Assessing Joint Hypermobility in Preschool-Aged Children

被引:20
作者
Romeo, Domenico M. [1 ]
Lucibello, Simona [1 ]
Musto, Elisa [1 ]
Brogna, Claudia [1 ,2 ]
Ferrantini, Gloria [1 ]
Velli, Chiara [1 ]
Cota, Francesco [3 ]
Ricci, Daniela [1 ,4 ]
Mercuri, Eugenio [1 ]
机构
[1] Univ Cattolica Sacro Cuore, Pediat Neurol Unit, Rome, Italy
[2] Univ Campus Biomed, Lab Mol Psychiat & Neurogenet, Unit Child & Adolescent NeuroPsychiat, Rome, Italy
[3] Univ Cattolica Sacro Cuore, Neonatal Intens Care Unit, Rome, Italy
[4] Natl Ctr Serv & Res Prevent Blindness & Rehabil V, Rome, Italy
关键词
SCHOOL-CHILDREN; MUSCULOSKELETAL PAIN; MOTOR DEVELOPMENT; BEIGHTON SCORE; PREVALENCE; DISORDER; SCHOOLCHILDREN; MOBILITY;
D O I
10.1016/j.jpeds.2016.05.072
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective To provide a revision of the Beighton score adapted for children younger than the age of 5 years, to apply the revised version in a cohort of preschool age children, and to verify the reliability of the revised version in a cohort of preschool children with genetic syndromes associated with hypermobility. Study design The revised Beighton score was applied in a population of preschool children to evaluate joint hypermobility in 5 parts of the body, bilaterally (passive dorsiflexion of the fifth finger; passive hyperextension of the elbow; passive hyperextension of the knee; passive apposition of the thumb to the flexor side of the forearm; passive dorsiflexion of the ankle joint). The frequency distribution of the total scores was calculated with a range between 0 and 10. Results A total of 284 healthy preschool children (146 boys and 138 girls) and 26 preschool children with genetic disorders (15 boys and 11 girls) were assessed. Mean age was 33.6 +/- 12.7 months. A score <= 4 was found in more than 90% of the whole cohort; therefore, a cut-off score >4 was used to identify hypermobility. Twenty-two of the 284 (7%) healthy children and 23 of the 26 children (89%) with genetic syndromes associated with hypermobility had a score >4. The joints reporting a greater incidence of hypermobility were "apposition of the thumb to the fore-arm" and "passive dorsiflexion of the ankle," in 34% and 22% respectively. No differences related to sex or age were observed. Conclusions The revised version of the Beighton score can be used to define generalized hypermobility for children up to 5 years of age and to assess and follow-up longitudinally patients with isolated hypermobility or those in whom the laxity is associated with other clinical features.
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收藏
页码:162 / 166
页数:5
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