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Türk okul çocuklarında hipermobilite: Kasiskelet ağrısı, fiziksel aktivite, denge, ve yaşam kalitesi

Yıl 2022, Cilt 12, Sayı 2, 403 - 409, 15.03.2022
https://doi.org/10.16899/jcm.1067861

Öz

Amaç Eklem hipermobilitesi, aşırı eklem hareket aralığını tanımlamak için kullanılan bir terimdir ve semptomatik olabilir. Bu çalışma öncelikle sağlıklı okul çocuklarında eklem hipermobilitesinin prevalansını belirlemeyi ve ikinci olarak hipermobilite ile ağrı, fiziksel aktivite, eklem yaralanması, yaşam kalitesi ve denge arasındaki ilişkiyi belirlemeyi amaçlamıştır. Gereç ve Yöntem Bu kesitsel çalışmada, 8-15 yaşları arasındaki 737 okul çocuğunun eklemleri hipermibilite açısından Beighton skoruna göre incelendi. Beighton skoru 6 eklem ve üzeri ise jeneralize eklem hipermobilitesi, 1 ile 5 arasında ise lokalize eklem hipermobilitesi, puan 0 ise hipermobil olmayan olarak kabul edildi. Katılımcılar ağrı, denge, fiziksel aktivite ve yaşam kalitesi için anketler veya testler kullanılarak değerlendirildi. Bulgular Katılımcıların 350'si (%47,5) erkek, 387'si (%52,5) kadın ve ortalama yaşları 11,47 ± 1,3 (8-15) yıldı. Jeneralize eklem hipermobilite prevalansı %13,4 idi. Çocukların %65,9'unda lokalize hipermobilite ve %20,6'sında hipermobilite olmadığını gözlemledik. Çocuklarda en sık ağrı lokalizasyonları boyun (%15,9), bel (%13,7), üst sırt (%10,6), omuzlar (%10,2) ve dizler (%7,9) idi. 8-15 yaş arası çocuklarda ağrı ve hipermobilite arasında anlamlı bir ilişki yoktu. Sonuç Jeneralize eklem hipermobilitesi olan çocuklar diğer gruplara göre daha genç, daha kısa ve daha inceydi. Ayrıca okul çağındaki Türk çocuklarında hipermobilite varlığının ağrı, yaşam kalitesi, fiziksel kapasite ve denge açısından fark yaratmadığını gözlemledik.

