Survey on joint hypermobility in university students aged 18–25 years old
Open accessAbstract
BACKGROUND: Joint hypermobility is defined as a wide range of movements beyond the physiological limits, it has been recognized in healthy people, gymnasts, acrobats, and carriers of genetic affections of connective tissue. A survey among young adults was conducted to describe the frequency of joint hypermobility, estimating its impact on function and quality of life. METHODS: Volunteer university students aged 18 to 25 years old who answered a valid 5-item questionnaire about hypermobility, a physical activity questionnaire, and the Brazilian version of the Medical Outcome Survey Short Form 36 (SF-36) were included. Hypermobility was also assessed by a guided self-examination, with Beighton's criteria being scored and scores greater than or equal to 4 or less than 4 being discriminated. RESULTS: A total of 388 subjects were included, of which 299 were women (77.06%) and 89 were men (22.94%); the median age was 23 years old. Generalized joint hypermobility (Beighton score ≥ 4) was observed in 104 individuals (26.8%). Localized hypermobility (Beighton score 1-3) was observed in 135 (34.79%) individuals, where the hypermobility of the 5th finger was the most frequent in 165 (57.47%) individuals, followed by hypermobility of the thumb in 126 (32.56%) individuals, hypermobility of the elbows and knees each in 72 (18.6%) individuals, and hypermobility of the spine in 69 (17.79%) individuals. The descriptive observation of physical activity indicated regular practice. The correlation coefficients between the SF-36 domains and hypermobility scores were very low and statistical comparison not significant. CONCLUSION: In this population of youngsters, predominantly women, localized hypermobility was more frequent than generalized hypermobility; however, with low impact on health domains and quality of life scores, estimated in each domain of the SF-36, the physical and mental component scores, and the time dedicated to physical activity.
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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 [19]
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Cites
Articular mobility in an African population.
Beighton, P., Solomon, L., & Soskolne, C. L. (1973) · Annals of the Rheumatic Diseases · doi:10.1136/ard.32.5.413 · Cited by 1,727 · see citing works
Kirk, J. A., Ansell, B. M., & Bywaters, E. G. (1967) · Annals of the Rheumatic Diseases · doi:10.1136/ard.26.5.419 · Cited by 468 · see citing works
Joint hypermobility syndrome in childhood. A not so benign multisystem disorder?
Adib, N., Davies, K., Grahame, R., Woo, P., & Murray, K. J. (2005) · Rheumatology · doi:10.1093/rheumatology/keh557 · Cited by 356 · see citing works
(2007) · PubMed · Cited by 356 · see citing works
Joint hypermobility and genetic collagen disorders: are they related?
Grahame, R. (1999) · Archives of Disease in Childhood · doi:10.1136/adc.80.2.188 · Cited by 344 · see citing works
Hypermobility and the hypermobility syndrome
Simmonds, J. V., & Keer, R. J. (2007) · Manual Therapy · doi:10.1016/j.math.2007.05.001 · Cited by 265 · see citing works
Hypermobility: features and differential incidence between the sexes
Larsson, L.-G., Baum, J., & Mudholkar, G. S. (1987) · Arthritis & Rheumatism · doi:10.1002/art.1780301216 · Cited by 241 · see citing works
Clinch, J., Deere, K., Sayers, A., Palmer, S., Riddoch, C., Tobias, J. H., & Clark, E. M. (2011) · Arthritis & Rheumatism · doi:10.1002/art.30435 · Cited by 195 · see citing works
Jansson, A., Saartok, T., Werner, S., & Renström, P. (2004) · Acta Paediatrica · doi:10.1111/j.1651-2227.2004.tb02749.x · Cited by 195 · see citing works
(2007) · PubMed · Cited by 194 · see citing works
Joint laxity and the benign joint hypermobility syndrome in student and professional ballet dancers.
