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 ◽  
...  

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.

2019 ◽  
Author(s):  
Mohamed Sherif Sirajudeen ◽  
Mohamed Waly ◽  
Mazen Alqahtani ◽  
Msaad Alzhrani ◽  
Hariraja Muthusamy ◽  
...  

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.


2020 ◽  
Vol 8 (2) ◽  
pp. 37
Author(s):  
Elfiera Kang ◽  
Ni Luh Nopi Andayani ◽  
Nila Wahyuni ◽  
Luh Putu Ratna Sundari

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.


Author(s):  
Alena Yu. Dimitrieva ◽  
Vladimir M. Kenis

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.


2021 ◽  
Vol 10 (4) ◽  
pp. 1773
Author(s):  
WaleedAbdulaziz Altwaijri ◽  
TulineA Almazyad ◽  
YaraAhmad Abuzaid ◽  
JumanahNasser Alkhater ◽  
DalalM Ashmawi ◽  
...  

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