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Cited by 63Connective tissue disorders researchMusculoskeletal pain and rehabilitationPediatric Pain Management Techniques

Hypermobility and musculoskeletal pain in adolescents

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Morris, Susan L., O'Sullivan, Peter B., Murray, Kevin J., Bear, Natasha, Hands, Beth, Smith, Anne J.·2017·The Journal of Pediatrics
DOI 10.1016/j.jpeds.2016.09.060
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Abstract

Objective To determine the prevalence of generalized joint hypermobility (GJH) in a large cohort of Australian children and determine the associations between GJH and musculoskeletal pain.Study design This is a cross-sectional analysis of the Western Australian Pregnancy Cohort (Raine) Study. Hypermobility was measured in 1584 participants at 14 years of age using the Beighton scoring system, along with a range of other factors including musculoskeletal pain status. Logistic regression models were used to assess independent associations of GJH with factors of interest.Results The prevalence of GJH was 60.6% and 36.7% in girls and boys, respectively, when defined as a Beighton score of ≥4; when defined as ≥6, it was 26.1% and 11.5%. In girls, positive associations between GJH and higher socioeconomic status and better motor competence were observed. In boys, positive associations between GJH and lower body mass index were observed. After adjusting for potential confounders, an association between number of pain areas in the last month and made worse with sport were identified in boys but not girls.Conclusion The high prevalence rates of GJH as defined by commonly used Beighton cutoff values in this cohort highlight the need to question the appropriateness of these cutoffs in future studies. Future prospective studies of the association between GJH and musculoskeletal pain should be adjusted for confounding variables identified in this study, and be powered for sex-specific analyses owing to the differing prevalence rates and hypermobility correlates in male and female samples.

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  • The association between GJH and acute onset intermittent MSK pain has been found in several population studies of adolescents and one study in symptomatic children.

    “The association between GJH and acute onset intermittent MSK pain has been found in several population studies of adolescents [19, 20], and one study in symptomatic children [21].”

    From Pediatric joint hypermobility: a diagnostic framework and narrative review (2023) · cites this paper as [20]

    The Results and Discussion report an association between GJH and pain in the last month in boys in this adolescent population cohort. The Musculoskeletal Pain methods measured recent pain, pain lasting more than three months, and pain worsened by sport—not acute onset or intermittent pain. The separate claim about symptomatic children is attached to citation [21], not this source. (LLM, conf=0.87)

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  • The main complaint of individuals with symptomatic GJH is chronic musculoskeletal pain that may affect daily activities, leading to decreased quality of life.

    “The main complaint of individuals with symptomatic GJH is chronic musculoskeletal pain (MSP) that may affect their daily activities, leading to a decreased quality of life (Kumar & Lenert, 2017; Morris et al., 2017; Leone et al., 2009; Hakim, Malfait & Paepe, 2010; Scheper et al., 2013; Chustecka, 2004; Grahame, 2000b; Simonsen et al., 2012; Nikolajsen et al., 2013).”

    From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Morris et al., 2017

  • The Beighton test has moderate to high inter-tester repeatability and demonstrated validity and reliability in a number of studies.

    “The test has a moderate to high inter-tester repeatability (Junge et al., 2013) and demonstrated validity and reliability in a number of studies (Morris et al., 2017; Bulbena et al., 1992; Smits-Engelsman, Klerks & Kirby, 2011; Juul-Kristensen et al., 2007).”

    From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Morris et al., 2017

  • In the past, a Beighton score of ≥4 was often used to indicate GJH in adults, although studies used cut-off scores of ≥3, ≥5 or ≥6.

    “In the past, a Beighton score of ≥4 was often used to indicate GJH in adults, although there were studies that used cut-off scores of ≥3, ≥5 or ≥6 (Morris et al., 2017; Beighton, Solomon & Soskolne, 1973; Bulbena et al., 1992; Russek, 1999).”

    From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Morris et al., 2017

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1 of the 55 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Jones MA, Hitchen PJ. The prevalence of low back pain in British school children. J Sports Sci 2000;18:15-6.

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Authors
Morris, S. L., O'Sullivan, P. B., Murray, K. J., Bear, N., Hands, B., & Smith, A. J.
Affiliations
  • Curtin University (AU)
  • The University of Notre Dame Australia (AU)
ORCID
Venue
The Journal of Pediatrics
Publisher
Elsevier BV
Published
2017-02
Volume
181
Pages
213-221.e1
ISSN
0022-3476 (ISSN-L)
DOI
10.1016/j.jpeds.2016.09.060
OpenAlex
W2550241401
Cited by
63
References
55
Citations by year
2026: 6 · 2025: 5 · 2024: 5 · 2023: 7 · 2022: 10 · 2021: 7 · 2020: 7 · 2019: 11 · 2018: 1 · 2017: 4
FWCI
4.30
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Journal of Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
  • eSpace (Curtin University) (submittedVersion)
Funders
National Health and Medical Research Council
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords
generalized joint hypermobility, musculoskeletal pain, adolescents, Beighton score, sex differences, motor competence, socioeconomic status, body mass index, sports participation, Raine Study
MeSH terms
Adolescent, Australia, Cross-Sectional Studies, Female, Humans, Joint Instability, Male, Pregnancy, Prevalence, Logistic Models, Musculoskeletal Pain

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