The relationship between joint mobility and motor performance in children with and without the diagnosis of developmental coordination disorder
Open accessAbstract
BACKGROUND: The purpose of this study was to determine whether joint mobility is associated with motor performance in children referred for Developmental Coordination Disorder (DCD-group) in contrast to a randomly selected group of children between 3-16 years of age (Random-Group). METHODS: 36 children with DCD and 352 typically developing children (Random-Group) participated. Hypermobility was classified based on the Beighton score (cut-off ≥5 for 3-9 years and ≥4 for 10-16 years) using goniometry. Motor performance was assessed with the Movement Assessment Battery for Children (MABC). RESULTS: The mean Beighton score in the DCD-group was 5.0 versus 2.6 in the Random group. Prevalence of hypermobility was higher in the DCD-group than in the Random Group (64% and 33% respectively; χ2 = 16.09, p < .001). There was a significant [negative] correlation (r(p) = -.38, p = .02) between Beighton score and total MABC scores within the DCD group, but not in the Random Group (r(p)= -0.07, p = .20). More specifically, in the DCD group we found a significant negative correlation between the MABC total score and the degree of hyperextension of the knees. CONCLUSION: The extremely high prevalence of hypermobility when applying the recommended cut-off scores stresses the need for an international agreement on firm cut-off points and the use of standardized measurement of Beighton mobility manoeuvres. The results of this study show that a cut-off of 7 is more appropriate, resulting in a prevalence of 6% in children aged 3-16 years. Although in the general population motor performance and joint mobility are not related, this is the case in children referred for DCD. We argue that more mobility of the joints may be a disadvantage when motor coordination is poorly developed.
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The underlying mechanisms for GJH, gHSD and hEDS remain unknown, but are thought to involve a similar pathogenesis.
“The underlying mechanisms for GJH, gHSD and hypermobile EDS (hEDS) remain unknown, but are thought to involve a similar pathogenesis. 3,8”
From No association between joint hypermobility, musculoskeletal pain and neurodevelopmental problems in a school-based sample of 11-year-old children (2025) · cites this paper as [3]
The Background discusses generalized joint hypermobility in children, and the Discussion considers how hypermobility might affect motor coordination in children with DCD. Neither section addresses whether the underlying mechanisms of GJH, gHSD, and hEDS are unknown or whether those conditions share a pathogenesis; searches for those terms and concepts found no relevant passage. Page numbers were not available in our copy. (LLM, conf=0.76)
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- Authors
- Jelsma, L. D., Geuze, R. H., Klerks, M. H., Niemeijer, A. S., & Smits-Engelsman, B. C.
- Affiliations
- University of Groningen (NL)
- Martini Ziekenhuis (NL)
- Habeo+ (NL)
- Venue
- BMC Pediatrics
- Published
- 2013-03-15
- Volume
- 13
- Issue
- 1
- Pages
- 35-35
- ISSN
- 1471-2431 (ISSN-L)
- PMC
- PMC3605363
- OpenAlex
- W2136630961
- Cited by
- 50
- References
- 37
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 7 · 2017: 2 · 2016: 2 · 2015: 8 · 2014: 5 · 2013: 1
- FWCI
- 11.03
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Pediatrics (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Keywords
- developmental coordination disorder, joint hypermobility, joint mobility, motor performance, Beighton score, cut-off values, knee hyperextension, motor coordination, children
- MeSH terms
- Adolescent, Child, Child, Preschool, Female, Humans, Joint Instability, Male, Motor Skills, Netherlands, Prevalence, Case-Control Studies, Range of Motion, Articular, Motor Skills Disorders, Arthrometry, Articular
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Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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