scholarly journals Comparing sagittal plane kinematics and kinetics of gait and stair climbing between hypermobile and non-hypermobile people; a cross-sectional study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Alexander Vernon Bates ◽  
Alison H. McGregor ◽  
Caroline M. Alexander
Keyword(s):  
Sagittal Plane ◽  
Statistical Parametric Mapping ◽  
Joint Hypermobility ◽  
Stair Climbing ◽  
Stride Time ◽  
Beighton Score ◽  
Cross Sectional ◽  
Lower Velocity ◽  
Study Objective ◽  
Significant Difference

Abstract Background Joint Hypermobility Syndrome (JHS) presents with a range of symptoms including widespread joint hypermobility and chronic arthralgia. The study objective was to investigate whether impairments in JHS are due to hypermobility or another factor of JHS by identifying impairments in gait and stair-climbing tasks; an activity that is demanding and so may better show differences between the cohorts. Methods Sixty-eight adults participated; 23 JHS, 23 Generalised Joint Hypermobility (GJH), and 22 Normal Flexibility (NF). Inclusion criteria for JHS participants were a positive classification using the Brighton Criteria, for GJH a Beighton Score ≥ 4, and for NF a Beighton Score < 4 with no hypermobile knees. Participants were recorded with a 10-camera Vicon system whilst they performed gait and stair-climbing. Temporal-spatial, and sagittal plane kinematic and kinetic outcome measures were calculated and input to statistical analyses by statistical parametric mapping (SPM). Results During the gait activity JHS had significantly greater stride time and significantly lower velocity than NF, and significantly greater stride time, lower velocity, and lower stride length than GJH. SPM analysis showed no significant differences between groups in gait kinematics. There were significant differences between groups for gait moments and powers; people with JHS tended to have lower moments and generate less power at the ankle, and favour power generation at the knee. A similar strategy was present in stair ascent. During stair descent people with JHS showed significantly more hip flexion than people with NF. Conclusions As there was only one significant difference between GJH and NF we conclude that impairments cannot be attributed to hypermobility alone, but rather other factor(s) of JHS. The results show that both gait and stair-climbing is impaired in JHS. Stair-climbing results indicate that JHS are using a knee-strategy and avoiding use of the ankle, which may be a factor for clinicians to consider during treatment.

scholarly journals Generalized Joint Hypermobility among School-going children in Majmaah region, Saudi Arabia

2019 ◽  
Author(s):  
Mohamed Sherif Sirajudeen ◽  
Mohamed Waly ◽  
Mazen Alqahtani ◽  
Msaad Alzhrani ◽  
Hariraja Muthusamy ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
School Children ◽  
Personal Characteristics ◽  
Joint Hypermobility ◽  
Primary School Children ◽  
Cutoff Score ◽  
Score Distribution ◽  
Beighton Score ◽  
Cross Sectional ◽  
Generalized Joint Hypermobility

Abstract Background Generalized Joint Hypermobility (GJH) is common among schoolchildren and usually benign. However, progressively may lead to joint pain and developmental delay. Identifying the GJH at the school-age would facilitate to monitor early changes and to plan for early rehabilitative intervention. Hence, we aimed to determine the prevalence, pattern, and factors associated with the GJH among school-going children in the Majmaah region, Saudi Arabia. Methods The school children of both genders aged 8 to 14 years from the Majmaah region of Saudi Arabia participated in this cross-sectional study. The Beighton’s score was used to assess the joint hypermobility. Personal characteristics like age, height, weight, Body mass index (BMI), and handedness was also collected. Descriptive statistics were produced for personal characteristics, the point prevalence of hypermobility, frequency of Beighton score distribution, and prevalence of GJH. The association between specific factors and the presence of GJH was analyzed using Chi-square tests and logistic regression measures. Results The occurrence of GJH as defined by Beighton cutoff score ≥ 4 in the 303 participated primary school children was 15.2%. The prevalence of GJH was high among females (16.8%) compared to males (13.4%), but this difference is not statistically significant. Younger male children (age 8 to 11 years) were 16.7 times more probable to develop hypermobility (adjusted OR 0.06 [95% CI 0.01 – 0.56]) compared to older male children (age 12 to 14 years). No associations were observed among female children. Conclusion The prevalence rate reported in this study among school-going children was in the lower range in comparison with the rates reported across the globe. Beighton score of ≥4 was adequate for use in identifying GJH among children in Saudi Arabia.

