The examination of the musculoskeletal system based only on the evaluation of pelvic-hip complex muscle and trunk flexibility may lead to failure to screen children for generalized joint hypermobility.
<h4>Objective</h4>The aim of the study was to evaluate whether the clinical assessment of the pelvic-hip complex muscle and trunk flexibility is sufficient for diagnosing generalized joint hypermobility (GJH).<h4>Design</h4>A cross-sectional study.<h4>Setting</h4>...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2015-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0121360 |
| _version_ | 1819029095494713344 |
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| author | Dariusz Czaprowski Agnieszka Kędra Paulina Pawłowska Aleksandra Kolwicz-Gańko Justyna Leszczewska Marcin Tyrakowski |
| author_facet | Dariusz Czaprowski Agnieszka Kędra Paulina Pawłowska Aleksandra Kolwicz-Gańko Justyna Leszczewska Marcin Tyrakowski |
| author_sort | Dariusz Czaprowski |
| collection | DOAJ |
| description | <h4>Objective</h4>The aim of the study was to evaluate whether the clinical assessment of the pelvic-hip complex muscle and trunk flexibility is sufficient for diagnosing generalized joint hypermobility (GJH).<h4>Design</h4>A cross-sectional study.<h4>Setting</h4>Center of Body Posture in Olsztyn, North East Poland.<h4>Participants</h4>The study included 136 females and 113 males aged 10-13 years.<h4>Main outcome measures</h4>In order to assess muscle flexibility, the straight leg raise (SLR) test (for hamstring) and modified Thomas test for one- (O-JHF) and two-joint (T-JHF) hip flexors were performed. To evaluate trunk flexibility the fingertip-to-floor (FTF) and lateral trunk flexion (LTF) tests were used. The GJH occurrence was assessed with the use of nine-point Beighton scale (threshold value ≥5 points for females, ≥4 for males). The analysis was carried out separately for females and males.<h4>Results</h4>There were no significant differences between females with versus without GJH, and males with versus without GJH regarding SLR (p = 0.86, p = 0.19 for females and males, respectively), O-JHF (p = 0.89, p = 0.35 for females and males, respectively), T-JHF (p = 0.77, p = 0.4 for females and males, respectively), FTF (p = 0.19, p = 0.84 for females and males, respectively) and LTF (p = 0.58, p = 0.35 for females and males, respectively) tests results.<h4>Conclusions</h4>Clinical examination of the pelvic-hip complex muscles and trunk flexibility by use of SLR, O-JHF, T-JHF, FTF and LTF revealed to be insufficient in diagnosing GJH in children aged 10-13 years. Thus, the Beighton scale should be considered a standard element of physiotherapeutic examination of the musculoskeletal system in children and youth. |
| first_indexed | 2024-12-21T06:08:49Z |
| format | Article |
| id | doaj.art-162803ed54504932bc5d54acf76f1133 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-21T06:08:49Z |
| publishDate | 2015-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj.art-162803ed54504932bc5d54acf76f11332022-12-21T19:13:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01103e012136010.1371/journal.pone.0121360The examination of the musculoskeletal system based only on the evaluation of pelvic-hip complex muscle and trunk flexibility may lead to failure to screen children for generalized joint hypermobility.Dariusz CzaprowskiAgnieszka KędraPaulina PawłowskaAleksandra Kolwicz-GańkoJustyna LeszczewskaMarcin Tyrakowski<h4>Objective</h4>The aim of the study was to evaluate whether the clinical assessment of the pelvic-hip complex muscle and trunk flexibility is sufficient for diagnosing generalized joint hypermobility (GJH).<h4>Design</h4>A cross-sectional study.<h4>Setting</h4>Center of Body Posture in Olsztyn, North East Poland.<h4>Participants</h4>The study included 136 females and 113 males aged 10-13 years.<h4>Main outcome measures</h4>In order to assess muscle flexibility, the straight leg raise (SLR) test (for hamstring) and modified Thomas test for one- (O-JHF) and two-joint (T-JHF) hip flexors were performed. To evaluate trunk flexibility the fingertip-to-floor (FTF) and lateral trunk flexion (LTF) tests were used. The GJH occurrence was assessed with the use of nine-point Beighton scale (threshold value ≥5 points for females, ≥4 for males). The analysis was carried out separately for females and males.<h4>Results</h4>There were no significant differences between females with versus without GJH, and males with versus without GJH regarding SLR (p = 0.86, p = 0.19 for females and males, respectively), O-JHF (p = 0.89, p = 0.35 for females and males, respectively), T-JHF (p = 0.77, p = 0.4 for females and males, respectively), FTF (p = 0.19, p = 0.84 for females and males, respectively) and LTF (p = 0.58, p = 0.35 for females and males, respectively) tests results.<h4>Conclusions</h4>Clinical examination of the pelvic-hip complex muscles and trunk flexibility by use of SLR, O-JHF, T-JHF, FTF and LTF revealed to be insufficient in diagnosing GJH in children aged 10-13 years. Thus, the Beighton scale should be considered a standard element of physiotherapeutic examination of the musculoskeletal system in children and youth.https://doi.org/10.1371/journal.pone.0121360 |
| spellingShingle | Dariusz Czaprowski Agnieszka Kędra Paulina Pawłowska Aleksandra Kolwicz-Gańko Justyna Leszczewska Marcin Tyrakowski The examination of the musculoskeletal system based only on the evaluation of pelvic-hip complex muscle and trunk flexibility may lead to failure to screen children for generalized joint hypermobility. PLoS ONE |
| title | The examination of the musculoskeletal system based only on the evaluation of pelvic-hip complex muscle and trunk flexibility may lead to failure to screen children for generalized joint hypermobility. |
| title_full | The examination of the musculoskeletal system based only on the evaluation of pelvic-hip complex muscle and trunk flexibility may lead to failure to screen children for generalized joint hypermobility. |
| title_fullStr | The examination of the musculoskeletal system based only on the evaluation of pelvic-hip complex muscle and trunk flexibility may lead to failure to screen children for generalized joint hypermobility. |
| title_full_unstemmed | The examination of the musculoskeletal system based only on the evaluation of pelvic-hip complex muscle and trunk flexibility may lead to failure to screen children for generalized joint hypermobility. |
| title_short | The examination of the musculoskeletal system based only on the evaluation of pelvic-hip complex muscle and trunk flexibility may lead to failure to screen children for generalized joint hypermobility. |
| title_sort | examination of the musculoskeletal system based only on the evaluation of pelvic hip complex muscle and trunk flexibility may lead to failure to screen children for generalized joint hypermobility |
| url | https://doi.org/10.1371/journal.pone.0121360 |
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