Hypermobility Frequency in School Children: Relationship With Idiopathic Scoliosis, Age, Sex and Musculoskeletal Problems

Abstract

Objectives: This study aims to assess the prevalence of generalized joint hypermobility (GJH) in school children in relation to scoliosis and to identify musculoskeletal problems. Patients and methods: This cross-sectional study included 822 school children (413 males, 409 females; mean age 12.2±1.3 years; range, 10 and 15 years). Demographic characteristics of all children were recorded. The presence of GJH was assessed by the Beighton score (≥4 was considered joint hypermobility). Scoliosis screening consisted of forward bend test (FBT) and measurement of angle of trunk rotation (ATR). Positive FBT or ATR ≥5° was referred to a portable X-ray device. The presence of musculoskeletal complaints was determined by a questionnaire. Results: Children's body mass index (BMI) was 19.6±4.1. GJH was diagnosed in 151 subjects (18.4%). No significant association was detected between sex and hypermobility. Joint hypermobility was inversely correlated with age and BMI. Scoliosis was found in 43 subjects (5.2%) and all of them except one girl had mild scoliosis. The most common scoliosis pattern was a single left thoracolumbar curve. Seventy-three subjects (8.9%) had Cobb angle under 10°, with a potential for progression. Among subjects having GJH, the most common clinical finding was pes planus (34.3%) and the most common clinical symptom was ankle sprain (31.3%). Conclusion: Similar to that found in children from many countries, GJH is a common clinical condition in Turkish children. GJH should be assessed in the differential diagnosis of adolescents with musculoskeletal complaints for effective treatment and reducing morbidity. GJH should be considered in adolescents with scoliosis, which may be an important aspect in treatment.

The rate of intraspinal problems and clinical evaluation of scoliosis: A cross-sectional, descriptive study

“…[ 3 ] More than half of the cases with idiopathic scoliosis had GJH, consistent with 51.4% previously reported by Czaprowski et al[ 14 ] On the contrary, the presence of joint hypermobility was not found to be associated with the presence of scoliosis by Bozkurt et al[ 15 ] and no significant relationship between GJH prevalence and scoliosis curve size or curve pattern was reported. [ 15 , 16 ]…”

Scoliosis, life style and low back pain in adolescents

“…We did not find studies that investigated and found significant correlation between One investigation indicated that pes planus was one of the main features in children with generalized joint hypermobility (34). However, there is a statement that this is not so only in these children, but in all children (32). In the study conducted to estimate the (17,18,19).…”

“…The correlations between hypermobility and clinical symptoms are not clear. Authors concluded that generalized joint hypermobility should be considered in adolescents with scoliosis, which may be an important aspect in treatment(32). There is a report which showed that the occurrence of hypermobility was more frequent in patients with idiopathic scoliosis in comparison with healthy controls.…”

The Relationship Between Beighton Score and Walking Age in Children

“…16 Even though the number of women experiencing more joint hypermobility, but there is still no statistically significant correlation as in this study. 17 There has been no research on the relationship between ethnic groups in Indonesia and the Beighton score. However, several studies stated that the Asian race has a higher hypermobility value than the Caucasian race.…”