The Relationship Between Beighton Score and Walking Age in Children

2021 ◽  
Vol 71 (1) ◽  
pp. 5-10
Author(s):  
Lavenia Kurniawati ◽  
Indrayuni Lukitra Wardhani ◽  
Nur Rochmah ◽  
Sulistiawati
Keyword(s):  
Joint Hypermobility ◽  
Beighton Score ◽  
Design Data ◽  
Cross Sectional ◽  
Walking Age ◽  
Physical Examinations ◽  
Score Method ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Research Type

Introduction: Studies showed that the condition of joint hypermobility is quite common in children. In general, joint hypermobility asses through the Beighton score method. The objective of this research was to investigate the relationship between beighton score and walking age in children.Method: This research was conducted at a kindergarten in Surabaya using an observational analytic research type and a cross-sectional design. Data collected through interviews and physical examinations. A joint hypermobility examination performed using the Beighton score criteria. Meanwhile data was analyzed using the crosstabulation and Spearman test.Result: It was found that 84% of children had ≥4/9 score on the Beighton score and there were 92% with positive Beighton score in the knee joint. In this study, as many as 20 children experienced the first independent walks over 18 months when 18 of them who has Beighton score ≥4 points. However, there is no correlation found on the Beighton score and the walking age [sig. (2-tailed) = 0.053].Conclusion: Children who have ≥4 points of Beighton score are mostly found in this study. The relationship between the Beighton score and walking age was not statistically significant.

Prediction of ischial ramal angle for transfemoral ischial containment sockets

2018 ◽  
Vol 43 (1) ◽  
pp. 39-46
Author(s):  
Matthew Quigley ◽  
Michael P Dillon ◽  
Richard GD Fernandez ◽  
Bircan Erbas ◽  
Chris Briggs
Keyword(s):  
Regression Models ◽  
Sagittal Plane ◽  
Cross Sectional Study ◽  
Average Error ◽  
Cross Sectional ◽  
In Vivo Measurement ◽  
Knowing That ◽  
Significant Difference ◽  
Computed Tomography Scans

Background: A well-fitting and comfortable ischial containment socket relies on accurately replicating the transverse plane angle of the ischium and ischial ramus angle, inside the medial socket brim. Prediction of the ischial ramus angle, may provide a way to determine the ischial ramus angle without in vivo measurement. Objectives: To determine the accuracy with which the ischial ramus angle could be predicted and identify which variables contributed significantly to the prediction. Study design: Cross-sectional study. Methods: Computed tomography scans were randomly sampled from a cadaveric database (n = 200). Standard multiple regression models were developed to predict the ischial ramus angle based on pelvic measures. Results: The regression model explained 10.5% of the variance in ischial ramus angle (p = 0.018). The standard error of the estimate was 11.32°. While regression models by sex explained a larger proportion of the variance, the resulting accuracy was not improved. Conclusion: The regression models explained a small proportion of variance in ischial ramus angle. The average error associated with the prediction was too large to accurately predict the ischial ramus angle for use in clinical practice. Contrary to commonly held beliefs, there was no statistically significant difference in ischial ramus angle between sexes. Clinical relevance Prediction of ischial ramus angle does not have sufficient accuracy to be clinically useful, but descriptive data may help clinicians identify casting errors and correct these in a plaster positive, knowing that the average ischial ramus angle was 32.65°±5.59° (relative to mid-sagittal plane) and does not vary between sexes.

No Effect of Generalized Joint Hypermobility on Injury Risk in Elite Female Soccer Players: A Prospective Cohort Study

2016 ◽  
Vol 45 (2) ◽  
pp. 286-293 ◽  
Author(s):  
Donna Blokland ◽  
Karin M. Thijs ◽  
Frank J.G. Backx ◽  
Edwin A. Goedhart ◽  
Bionka M.A. Huisstede
Keyword(s):  
Risk Factor ◽  
Cohort Study ◽  
Joint Hypermobility ◽  
Ankle Injuries ◽  
Soccer Players ◽  
Injury Incidence ◽  
Beighton Score ◽  
Generalized Joint Hypermobility ◽  
Significant Difference ◽  
Cutoff Points

