number of vertebrae within curvature (p = 0.8), the type of applied treatment (p = 0.55) and the age of subjects (p = 0.79). JHM prevalence was found to be higher in children with single curve scoliosis than in children with double curve scoliosis (p = 0.03).ConclusionsJHM occurs more frequently in children with IS than in healthy sex and age matched controls. No relation of JHM with radiological parameters, treatment type and age was found. Systematically searched in IS children, JHM should be taken into account when physiotherapy is planned.

Beighton Score: A Valid Measure for Generalized Hypermobility in Children

To evaluate the validity of the Beighton score as a generalized measure of hypermobility and to measure the prevalence of hypermobility and pain in a random population of school age children. Prospective study of 551 children attending various Dutch elementary schools participated; 47% were males (258) and 53% (293) females, age range was 6 to 12 years. Children's joints and movements were assessed according to the Beighton score by qualified physiotherapists and by use of goniometry measuring 16 passive ranges of motion of joints on both sides of the body. More than 35% of children scored more than 5/9 on the Beighton score. Children who scored high on the Beighton score also showed increased range of motion in the other joints measured. Moreover 12.3% of children had symptoms of joint pain, and 9.1% complained of pain after exercise or sports. Importantly, this percentage was independent of the Beighton score. There were no significant differences in Beighton score for sex in this population. The Beighton score, when goniometry is used, is a valid instrument to measure generalized joint mobility in school-age children 6 to 12 years. No extra items are needed to improve the scale.

Orthotic Intervention for Thumb Hypermobiltiy: A Case Study and New Orthotic Design

1. To present the design of a new custom thermoplastic orthoses that addresses the occupational performance needs of a child with hypermobility at the IP joint of the thumb 2. To present the result s of a single case using this custom thermoplastic orthosis. 3. To examine the literature addressing thumb hypermobility in children and its effect on their occupational performance particularly in the acquisition of fine prehension for handwriting.

Joint hypermobility in children

Joint hypermobility in children

Laxitud articular: prevalencia y relación con dolor musculosquelético

(1) To determine the prevalence of joint hypermobility in children aged 4-14 years old without organic disease of the locomotor system; (2) to compare the prevalence of hypermobility in children with and without arthralgia and (3) to analyze the influence of certain variables on the development of arthralgia. We performed an observational study in a sample of children aged 4-14 years old living in Area 4 of the Community of Madrid (Spain). Joint hypermobility was evaluated using a goniometer. Hypermobility was defined using Beighton's criteria. A total of 222 subjects were analyzed: 176 in the primary care setting and 46 in the emergency department of a referral hospital. Of the 222 children, 43 reported arthralgia. The prevalence of hypermobility (> or = 4 criteria) was 55 % (123/222), reaching 71 % (49/69) in children aged less than 8 years. No significant differences were found in the prevalence of hypermobility in children with and without arthralgia (65 % and 53 % respectively). Of the variables analyzed (age, sex, country of origin, primary care/emergency department setting) only differences in the absolute number of Beighton criteria present in children with and without arthralgia (4.34 +/- 2.47 and 3.48 +/- 2.35, p = 0.03) were detected, which disappeared when at least four criteria (definition of hypermobility) were required. Fifty-five percent of the population studied and 71 % of those younger than 8 years old met the criteria for joint hypermobility. In the sample analyzed, the presence of joint hypermobility did not seem to favor the development of arthralgias.