Objective To provide a revision of the Beighton score adapted for children younger than the age of 5 years, to apply the revised version in a cohort of preschool age children, and to verify the reliability of the revised version in a cohort of preschool children with genetic syndromes associated with hypermobility. Study design The revised Beighton score was applied in a population of preschool children to evaluate joint hypermobility in 5 parts of the body, bilaterally (passive dorsiflexion of the fifth finger; passive hyperextension of the elbow; passive hyperextension of the knee; passive apposition of the thumb to the flexor side of the forearm; passive dorsiflexion of the ankle joint). The frequency distribution of the total scores was calculated with a range between 0 and 10. Results A total of 284 healthy preschool children (146 boys and 138 girls) and 26 preschool children with genetic disorders (15 boys and 11 girls) were assessed. Mean age was 33.6 ± 12.7 months. A score ≤4 was found in more than 90% of the whole cohort; therefore, a cut-off score >4 was used to identify hypermobility. Twenty-two of the 284 (7%) healthy children and 23 of the 26 children (89%) with genetic syndromes associated with hypermobility had a score >4. The joints reporting a greater incidence of hypermobility were “apposition of the thumb to the forearm” and “passive dorsiflexion of the ankle,” in 34% and 22% respectively. No differences related to sex or age were observed. Conclusions The revised version of the Beighton score can be used to define generalized hypermobility for children up to 5 years of age and to assess and follow-up longitudinally patients with isolated hypermobility or those in whom the laxity is associated with other clinical features.

Romeo, D. M., Lucibello, S., Musto, E., Brogna, C., Ferrantini, G., Velli, C., Cota, F., Ricci, D., Mercuri, E. M., Assessing Joint Hypermobility in Preschool-Aged Children, <<THE JOURNAL OF PEDIATRICS>>, 2016; 176 (settembre): 162-166. [doi:10.1016/j.jpeds.2016.05.072] [http://hdl.handle.net/10807/92052]

Assessing Joint Hypermobility in Preschool-Aged Children

Romeo, Domenico Marco
Primo
;
Lucibello, Simona
Secondo
;
Musto, Elisa;Brogna, Claudia;Ferrantini, Gloria;Velli, Chiara;Cota, Francesco;Ricci, Daniela
Penultimo
;
Mercuri, Eugenio Maria
Ultimo
2016

Abstract

Objective To provide a revision of the Beighton score adapted for children younger than the age of 5 years, to apply the revised version in a cohort of preschool age children, and to verify the reliability of the revised version in a cohort of preschool children with genetic syndromes associated with hypermobility. Study design The revised Beighton score was applied in a population of preschool children to evaluate joint hypermobility in 5 parts of the body, bilaterally (passive dorsiflexion of the fifth finger; passive hyperextension of the elbow; passive hyperextension of the knee; passive apposition of the thumb to the flexor side of the forearm; passive dorsiflexion of the ankle joint). The frequency distribution of the total scores was calculated with a range between 0 and 10. Results A total of 284 healthy preschool children (146 boys and 138 girls) and 26 preschool children with genetic disorders (15 boys and 11 girls) were assessed. Mean age was 33.6 ± 12.7 months. A score ≤4 was found in more than 90% of the whole cohort; therefore, a cut-off score >4 was used to identify hypermobility. Twenty-two of the 284 (7%) healthy children and 23 of the 26 children (89%) with genetic syndromes associated with hypermobility had a score >4. The joints reporting a greater incidence of hypermobility were “apposition of the thumb to the forearm” and “passive dorsiflexion of the ankle,” in 34% and 22% respectively. No differences related to sex or age were observed. Conclusions The revised version of the Beighton score can be used to define generalized hypermobility for children up to 5 years of age and to assess and follow-up longitudinally patients with isolated hypermobility or those in whom the laxity is associated with other clinical features.
Inglese
http://www.elsevier.com/inca/publications/store/6/2/3/3/1/1/index.htt
Romeo, D. M., Lucibello, S., Musto, E., Brogna, C., Ferrantini, G., Velli, C., Cota, F., Ricci, D., Mercuri, E. M., Assessing Joint Hypermobility in Preschool-Aged Children, <>, 2016; 176 (settembre): 162-166. [doi:10.1016/j.jpeds.2016.05.072] [http://hdl.handle.net/10807/92052]
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/92052
Citazioni
  • ???jsp.display-item.citation.pmc??? 4
  • Scopus 13
  • ???jsp.display-item.citation.isi??? 12
social impact