Background: Although it has been suggested that generalized joint hypermobility (GJH) is a risk factor for injury in soccer players, it remains unclear whether this applies to elite female soccer players. Purpose: To investigate whether GJH is a risk factor for injury in elite female soccer players. Study Design: Cohort study; Level of evidence, 2. Methods: Elite female soccer players in the Netherlands were screened at the start of the 2014-2015 competitive season. GJH was assessed using the Beighton score. Soccer injuries and soccer exposure were registered throughout the entire season. Poisson regression was performed to calculate incidence risk ratios (IRRs) using different cutoff points of the Beighton score (≥3, ≥4, and ≥5) to indicate GJH. Results: Of the 114 players included in the study, 20 were classified as hypermobile (Beighton score ≥4). The mean (±SD) injury incidence per player was 8.40 ± 9.17 injuries/1000 hours of soccer, with no significant difference between hypermobile and nonhypermobile players. GJH was not a risk factor for injuries when using Beighton score cutoff points of ≥3 (IRR = 1.06 [95% CI, 0.74-1.50]; P = .762), ≥4 (IRR = 1.10 [95% CI, 0.72-1.68]; P = .662), or ≥5 (IRR = 1.15 [95% CI, 0.68-1.95]; P = .602). Similarly, GJH was not a significant risk factor for thigh, knee, or ankle injuries evaluated separately. Conclusion: This study indicates that GJH is not a risk factor for injuries in elite female soccer players, irrespective of Beighton score cutoff point. Hypermobile players at this elite level might have improved their active stability and/or used braces to compensate for joint laxity.

scholarly journals Generalized joint hypermobility among school-aged children in Majmaah region, Saudi Arabia

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e9682
Author(s):  
Mohamed Sherif Sirajudeen ◽  
Mohamed Waly ◽  
Mazen Alqahtani ◽  
Msaad Alzhrani ◽  
Fahad Aldhafiri ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Personal Characteristics ◽  
Epidemiological Studies ◽  
Joint Hypermobility ◽  
Score Distribution ◽  
Gulf Region ◽  
Beighton Score ◽  
Cross Sectional ◽  
School Aged Children ◽  
Generalized Joint Hypermobility

Generalized joint hypermobility (GJH) is common among schoolchildren and usually benign. However, it may progressively lead to joint pain and developmental delay. Identifying GJH in school-aged children would facilitate the monitoring of early changes and planning for early rehabilitative intervention. Epidemiological studies addressing the prevalence of GJH among children in the Gulf region and Arab ethnicity are lacking. Hence, we aimed to determine the prevalence, pattern, and factors associated with GJH among school-aged children in the Majmaah region, Saudi Arabia. Male and female school-aged children 8–14 years of age from the Majmaah region of Saudi Arabia participated in this cross-sectional study. Beighton score was used to assess GJH. Personal characteristics such as age, height, weight, body mass index, and handedness were also collected. Descriptive statistics were obtained for personal characteristics, the point prevalence of hypermobility, frequency of Beighton score distribution, and prevalence of GJH. The associations between specific factors and the presence of GJH were analyzed using chi-square and Mann-whitney tests. Using the Beighton score cutoff ≥ 4 and ≥ 6, 15.2% and 7.6% of the school children in our study were diagnosed with GJH respectively. The prevalence of GJH was higher among females (16.8%) than among males (13.4%), but the difference was not statistically significant. The elbow joints (17.2%) were the most common hypermobile joints and the trunk (0.7%) was the least involved. The children with GJH were younger and had lesser BMI compared to children without GJH (P < 0.05). The prevalence reported in this study among school-aged children was comparable with those reported worldwide.

scholarly journals Postural analysis in female Bharatanatyam dancers: a cross-sectional study

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Vrushali P. Panhale ◽  
Prachita P. Walankar ◽  
Aishwarya Sridhar
Keyword(s):  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Pelvic Tilt ◽  
Sagittal Plane ◽  
Cross Sectional Study ◽  
The Body ◽  
Cervical Lordosis ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference

Abstract Background Gaining proficiency in Bharatanatyam dance form necessitates maintenance of different postures for prolonged duration. These repetitive movements place tremendous physical demands on the body at young age and may alter the postural profile of the dancer. The study aimed to evaluate the differences in terms of posture between female Bharatanatyam dancers and age-matched non-dancers. A cross-sectional study was conducted in 40 female Bharatanatyam dancers and 40 age-matched female non-dancers in the age group of 18 to 30 years. Analysis of erect standing posture of dancers and non-dancers was conducted in a reserved environment using a photogrammetric method. Static photographs of the subjects were taken in the sagittal plane. The measurement of the angles of the digitized photographs was performed using KINOVEA 0.8.15 software. Head protrusion angle, cervical lordosis angle, thoracic kyphosis angle, lumbar lordosis angle, and pelvic tilt angle were evaluated. Results There was no significant difference between the dancers and non-dancers with respect to head protrusion angle (p = 0.081), cervical lordosis (p = 0.15), and thoracic kyphosis (p = 0.33). Significant differences were identified between the dancers and non-dancers for lumbar lordosis (p = 0.00) and pelvic tilt (p = 0.00) using independent t test with dancers. Higher values of lumbar lordosis and pelvic tilt were observed in dancers. Conclusion Increased lumbar lordosis and anterior pelvic tilt were observed in Bharatanatyam dancers as compared to non-dancers. Hence, it is vital to establish preventive measures like postural re-education, muscular balance, and flexibility to prevent erroneous postural patterns capable of causing pain and injuries.

