Medium-term Results of Body Balance Trainings in Primary School-Aged Children with Generalized Joint Hypermobility and Symptomatic Mobile Flat Foot: Cohort Study

2021 ◽  
pp. 373-384
Author(s):  
Alena Yu. Dimitrieva ◽  
Vladimir M. Kenis
Keyword(s):  
Primary School ◽  
Balance Training ◽  
Joint Hypermobility ◽  
Control Group ◽  
Flat Foot ◽  
Body Balance ◽  
School Aged Children ◽  
Generalized Joint Hypermobility ◽  
Longitudinal Arch ◽  
Unstable Platform

Background. Mobile flat foot etiology and its correlations with postural imbalance remain topical issues for now, especially in children with generalized joint hypermobility. Additionally, it is poorly known that complaints prevail in children with mobile flat foot and joint hypermobility, and whether existing complaints are associated with foot deformation.Objective. The aim of the study is to estimate medium-term effects of body balance trainings on the height of longitudinal arch of the foot and on the complaints structure in primary school-aged children with generalized joint hypermobility.Methods. The study included 114 primary school-aged children (7–11 years old) with mobile symptomatic flat foot who were divided into four groups: I — control group of children who did not perform training; II — children who performed standard complex of rehabilitation exercises recommended for flat foot; III — children who performed a specially designed complex of exercises for body balance training; IV — children exercised on unstable platform. The foot examination included: clinical assessment of feet shape and position (FPI-6 scale), visual and manual mobility tests, computer scanning with calculation of anthropometric indices (basic anthropometric parameters were calculated from scanned foot images). Clinical evaluation of balance was carried out according to the BESS (Balance Error Scoring System) scale and computer pedobarometry. Assessment of complaints structure was carried out according to the Oxford Child Foot Condition Questionnaire.Results. Children of control group significantly increased the number of errors in performing tests compared to the baseline data (p = 0.034) according to the BESS scale. No statistically significant changes were obtained in children of the second group (p = 0.08). Total number of errors committed by children of third and fourth groups on unstable platform decreased by 2.9 times and 3.4 times, respectively (p = 0.022 and p = 0.044). Decrease in partial load on medial longitudinal arch of foot in step cycle in average by 2.0–3.5 times compared to baseline parameters was revealed in children of third and fourth groups. Moreover, children of third and fourth groups have shown improvement in parameters regarding the shape and position of the feet by average of 1.3–1.7 times higher compared to the parameters of the feet of children performing standard complex of rehabilitation exercises (p = 0.036).Conclusion. This study has shown the efficacy of body balance training in increasing the height of longitudinal arch of the foot and good dynamics in the structure of complaints in primary school-aged children with generalized joint hypermobility and symptomatic mobile flat foot.

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 Effect of resistance training on muscle properties and function in women with generalized joint hypermobility: a single-blind pragmatic randomized controlled trial

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Gere Luder ◽  
Daniel Aeberli ◽  
Christine Mueller Mebes ◽  
Bettina Haupt-Bertschy ◽  
Jean-Pierre Baeyens ◽  
...  
Keyword(s):  
Resistance Training ◽  
Controlled Trial ◽  
Training Group ◽  
Joint Hypermobility ◽  
Control Group ◽  
Muscle Properties ◽  
Generalized Joint Hypermobility ◽  
Randomized Controlled ◽  
And Function ◽  
Single Blind

Abstract Background Generalized joint hypermobility is defined as an excessive range of motion in several joints. Having joint hypermobility is not a pathology, but when associated with pain and other symptoms, it might affect health and function. Evidence for physiotherapy management is sparse and resistance training might be a possible intervention. Thus, the effects of 12-week resistance-training on muscle properties and function in women with generalized joint hypermobility were evaluated. Methods In this single-blind randomized controlled trial women between 20 and 40 years with generalized joint hypermobility (Beighton score at least 6/9) were included. Participants were randomly allocated to 12-week resistance training twice weekly (experimental) or no lifestyle change (control). Resistance training focused on leg and trunk muscles. Primary outcome was muscle strength; additional outcomes included muscle properties, like muscle mass and density, functional activities, pain and disability. Training adherence and adverse events were recorded. Results Of 51 participating women 27 were randomised to training and 24 into the control group. In each group 11 women had joint hypermobility syndrome, fulfilling the Brighton criteria, while 24 (89%) in the training group and 21 (88%) in the control group mentioned any pain. The mean strength of knee extensors varied in the training group from 0.63 (sd 0.16) N/bm before training to 0.64 (sd 0.17) N/bm after training and in the control group from 0.53 (sd 0.14) N/bm to 0.54 (sd 0.15) N/bm. For this and all other outcome measures, no significant differences between the groups due to the intervention were found, with many variables showing high standard deviations. Adherence to the training was good with 63% of participants performing more than 80% of sessions. One adverse event occurred during training, which was not clearly associated to the training. Four participants had to stop the training early. Conclusions No improvement in strength or muscle mass by self-guided resistance training was found. Low resistance levels, as well as the choice of outcome measures were possible reasons. A more individualized and better guided training might be important. However, program adherence was good with few side effects or problems triggered by the resistance training. Trial registration This trial was prospectively registered in the ISRCTN registry (www.isrctn.com, BMC, Springer Nature) on July 16, 2013 as ISRCTN90224545. The first participant was enrolled at October 25, 2013.