Kaynakça

  • 1. Remvig L, Flycht L, Christensen KB, et al. Lack of consensus on tests and criteria for generalized joint hypermobility, Ehlers-Danlos syndrome: hypermobile type and joint hypermobility syndrome. Am J Med Genet A 2014;164:591-6. doi: 10.1002/ajmg.a.36402.
  • 2. Malfait F, Francomano C, Byers P, et al. The 2017 international classification of the Ehlers-Danlos syndromes. American Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017;175:8-26. DOI 10.1002/ajmg.c.31552.
  • 3. Castori M, Tinkle B, Levy H, et al. A framework for the classification of joint hypermobility and related conditions. American Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017;175:148-157. DOI 10.1002/ajmg.c.31539.
  • 4. Scheper MC, Engelbert RH, Rameckers EA, et al. Children with generalised joint hypermobility and musculoskeletal complaints: state of the art on diagnostics, clinical characteristics, and treatment. Biomed Res Int 2013;121054. doi: 10.1155/2013/121054.
  • 5. Juul-Kristensen B, Røgind H, Jensen DV, et al. Inter-examiner reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility syndrome. Rheumatology 2007;46: 1835-41. doi: 10.1093/rheumatology/kem290.
  • 6. Morris SL, O'Sullivan PB, Murray KJ, et al. Hypermobility and Musculoskeletal Pain in Adolescents. J Pediatr 2017;181:213-21.e1. doi: 10.1016/j.jpeds.2016.09.060.
  • 7. Bulbena A, Duró JC, Porta M, et al. Clinical assessment of hypermobility of joints: assembling criteria. J Rheumatol 1992;19:115-22.
  • 8. Smits-Engelsman B, Klerks M, Kirby A. Beighton score: a valid measure for generalized hypermobility in children. Journal of Pediatrics 2011;158:119-23. DOI 10.1016/j.jpeds.2010.07.021.
  • 9. Sert Z, Temel A. İlköğretim Öğrencileri İçin Fiziksel Aktivite Soru Formunun Türk Toplumuna Uyarlanması: Geçerlilik Ve Güvenilirlik Çalışması. DEUHYO ED 2014;7:109-14.
  • 10. Sönmez S, Başbakkal Z. Türk Çocuklarının Pediatrik Yaşam Kalitesi 4. Envanterinin (PedsQL 4.) Geçerlilik ve Güvenirlilik Çalışması. Turkiye Klinikleri J Pediatr 2007;16:229-37.
  • 11. Crocker PRE, Bailey DA, Faulkner RA, et al. Measuring general levels of physical activity: preliminary evidence for the physical activity questionnaire for older children. Medicine and Science in Sports and Exercise 1997;29:1344-49.
  • 12. Varni JW, Seid M, Kurtin PS. PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care 2001;39:800-12. doi: 10.1097/00005650-200108000-00006.
  • 13. Adam C, Klissouras V, Ravazzolo M, et al. Euro fit: European Test of Physical Fitness. Rome, Italy: Council of Europe, Committee for the Development of Sport; 1988. American Diabetes Association. Type 2 Diabetes in Children and Adolescents. Pediatrics 2000;105.
  • 14. Seçkin U, Tur BS, Yilmaz O, et al. The prevalence of joint hypermobility among high school students. Rheumatol Int 2005;25:260-3.
  • 15. Yıldırım Y, Yılmaz S, Ayhan E, et al. The frequency of joint hypermobility ın healthy schoolchildren. Turk Pediatri Ars 2005;40:83-6.
  • 16. Bozkurt S, Kayalar G, Tezel N, et al. Hypermobility Frequency in School Children: Relationship With Idiopathic Scoliosis, Age, Sex and Musculoskeletal Problems. Arch Rheumatol 2018;34:268-273. doi: 10.5606/ArchRheumatol.2019.7181.
  • 17. Cheng JC, Chan PS, Hui PW. Joint laxity in children. J Pediatr Orthop 1991;11:752-6.
  • 18. Butt HI, Tarar SH, Choudhry MA, et al. A study of joint hypermobility in schoolchildren of Rawalpindi/Islamabad, Pakistan: Prevalence and symptomatic features. PJMHS 2014;8:372-5.
  • 19. Hasija RP, Khubchandani RP, Shenoi S. Joint hypermobility in Indian children. Clin Exp Rheumatol 2008;26:146-50.
  • 20. Ziaee V, Moradinejad M. Joint hypermobility in the Iranian school students. Pediatr Rheumatol 2008;6:168.
  • 21. Leone V, Tornese G, Zerial M, et al. Joint hypermobility and its relationship to musculoskeletal pain in schoolchildren: a cross-sectional study. Arch Dis Child 2009;94:627-32. doi: 10.1136/adc.2008.150839.
  • 22. Clinch J, Deere K, Sayers A, et al. Epidemiology of generalized joint laxity (hypermobility) in fourteen-year-old children from the UK: A population-based evaluation. Arthritis Rheumatol 2011;63:2819-27.
  • 23. Remvig L, Kümmel C, Kristensen JH, et al. Prevalence of generalized joint hypermobility, arthralgia and motor competence in 10-year-old schoolchildren. Intern Musculoskelet Med 2013;33:137-45.
  • 24. Romeo DM, Lucibello S, Musto E, et al. Assessing joint hypermobility in preschool-aged children. J Pediatr 2016;176:162-6.
  • 25. Qvindesland A, Jónsson H. Articular hypermobility in Icelandic 12-year-olds. Rheumatology 1999;38:1014-6.
  • 26. El-Garf AK, Mahmoud GA, Mahgoub EH. Hypermobility among Egyptian children: Prevalence and features. J Rheumatol 1998;25:1003-5.
  • 27. Lamari NM, Chueire AG, Cordeiro JA. Analysis of joint mobility patterns among preschool children. Sao Paulo Med J 2005;123:119-23.
  • 28. Sohrbeck-Nøhr O, Kristensen JH, Boyle E, et al. Generalized joint hypermobility in childhood is a possible risk for the development of joint pain in adolescence: a cohort study. BMC Pediatr 2014;14:302. doi: 10.1186/s12887-014-0302-7.
  • 29. Sirajudeen MS, Waly M, Alqahtani M, et al. Generalized joint hypermobility among school-aged children in Majmaah region, Saudi Arabia. PeerJ 2020;8:e9682. doi: 10.7717/peerj.9682.
  • 30. Abujam B, Aggarwal A. Hypermobility is related with musculoskeletal pain in Indian schoolchildren. Clin Exp Rheumatol 2014;32:610-3.
  • 31. Tobias JH, Deere K, Palmer S, et al. Clinch J. Joint hypermobility is a risk factor for musculoskeletal pain during adolescence: findings of a prospective cohort study. Arthritis Rheum 2013;65:1107-15. doi: 10.1002/art.37836.
  • 32. Reuter PR, Fichthorn KR. Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students. PeerJ 2019;7:e7625. doi: 10.7717/peerj.7625.
  • 33. Russek LN, Errico DM. Prevalence, injury rate and, symptom frequency in generalized joint laxity and joint hypermobility syndrome in a "healthy" college population. Clin Rheumatol 2016;35:1029-39. doi: 10.1007/s10067-015-2951-9.
  • 34. Ruperto N, Malattia C, Bartoli M, et al. Functional ability and physical and psychosocial well-being of hypermobile schoolchildren. Clin Exp Rheumatol 2004;22:495-8.
  • 35. Pacey V, Tofts L, Adams RD, et al. Quality of life prediction in children with joint hypermobility syndrome. J Paediatr Child Health 2015;51:689-95. doi: 10.1111/jpc.12826.
  • 36. Mu W, Muriello M, Clemens JL, et al. Factors affecting quality of life in children and adolescents with hypermobile Ehlers-Danlos syndrome/hypermobility spectrum disorders. Am J Med Genet A 2019;179:561-9. doi: 10.1002/ajmg.a.61055.
  • 37. Juul-Kristensen B, Kristensen JH, Frausing B, et al. Motor competence and physical activity in 8-year-old schoolchildren with generalized joint hypermobility. Pediatrics 2009;124:1380-7. doi: 10.1542/peds.2009-0294.

