Prevalence, injury rate and, symptom frequency in generalized joint laxity and joint hypermobility syndrome in a “healthy” college population
Abstract
Generalized joint hypermobility (GJH) and joint hypermobility syndrome (JHS) are gaining increased attention as potential sources of pain and injury. The aims of this study were to evaluate prevalence of GJH and JHS and to determine whether musculoskeletal injuries and symptoms commonly attributed to GJH and JHS were more common within a "healthy" college student population. The study involved a convenience sample of 267 college and graduate students, aged 17-26. GJH was assessed using the Beighton score with a cutoff of 5/9, while JHS was assessed using the Brighton criteria. Injury history and symptoms were assessed by recall. Prevalence of GJH was 26.2 % overall (females 36.7 %, males 13.7 %). Prevalence of JHS was 19.5 % overall (females 24.5 %, males 13.7 %). Injury rates were not significantly different for individuals who had GJH vs. those who did not have GJH. Individuals with JHS were significantly more likely to have had sprains, back pain, and stress fractures. Symptoms were no different between those with GJH and those who did not have GJH. However, individuals with JHS were significantly more likely to report clumsiness, easy bruising, and balance problems than those who did not have JHS. GJH and JHS were relatively common in this healthy college student population; GJH was not associated with increased incidence of injury or symptoms commonly attributed to JHS, but JHS was associated with increased incidence of some injuries and symptoms.
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Studies of college students (typical ages between 18 and 24) report a GJH prevalence between 11%-12.5% and other studies between 12.5%-26%.
“Studies of “college students” (typical ages between 18 and 24) report a GJH prevalence between 11%-12.5%[16,17] and other between 12.5%-26%.[2,18,19]”
From Hypermobility spectrum disorders: A review (2023) · cites this paper as [18]
Russek & Errico (2016) reported an overall prevalence of 26.2% for GJH in a healthy university student population using a cut-off Beighton score of ≥5 and a prevalence of 19.5% for BJHS using the Brighton criteria.
“Russek & Errico (2016) reported an overall prevalence of 26.2% for GJH in a healthy university student population using a cut-off Beighton score of ≥5 and a prevalence of 19.5% for BJHS using the Brighton criteria.”
From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Russek & Errico (2016)
Russek & Errico (2016) reported an overall prevalence of 26.2% for GJH using a cut-off Beighton score of ≥5 in 267 undergraduate and graduate students aged 17-26.
“Russek & Errico (2016) reported an overall prevalence of 26.2% for GJH using a cut-off Beighton score of ≥5 in 267 undergraduate and graduate students aged 17–26.”
From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Russek & Errico (2016)
Russek & Errico (2016) found that GJH was not associated with an increased incidence of musculoskeletal injuries.
“The study also found that GJH was not associated with an increased incidence of musculoskeletal injuries.”
From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Russek & Errico (2016)
GJH is more often pauciarticular than polyarticular, and not all joints used in the Beighton criterion are equally affected.
“Despite the condition being termed “GJH,” it is more often pauciarticular than polyarticular, and not all joints used as part of the Beighton criterion are equally affected (Russek & Errico, 2016; Al-Rawi, Al-Aszawi & Al-Chalabi, 1985; Cameron et al., 2010; Quresh, Maalik & Ahmad, 2010).”
From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Russek & Errico, 2016
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- Authors
- Russek, L. N., & Errico, D. M.
- Affiliations
- Clarkson University (US)
- Utica College (US)
- Corresponding author
- Russek, Leslie N.
- ORCID
- Russek, Leslie N.
- Venue
- Clinical Rheumatology
- Published
- 2015-05-01
- Volume
- 35
- Issue
- 4
- Pages
- 1029-1039
- ISSN
- 0770-3198 (ISSN-L)
- 1434-9949
- OpenAlex
- W1963797047
- Cited by
- 143
- References
- 49
- Citations by year
- 2026: 5 · 2025: 18 · 2024: 16 · 2023: 12 · 2022: 14 · 2021: 24 · 2020: 22 · 2019: 12 · 2018: 8 · 2017: 6 · 2016: 3 · 2015: 2 · 2014: 1
- FWCI
- 4.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Clinical Rheumatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- generalized joint hypermobility, joint hypermobility syndrome, prevalence, musculoskeletal injuries, injury rates, symptom frequency, university students, Beighton score, Brighton criteria, sprains, back pain, stress fractures, clumsiness, easy bruising, balance problems
- MeSH terms
- Adolescent, Adult, Female, Humans, Joint Instability, Male, Surveys and Questionnaires, Sex Factors, Students, Universities, Prevalence, Range of Motion, Articular, Arthralgia, Young Adult, Symptom Assessment, Healthy Volunteers
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