Joint hypermobility and its relationship to musculoskeletal pain in schoolchildren: a cross-sectional study
Abstract
OBJECTIVES: To determine if joint hypermobility is associated with musculoskeletal pain in a population of Italian schoolchildren. DESIGN: Cross-sectional, school-based study, using a pretested questionnaire administered to schoolchildren to enquire about musculoskeletal pain and Beighton criteria, with score of > or =5 as a cut-off, to test for hypermobility. SETTING: Eight primary schools in the town of Cesena, Italy. PARTICIPANTS: 1230 Italian schoolchildren aged 7 to 15 years representing an opportunistic sample of 10% of the schoolchildren in Cesena MAIN OUTCOME MEASURES: (1) The strength of association between hypermobiliy and musculoskeletal pain; (2) the impact of hypermobility on daily activities, using a subjective "disability score" and a "physical activity score." ANALYSIS: Sample size calculation for evaluating if hypermobility was associated with musculoskeletal pain was performed prior starting the study. Children experiencing pain at least once a week were used as cases, children experiencing pain seldom or never served as controls. RESULTS: A total of 1046 consenting Italian schoolchildren (mean age 10.8 years) were included. The prevalence of musculoskeletal pain reported by schoolchildren was 18%. 22% of children with musculoskeletal pain versus 23% of controls had hypermobility (OR 1.057, 95% CI 0.7 to 1.4). Functional limitations measured by a "disability score" correlated in a weak negative way with Beighton score (p = 0.03). The "physical activity score" correlated in a weak positive way with Beighton score (p = 0.012). CONCLUSIONS: No association was found between hypermobility and musculoskeletal pain. Hypermobile children did not experience functional limitations in daily activities, and they were slightly more active than non-hypermobile children.
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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 Leone et al., 2009
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- Authors
- Leone, V, Tornese, G., Zerial, M., Locatelli, C., Ciambra, R., Bensa, M., & Pocecco, M.
- Affiliations
- Ospedale “M. Bufalini” di Cesena (IT)
- IRCCS Materno Infantile Burlo Garofolo (IT)
- Corresponding author
- Leone, V
- Venue
- Archives of Disease in Childhood
- Publisher
- BMJ
- Published
- 2009-05-12
- Volume
- 94
- Issue
- 8
- Pages
- 627-632
- ISSN
- 0003-9888 (ISSN-L)
- 1468-2044
- OpenAlex
- W2141098324
- Cited by
- 66
- References
- 19
- Citations by year
- 2026: 1 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 1 · 2020: 9 · 2019: 8 · 2018: 5 · 2016: 8 · 2015: 3 · 2014: 4 · 2013: 7 · 2012: 2
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Disease in Childhood (publishedVersion)
- PubMed (publishedVersion)
- ArTS Archivio della ricerca di Trieste (University of Trieste https://www.units.it/) (submittedVersion)
- 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
- joint hypermobility, musculoskeletal pain, elementary school students, Beighton criteria, functional disability, physical activity, pain prevalence
- MeSH terms
- Activities of Daily Living, Adolescent, Child, Disability Evaluation, Epidemiologic Methods, Female, Humans, Joint Instability, Male, Musculoskeletal Diseases, Pain
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