The Effect of Shoulder Muscle Fatigue on Acromiohumeral Distance and Scapular Dyskinesis in Women With Generalized Joint Hypermobility

2017 ◽  
Vol 33 (6) ◽  
pp. 424-430 ◽  
Author(s):  
Razie J. Alibazi ◽  
Afsun Nodehi Moghadam ◽  
Ann M. Cools ◽  
Enayatollah Bakhshi ◽  
Alireza Aziz Ahari
Keyword(s):  
Muscle Fatigue ◽  
Shoulder Pain ◽  
Joint Hypermobility ◽  
Control Group ◽  
Scapular Dyskinesis ◽  
Generalized Joint Hypermobility ◽  
Shoulder Muscle ◽  
Before And After ◽  
History Of ◽  
Acromiohumeral Distance

Muscle fatigue is considered to be one cause of shoulder pain, and subjects with generalized joint hypermobility (GJH) are affected more by shoulder pain. The purpose of this study was to examine the effects of muscle fatigue on acromiohumeral distance (AHD) and scapular dyskinesis in women with GJH. Thirty-six asymptomatic participants were assigned to either a GJH (n = 20) or control group (n = 16) using the Beighton scale. Before and after elevation fatigue trials, AHD was measured with ultrasonography at rest and when the arm was in 90° active elevation. A scapular dyskinesis test was used to visually observe alterations in scapular movement. Our results showed that in both groups, the fatigue reduced AHD in the 90° elevation position and increased the presence of scapular dyskinesis; however, no differences were found between the two groups. Although GJH has been identified as a factor for developing musculoskeletal disorders, generalized joint hypermobility did not result in changes to scapular dyskinesis or AHD, even after an elevation fatigue task. More studies are needed to evaluate the effects of muscle fatigue in subjects with GJH and a history of shoulder instability.

scholarly journals Effectiveness of a multi-component m-health-based intervention to decrease the consumption of discretionary foods packed in school lunchboxes: the ‘SWAP IT’ effectiveness-implementation hybrid type 1 trial. (Preprint)

2020 ◽  
Author(s):  
Rachel Sutherland ◽  
Alison Brown ◽  
Nicole Nathan ◽  
Serene Yoong ◽  
Lisa Janssen ◽  
...  
Keyword(s):  
Primary School ◽  
Primary Schools ◽  
Energy Content ◽  
Control Group ◽  
Type I ◽  
School Communication ◽  
School Aged Children ◽  
Significant Difference ◽  
Secondary Outcomes

BACKGROUND There is significant opportunity to improve the nutritional quality of foods packed in children’s school lunchboxes. Interventions that are effective and scalable targeting the school and home environment are therefore warranted. OBJECTIVE This study aimed to assess the effectiveness of a multi-component m-health-based intervention, SWAP IT, in reducing the energy contribution of discretionary (i.e. less healthy) foods and drinks packed for children to consume at school. METHODS A Type I hybrid effectiveness-implementation cluster randomised controlled trial was conducted in 32 primary schools located across three Local Health Districts in New South Wales (NSW), Australia, comparing the effects of a six-month intervention targeting foods packed in children’s lunchboxes or usual care control. Primary schools were eligible if they were not participating in other nutrition studies and used the required school communication app. The Behaviour Change Wheel was used to co-design the multi-component SWAP IT intervention which consisted of: 1) school lunchbox nutrition guidelines; 2) curriculum lessons; 3) information pushed to parents digitally via an existing school communication app and 4) additional parent resources to address common barriers to packing healthy lunchboxes. The primary outcome, mean energy (kJ) content of discretionary lunchbox foods and drinks packed in lunchboxes, was measured via observation using a validated school food checklist (SFC) at baseline (May 2019) and six-month follow-up (October 2019). Additional secondary outcomes included mean lunchbox energy from discretionary foods consumed, mean total lunchbox energy packed and consumed, mean energy content of core lunchbox foods packed and consumed and percentage of lunchbox energy from discretionary and core foods. Measures of school engagement, consumption of discretionary foods outside of school hours and lunchbox cost were also collected at baseline and six-month follow-up. Data were analysed via hierarchical linear regression models controlling for clustering, socioeconomic status and remoteness. RESULTS 3022 (41.2%) of students consented to participate in the evaluation (mean age 7.8yrs, 49.2% girls). There were significant reductions between intervention and control group in the primary trial outcome, mean energy (kJ) content of discretionary foods packed in lunchboxes (-117.26kJ; CI=-195.59, -39.83; P=<0.01). The intervention also significantly reduced, relative to control, secondary outcomes regarding the mean total lunchbox energy (kJ) packed (-88.38kJ; CI=-172.84, -3.92; P=0.04) and consumed (-117.17kJ; CI= -233.72, -0.62; P=0.05). There was no significant difference between groups in measures of student engagement, consumption of discretionary foods outside of school hours or cost of foods packed in children’s lunchboxes. CONCLUSIONS The SWAP IT intervention was effective in reducing the energy content of foods packed for and consumed by primary school-aged children at school. Application at a population level has the potential to influence a significant proportion of primary school aged children, impact on weight status and associated health care costs. CLINICALTRIAL Australian Clinical Trials Registry ACTRN: 12618001731280 INTERNATIONAL REGISTERED REPORT RR2-10.1186/s12889-019-7725-x

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