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Joint hypermobility in children with idiopathic scoliosis: SOSORT award 2011 winner
BACKGROUND: Generalized joint hypermobility (JHM) refers to increased joint mobility with simultaneous absence of any other systemic disease. JHM involves proprioception impairment, increased frequency of pain within joints and tendency to injure soft tissues while performing physical activities. Ch...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204294/ https://www.ncbi.nlm.nih.gov/pubmed/21981906 http://dx.doi.org/10.1186/1748-7161-6-22 |
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author | Czaprowski, Dariusz Kotwicki, Tomasz Pawłowska, Paulina Stoliński, Lukasz |
author_facet | Czaprowski, Dariusz Kotwicki, Tomasz Pawłowska, Paulina Stoliński, Lukasz |
author_sort | Czaprowski, Dariusz |
collection | PubMed |
description | BACKGROUND: Generalized joint hypermobility (JHM) refers to increased joint mobility with simultaneous absence of any other systemic disease. JHM involves proprioception impairment, increased frequency of pain within joints and tendency to injure soft tissues while performing physical activities. Children with idiopathic scoliosis (IS) often undergo intensive physiotherapy requiring good physical capacities. Further, some physiotherapy methods apply techniques that increase joint mobility and thus may be contraindicated. The aim of this paper was to assess JHM prevalence in children with idiopathic scoliosis and to analyze the relationship between JHM prevalence and the clinical and radiological parameters of scoliosis. The methods of assessment of generalized joint hypermobility were also described. MATERIALS AND METHODS: This case-control study included 70 subjects with IS, aged 9-18 years (mean 13.2 ± 2.2), Cobb angle range 10°-53° (mean 24.3 ± 11.7), 34 presenting single curve thoracic scoliosis and 36 double curve thoracic and lumbar scoliosis. The control group included 58 children and adolescents aged 9-18 years (mean 12.6 ± 2.1) selected at random. The presence of JHM was determined using Beighton scale complemented with the questionnaire by Hakim and Grahame. The relationship between JHM and the following variables was evaluated: curve severity, axial rotation of the apical vertebra, number of curvatures (single versus double), number of vertebrae within the curvature (long versus short curves), treatment type (physiotherapy versus bracing) and age. Statistical analysis was performed with Statistica 8.1 (StatSoft, USA). The Kolmogorov-Smirnov test, U Mann-Whitney test, Chi(2 )test, Pearson and Spermann correlation rank were conducted. The value p = 0.05 was adopted as the level of significance. RESULTS: JHM was diagnosed in more than half of the subjects with idiopathic scoliosis (51.4%), whilst in the control group it was diagnosed in only 19% of cases (p = 0.00015). A significantly higher JHM prevalence was observed in both girls (p = 0.0054) and boys (p = 0.017) with IS in comparison with the corresponding controls. No significant relation was found between JHM prevalence and scoliosis angular value (p = 0.35), apical vertebra rotation (p = 0.86), the number of vertebrae within curvature (p = 0.8), the type of applied treatment (p = 0.55) and the age of subjects (p = 0.79). JHM prevalence was found to be higher in children with single curve scoliosis than in children with double curve scoliosis (p = 0.03). CONCLUSIONS: JHM occurs more frequently in children with IS than in healthy sex and age matched controls. No relation of JHM with radiological parameters, treatment type and age was found. Systematically searched in IS children, JHM should be taken into account when physiotherapy is planned. |
format | Online Article Text |
id | pubmed-3204294 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32042942011-10-30 Joint hypermobility in children with idiopathic scoliosis: SOSORT award 2011 winner Czaprowski, Dariusz Kotwicki, Tomasz Pawłowska, Paulina Stoliński, Lukasz Scoliosis Research BACKGROUND: Generalized joint hypermobility (JHM) refers to increased joint mobility with simultaneous absence of any other systemic disease. JHM involves proprioception impairment, increased frequency of pain within joints and tendency to injure soft tissues while performing physical activities. Children with idiopathic scoliosis (IS) often undergo intensive physiotherapy requiring good physical capacities. Further, some physiotherapy methods apply techniques that increase joint mobility and thus may be contraindicated. The aim of this paper was to assess JHM prevalence in children with idiopathic scoliosis and to analyze the relationship between JHM prevalence and the clinical and radiological parameters of scoliosis. The methods of assessment of generalized joint hypermobility were also described. MATERIALS AND METHODS: This case-control study included 70 subjects with IS, aged 9-18 years (mean 13.2 ± 2.2), Cobb angle range 10°-53° (mean 24.3 ± 11.7), 34 presenting single curve thoracic scoliosis and 36 double curve thoracic and lumbar scoliosis. The control group included 58 children and adolescents aged 9-18 years (mean 12.6 ± 2.1) selected at random. The presence of JHM was determined using Beighton scale complemented with the questionnaire by Hakim and Grahame. The relationship between JHM and the following variables was evaluated: curve severity, axial rotation of the apical vertebra, number of curvatures (single versus double), number of vertebrae within the curvature (long versus short curves), treatment type (physiotherapy versus bracing) and age. Statistical analysis was performed with Statistica 8.1 (StatSoft, USA). The Kolmogorov-Smirnov test, U Mann-Whitney test, Chi(2 )test, Pearson and Spermann correlation rank were conducted. The value p = 0.05 was adopted as the level of significance. RESULTS: JHM was diagnosed in more than half of the subjects with idiopathic scoliosis (51.4%), whilst in the control group it was diagnosed in only 19% of cases (p = 0.00015). A significantly higher JHM prevalence was observed in both girls (p = 0.0054) and boys (p = 0.017) with IS in comparison with the corresponding controls. No significant relation was found between JHM prevalence and scoliosis angular value (p = 0.35), apical vertebra rotation (p = 0.86), the number of vertebrae within curvature (p = 0.8), the type of applied treatment (p = 0.55) and the age of subjects (p = 0.79). JHM prevalence was found to be higher in children with single curve scoliosis than in children with double curve scoliosis (p = 0.03). CONCLUSIONS: JHM occurs more frequently in children with IS than in healthy sex and age matched controls. No relation of JHM with radiological parameters, treatment type and age was found. Systematically searched in IS children, JHM should be taken into account when physiotherapy is planned. BioMed Central 2011-10-07 /pmc/articles/PMC3204294/ /pubmed/21981906 http://dx.doi.org/10.1186/1748-7161-6-22 Text en Copyright ©2011 Czaprowski et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Czaprowski, Dariusz Kotwicki, Tomasz Pawłowska, Paulina Stoliński, Lukasz Joint hypermobility in children with idiopathic scoliosis: SOSORT award 2011 winner |
title | Joint hypermobility in children with idiopathic scoliosis: SOSORT award 2011 winner |
title_full | Joint hypermobility in children with idiopathic scoliosis: SOSORT award 2011 winner |
title_fullStr | Joint hypermobility in children with idiopathic scoliosis: SOSORT award 2011 winner |
title_full_unstemmed | Joint hypermobility in children with idiopathic scoliosis: SOSORT award 2011 winner |
title_short | Joint hypermobility in children with idiopathic scoliosis: SOSORT award 2011 winner |
title_sort | joint hypermobility in children with idiopathic scoliosis: sosort award 2011 winner |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204294/ https://www.ncbi.nlm.nih.gov/pubmed/21981906 http://dx.doi.org/10.1186/1748-7161-6-22 |
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