Assessing Joint Hypermobility in Preschool-Aged Children

Domenico Marco Romeo, Eugenio Maria Mercuri, Simona Lucibello, Elisa Musto, Claudia Brogna, Gloria Ferrantini, Chiara Velli, Francesco Cota, Daniela Ricci

Risultato della ricerca: Contributo in rivistaArticolo in rivista

12 Citazioni (Scopus)

Abstract

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 forearm” 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.
Lingua originaleEnglish
pagine (da-a)162-166
Numero di pagine5
RivistaJournal of Pediatrics
Volume176
DOI
Stato di pubblicazionePubblicato - 2016

Keywords

  • Beighton score
  • Pediatrics, Perinatology and Child Health
  • healthy children
  • hyperlaxity

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