scholarly journals HUBUNGAN GENERALIZED JOINT HYPERMOBILITY (GJH) DENGAN KESEIMBANGAN STATIS PADA PENARI DI KOTA DENPASAR

2020 ◽  
Vol 8 (2) ◽  
pp. 37
Author(s):  
Elfiera Kang ◽  
Ni Luh Nopi Andayani ◽  
Nila Wahyuni ◽  
Luh Putu Ratna Sundari
Keyword(s):  
Joint Hypermobility ◽  
Beighton Score ◽  
Cross Sectional ◽  
Generalized Joint Hypermobility ◽  
Spearman's Rho ◽  
Spearman’S Rho

Keseimbangan adalah komponen yang penting dalam kehidupan manusia. Keseimbangan terdiri dari keseimbangan statis dan dinamis. Keseimbangan statis adalah dasar terbentuknya keseimbangan dinamis. Jika keseimbangan statis terganggu, keseimbangan dinamis pun akan mengalami gangguan. Menari adalah aktivitas yang membutuhkan fungsi keseimbangan yang tinggi. Gerakan tarian yang repetitif dan melebihi lingkup gerak sendi dapat menyebabkan kondisi generalized joint hypermobility (GJH) pada penari. Tujuan Penelitian ini adalah untuk dapat menganalisis adanya hubungan antara generalized joint hypermobility (GJH) dengan keseimbangan statis pada penari di Kota Denpasar. Metode pada penelitian ini merupakan penelitian analitik cross sectional yang dilakukan pada bulan April-Mei 2019. Jumlah sampel pada penelitian ini adalah 48 perempuan usia 16-25 tahun. Variabel independen yang diukur ialah generalized joint hypermobility (GJH) dengan menggunakan beighton score. Pengukuran variabel dependen, yaitu keseimbangan statis dilakukan dengan standing stork test. Uji korelasi dengan uji Spearman’s Rho menunjukan hasil p = 0,000 (p<0,05). Hasil tersebut menunjukkan hubungan yang signifikan antara generalized joint hypermobility (GJH) dengan keseimbangan statis pada penari usia 16-25 tahun di Kota Denpasar.

ANATOMICAL STUDY OF THE IDEAL POSITIONING OF THE S2 ILIAC SCREW

2021 ◽  
Vol 20 (4) ◽  
pp. 282-286
Author(s):  
Italo Cordeiro de Barros Izaías ◽  
Lucilo S. de A. Maranhão Neto ◽  
André Flávio Freire Pereira ◽  
Marcus André Costa Ferreira ◽  
Rodrigo Castro de Medeiros ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Pelvic Ring ◽  
Anatomical Study ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Sacroiliac Screw ◽  
Screw Length ◽  
Significant Difference ◽  
Iliac Screw ◽  
The Ideal

ABSTRACT Objective: To evaluate the morphometry of the pelvis to determine the safe trajectory for the insertion of the S2-iliac screw, and to correlate it with studies reported in the literature for other populations. Method: The computed tomography (CT) pelvic exams of 36 Brazilian patients without congenital malformations, tumors, pelvic ring fractures or dysplasias were selected from the database of a radiological clinic. To define the ideal trajectory of the S2-iliac screw, the following variables were measured: 1- maximum sacroiliac screw length; 2- thickness of the iliac dipole for planning the choice of screw dimensions (length and diameter); 3 - distance between the insertion point of the iliac S2 screw and the posterior sacral cortex; 4 - angulation for insertion of the screw in the mediolateral direction, representing the angle formed between the “iliac line” and the anatomical sagittal plane; 5- Angulation for insertion of the screw in the craniocaudal direction. The Pearson's chi squared and student's t tests were used for statistical analysis. Results: The sample consisted of 36 patients, 50% (18/36) of whom were women. The mean age was 63.7 years, ranging from 23 to 96 years. All the pelvic morphometric variables analyzed presented values similar to those described in the literature for other populations. Conclusion: Prior evaluation of the tomography exams was important for preoperative planning, and there was a statistically significant difference between the sexes only in relation to the variables left craniocaudal and length of the left internal table. Level of evidence III; Observational cross-sectional study.