Hypermobility in Turkish schoolchildren: Musculoskeletal pain, physical activity, balance, and quality of life

Yıl 2022, Cilt 12, Sayı 2, 403 - 409, 15.03.2022
https://doi.org/10.16899/jcm.1067861

Öz

Aim Joint hypermobility is a term used to describe an excessive range of joint motion. Joint hypermobility can be symptomatic or not. The present study aimed primarily to define the prevalence of joint hypermobility in healthy schoolchildren, and secondly, to determine the relationship between hypermobility and pain, physical activity, joint injury, quality of life, and balance. Materials and Methods In this cross-sectional study, the joints of 737 schoolchildren, aged 8 to 15 years, were examined according to the Beighton score (BS). Generalized joint hypermobility was defined by using a cut-off point of ≥6 joints. The participants with a BS between 1 and 5 were accepted as localized hypermobile. If the Beighton score was 0, the participants were accepted as non-hypermobile. Participants were evaluated using questionnaires or tests for pain, balance, physical activity, and quality of life. Results The 350 (47.5%) males and 387 (52.5%) females had a mean age of 11.47 ± 1.3 (8-15) years. The prevalence of generalized hypermobility was 13.4%, and we observed localized hypermobility in 65.9% of children and non-hypermobility in 20.6% of children. The most common pain localizations in children were neck (15.9%), lower back (13.7%), upper back (10.6%), shoulders (10.2%), and knees (7.9%). There was no association between pain and hypermobility in children aged 8 to 15 years. Conclusion The generalized joint hypermobility group was younger, shorter, and thinner than other groups. Additionally, we observed that hypermobility did not make a difference in terms of pain, quality of life, physical capacity, and balance in school-age Turkish children.

Kaynakça

  • 1. Remvig L, Flycht L, Christensen KB, et al. Lack of consensus on tests and criteria for generalized joint hypermobility, Ehlers-Danlos syndrome: hypermobile type and joint hypermobility syndrome. Am J Med Genet A 2014;164:591-6. doi: 10.1002/ajmg.a.36402.
  • 2. Malfait F, Francomano C, Byers P, et al. The 2017 international classification of the Ehlers-Danlos syndromes. American Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017;175:8-26. DOI 10.1002/ajmg.c.31552.
  • 3. Castori M, Tinkle B, Levy H, et al. A framework for the classification of joint hypermobility and related conditions. American Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017;175:148-157. DOI 10.1002/ajmg.c.31539.
  • 4. Scheper MC, Engelbert RH, Rameckers EA, et al. Children with generalised joint hypermobility and musculoskeletal complaints: state of the art on diagnostics, clinical characteristics, and treatment. Biomed Res Int 2013;121054. doi: 10.1155/2013/121054.
  • 5. Juul-Kristensen B, Røgind H, Jensen DV, et al. Inter-examiner reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility syndrome. Rheumatology 2007;46: 1835-41. doi: 10.1093/rheumatology/kem290.
  • 6. Morris SL, O'Sullivan PB, Murray KJ, et al. Hypermobility and Musculoskeletal Pain in Adolescents. J Pediatr 2017;181:213-21.e1. doi: 10.1016/j.jpeds.2016.09.060.
  • 7. Bulbena A, Duró JC, Porta M, et al. Clinical assessment of hypermobility of joints: assembling criteria. J Rheumatol 1992;19:115-22.
  • 8. Smits-Engelsman B, Klerks M, Kirby A. Beighton score: a valid measure for generalized hypermobility in children. Journal of Pediatrics 2011;158:119-23. DOI 10.1016/j.jpeds.2010.07.021.
  • 9. Sert Z, Temel A. İlköğretim Öğrencileri İçin Fiziksel Aktivite Soru Formunun Türk Toplumuna Uyarlanması: Geçerlilik Ve Güvenilirlik Çalışması. DEUHYO ED 2014;7:109-14.
  • 10. Sönmez S, Başbakkal Z. Türk Çocuklarının Pediatrik Yaşam Kalitesi 4. Envanterinin (PedsQL 4.) Geçerlilik ve Güvenirlilik Çalışması. Turkiye Klinikleri J Pediatr 2007;16:229-37.
  • 11. Crocker PRE, Bailey DA, Faulkner RA, et al. Measuring general levels of physical activity: preliminary evidence for the physical activity questionnaire for older children. Medicine and Science in Sports and Exercise 1997;29:1344-49.
  • 12. Varni JW, Seid M, Kurtin PS. PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care 2001;39:800-12. doi: 10.1097/00005650-200108000-00006.
  • 13. Adam C, Klissouras V, Ravazzolo M, et al. Euro fit: European Test of Physical Fitness. Rome, Italy: Council of Europe, Committee for the Development of Sport; 1988. American Diabetes Association. Type 2 Diabetes in Children and Adolescents. Pediatrics 2000;105.
  • 14. Seçkin U, Tur BS, Yilmaz O, et al. The prevalence of joint hypermobility among high school students. Rheumatol Int 2005;25:260-3.
  • 15. Yıldırım Y, Yılmaz S, Ayhan E, et al. The frequency of joint hypermobility ın healthy schoolchildren. Turk Pediatri Ars 2005;40:83-6.
  • 16. Bozkurt S, Kayalar G, Tezel N, et al. Hypermobility Frequency in School Children: Relationship With Idiopathic Scoliosis, Age, Sex and Musculoskeletal Problems. Arch Rheumatol 2018;34:268-273. doi: 10.5606/ArchRheumatol.2019.7181.
  • 17. Cheng JC, Chan PS, Hui PW. Joint laxity in children. J Pediatr Orthop 1991;11:752-6.
  • 18. Butt HI, Tarar SH, Choudhry MA, et al. A study of joint hypermobility in schoolchildren of Rawalpindi/Islamabad, Pakistan: Prevalence and symptomatic features. PJMHS 2014;8:372-5.
  • 19. Hasija RP, Khubchandani RP, Shenoi S. Joint hypermobility in Indian children. Clin Exp Rheumatol 2008;26:146-50.
  • 20. Ziaee V, Moradinejad M. Joint hypermobility in the Iranian school students. Pediatr Rheumatol 2008;6:168.
  • 21. Leone V, Tornese G, Zerial M, et al. Joint hypermobility and its relationship to musculoskeletal pain in schoolchildren: a cross-sectional study. Arch Dis Child 2009;94:627-32. doi: 10.1136/adc.2008.150839.
  • 22. Clinch J, Deere K, Sayers A, et al. Epidemiology of generalized joint laxity (hypermobility) in fourteen-year-old children from the UK: A population-based evaluation. Arthritis Rheumatol 2011;63:2819-27.
  • 23. Remvig L, Kümmel C, Kristensen JH, et al. Prevalence of generalized joint hypermobility, arthralgia and motor competence in 10-year-old schoolchildren. Intern Musculoskelet Med 2013;33:137-45.
  • 24. Romeo DM, Lucibello S, Musto E, et al. Assessing joint hypermobility in preschool-aged children. J Pediatr 2016;176:162-6.
  • 25. Qvindesland A, Jónsson H. Articular hypermobility in Icelandic 12-year-olds. Rheumatology 1999;38:1014-6.
  • 26. El-Garf AK, Mahmoud GA, Mahgoub EH. Hypermobility among Egyptian children: Prevalence and features. J Rheumatol 1998;25:1003-5.
  • 27. Lamari NM, Chueire AG, Cordeiro JA. Analysis of joint mobility patterns among preschool children. Sao Paulo Med J 2005;123:119-23.
  • 28. Sohrbeck-Nøhr O, Kristensen JH, Boyle E, et al. Generalized joint hypermobility in childhood is a possible risk for the development of joint pain in adolescence: a cohort study. BMC Pediatr 2014;14:302. doi: 10.1186/s12887-014-0302-7.
  • 29. Sirajudeen MS, Waly M, Alqahtani M, et al. Generalized joint hypermobility among school-aged children in Majmaah region, Saudi Arabia. PeerJ 2020;8:e9682. doi: 10.7717/peerj.9682.
  • 30. Abujam B, Aggarwal A. Hypermobility is related with musculoskeletal pain in Indian schoolchildren. Clin Exp Rheumatol 2014;32:610-3.
  • 31. Tobias JH, Deere K, Palmer S, et al. Clinch J. Joint hypermobility is a risk factor for musculoskeletal pain during adolescence: findings of a prospective cohort study. Arthritis Rheum 2013;65:1107-15. doi: 10.1002/art.37836.
  • 32. Reuter PR, Fichthorn KR. Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students. PeerJ 2019;7:e7625. doi: 10.7717/peerj.7625.
  • 33. Russek LN, Errico DM. Prevalence, injury rate and, symptom frequency in generalized joint laxity and joint hypermobility syndrome in a "healthy" college population. Clin Rheumatol 2016;35:1029-39. doi: 10.1007/s10067-015-2951-9.
  • 34. Ruperto N, Malattia C, Bartoli M, et al. Functional ability and physical and psychosocial well-being of hypermobile schoolchildren. Clin Exp Rheumatol 2004;22:495-8.
  • 35. Pacey V, Tofts L, Adams RD, et al. Quality of life prediction in children with joint hypermobility syndrome. J Paediatr Child Health 2015;51:689-95. doi: 10.1111/jpc.12826.
  • 36. Mu W, Muriello M, Clemens JL, et al. Factors affecting quality of life in children and adolescents with hypermobile Ehlers-Danlos syndrome/hypermobility spectrum disorders. Am J Med Genet A 2019;179:561-9. doi: 10.1002/ajmg.a.61055.
  • 37. Juul-Kristensen B, Kristensen JH, Frausing B, et al. Motor competence and physical activity in 8-year-old schoolchildren with generalized joint hypermobility. Pediatrics 2009;124:1380-7. doi: 10.1542/peds.2009-0294.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