The determinants of staff retention after Emergency Obstetrics and Newborn Care training in Kenya: A cross- sectional study

2021 ◽  
Author(s):  
Duncan N. Shikuku ◽  
Irene Nyaoke ◽  
Martin Eyinda ◽  
Sylvia Gichuru ◽  
Onesmus Maina ◽  
...  
Keyword(s):  
Transfer Rate ◽  
Maternal Mortality Ratio ◽  
Newborn Care ◽  
Staff Retention ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Study Objective ◽  
Significant Difference ◽  
Trained Staff ◽  
Nurse Midwives

Abstract Introduction Kenya’s maternal mortality ratio is relatively high at 342/100,000 live births. Confidential enquiry into maternal deaths showed that 90% of the maternal deaths received substandard care with health workforce related factors identified in 75% of 2015/2016 maternal deaths. Competent Skilled Health Personnel (SHP) providing emergency obstetric and newborn care (EmOC) in an enabling environment reduces the risk of adverse maternal and newborn outcomes. The study objective was to identify factors that determine the retention of SHP 1 – 5 years after EmOC training in Kenya.Methods A cross-sectional review of EmOC SHP in five counties (Kilifi, Taita Taveta, Garissa, Vihiga and Uasin Gishu) was conducted between January-February 2020. Data was extracted from a training database. Verification of current health facilities where trained SHP were deployed and reasons for non-retention were collected. Descriptive data analysis, transfer rate by county and logistic regression for SHP retention determinants was performed. Results A total of 927 SHP were trained from 2014-2019. Most SHP trained were nurse/midwives (677, 73%) followed by clinical officers (151, 16%) and doctors (99, 11%). Half (500, 54%) of trained SHP were retained in the same facility. Average trained staff transfer rate was 43%, with Uasin Gishu lowest at 24% and Garissa highest at 50%. Considering a subset of trained staff from level 4/5 facilities with distinct hospital departments, only a third (36%) of them are still working in relevant maternity/newborn/gynaecology departments. There was a statistically significant difference in transfer rate by gender in Garissa, Vihiga and the combined 5 counties (p<0.05). Interval from training in years (1 year, AOR=4.2 (2.1-8.4); cadre (nurse/midwives, AOR=2.5 (1.4-4.5); and county (Uasin Gishu AOR=9.5 (4.6- 19.5), Kilifi AOR=4.0 (2.1-7.7) and Taita Taveta AOR=1.9 (1.1-3.5), p<0.05, were significant determinants of staff retention in the maternity departments.Conclusion Retention of EmOC trained SHP in the relevant maternity departments was low at 36 percent. SHP were more likely to be retained by 1-year after training compared to the subsequent years and this varied from county to county. County policies and guidelines on SHP deployment, transfers and retention should be strengthened to optimise the benefits of EmOC training.

scholarly journals The Beighton Score and Injury in Dancers: A Prospective Cohort Study

2020 ◽  
Vol 29 (5) ◽  
pp. 563-571
Author(s):  
Ross Armstrong
Keyword(s):  
Prospective Cohort ◽  
Characteristic Curve ◽  
Area Under The Curve ◽  
Injury Rate ◽  
Joint Hypermobility ◽  
Beighton Score ◽  
Lumbar Flexion ◽  
Significant Difference ◽  
Dance Injury ◽  
Male Dancers

Context: Joint hypermobility has a high prevalence in dancers and may be associated with injury and performance. Objectives: To investigate whether total Beighton score can predict injury and to determine the relationship between joint hypermobility and injury, and to report injury demographics. Design: A prospective cohort injury study. Setting: Edge Hill University dance injury clinic. Participants: Eighty-two dancers (62 females, 20 males). Main Outcome Measures: Joint hypermobility via the Beighton score ≥4 with lumbar flexion included and removed. Results: A total of 61 dancers were classified as hypermobile, which was reduced to 50 dancers with lumbar flexion removed. A significant difference existed between pooled total days injured in hypermobile dancers and nonhypermobile dancers with lumbar flexion included (P = .02) and removed (P = .03). No significant differences existed for total Beighton score between injured and noninjured groups with lumbar flexion included (P = .11) and removed (P = .13). Total Beighton score was a weak predictor of total days injured (r2 = .06, P = .51). In total, 47 injuries occurred in 34 dancers, and pooled injury rate was 1.03 injuries/1000 hours. Receiver operating characteristic curve analysis demonstrated an area under the curve of 0.83 for male dancers with lumbar flexion removed, which was considered diagnostic for injury. Conclusions: The Beighton score can be utilized to identify dancers who may develop injury. Clinicians should consider the role of lumbar flexion in total Beighton score when identifying those dancers at risk of injury. Different injury thresholds in female and male dancers may aid injury management.

Sign in / Sign up

Export Citation Format

Share Document