Zahide EKİCİ TEKİN (Sorumlu Yazar)
Ankara Şehir Hastanesi
0000-0002-5446-667X
Türkiye


Gülçin OTAR YENER
Şanlıurfa Eğitim Araştırma Hastanesi
0000-0003-2575-6309
Türkiye


Hande ŞENOL
PAMUKKALE UNIVERSITY, SCHOOL OF MEDICINE
0000-0001-6395-7924
Türkiye


Bilge BAŞAKCI ÇALIK
PAMUKKALE UNIVERSITY, DENİZLİ HEALTH ACADEMY
0000-0002-7267-7622
Türkiye


Selcuk YUKSEL
PAMUKKALE UNIVERSITY, SCHOOL OF MEDICINE
0000-0001-9415-1640
Türkiye

Destekleyen Kurum yok
Proje Numarası yok
Erken Görünüm Tarihi 1 Ocak 2022
Yayımlanma Tarihi 15 Mart 2022
Kabul Tarihi 16 Şubat 2022
Yayınlandığı Sayı Yıl 2022, Cilt 12, Sayı 2

Kaynak Göster

AMA Ekici Tekin Z. , Otar Yener G. , Şenol H. , Başakcı Çalık B. , Yuksel S. Hypermobility in Turkish schoolchildren: Musculoskeletal pain, physical activity, balance, and quality of life. J Contemp Med. 2022; 12(2): 403-409.