McCormack, M., Briggs, J., Hakim, A. J., & Grahame, R. (2004) · PubMed · Cited by 165 · see citing works
Association of generalized joint hypermobility with a history of glenohumeral joint instability
Cameron, K. L., Duffey, M. L., DeBerardino, T. M., Stoneman, P. D., Jones, C. J., & Owens, B. D. (2010) · Journal of Athletic Training · doi:10.4085/1062-6050-45.3.253 · Cited by 157 · see citing works
The benign hypermobile joint syndrome
Jessee, E. F., Owen, D. S., & Sagar, K. B. (1980) · Arthritis & Rheumatism · doi:10.1002/art.1780230914 · Cited by 155 · see citing works
Hypermobility disorders in children and adolescents
Murray, K. J. (2006) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2005.12.003 · Cited by 155 · see citing works
Translation and cultural adaptation of quality of life questionnaires: an evaluation of methodology.
Falcão, D. D. M., Ciconelli, R. M., & Ferraz, M. B. (2003) · PubMed · Cited by 148 · see citing works
Tobias, J. H., Deere, K., Palmer, S., Clark, E. M., & Clinch, J. (2013) · Arthritis & Rheumatism · doi:10.1002/art.37836 · Cited by 145 · see citing works
EXTRA-ARTICULAR FEATURES OF BENIGN JOINT HYPERMOBILITY SYNDROME
Mishra, M., Ryan, P. J., Atkinson, P. F., Taylor, H. M., Bell, J. A., Calver, D., FOGELMAN, L., Child, A. H., Jackson, G., Chambers, J. B., et al. (1996) · Rheumatology · doi:10.1093/rheumatology/35.9.861 · Cited by 144 · see citing works
Hypermobility in two Dutch school poulations
Rikken-Bultman, D. G. A., Wellink, L., & van Dongen, P. W. J. (1997) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/s0301-2115(97)02745-0 · Cited by 122 · see citing works
Engelbert, R. H. H., Bank, R. A., Sakkers, R. J. B., Helders, P. J. M., Beemer, F. A., & Uiterwaal, C. S. P. M. (2003) · PEDIATRICS · doi:10.1542/peds.111.3.e248 · Cited by 109 · see citing works
A hypermobility study in ballet dancers.
Klemp, P., Stevens, J. E., & Isaacs, S. (1984) · PubMed · Cited by 107 · see citing works
Analysis of joint mobility patterns among preschool children
Lamari, N. M., Chueire, A. G., & Cordeiro, J. A. (2005) · Sao Paulo Medical Journal · doi:10.1590/s1516-31802005000300006 · Cited by 101 · see citing works
Scheper, M. C., Engelbert, R., Rameckers, E. A. A., Verbunt, J., Remvig, L., & Juul‐Kristensen, B. (2013) · BioMed Research International · doi:10.1155/2013/121054 · Cited by 100 · see citing works
The effectiveness of therapeutic exercise for joint hypermobility syndrome: a systematic review
Palmer, S., Bailey, S., Barker, L., Barney, L., & Elliott, A. (2013) · Physiotherapy · doi:10.1016/j.physio.2013.09.002 · Cited by 93 · see citing works
Hypermobility among Egyptian children: prevalence and features.
El-Garf, A. K., Mahmoud, G. A., & Mahgoub, E. H. (1998) · PubMed · Cited by 87 · see citing works
The association of soft-tissue rheumatism and hypermobility
Hudson, N. (1998) · British journal of rheumatology · doi:10.1093/rheumatology/37.4.382 · Cited by 85 · see citing works
Articular hypermobility in Icelandic 12-year-olds
Qvindesland, A., & Jónsson, H. (1999) · Lara D. Veeken · doi:10.1093/rheumatology/38.10.1014 · Cited by 80 · see citing works
Quality of life prediction in children with joint hypermobility syndrome
Pacey, V., Tofts, L., Adams, R. D., Munns, C. F., & Nicholson, L. L. (2015) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.12826 · Cited by 77 · see citing works
Simmonds, J. V., & Keer, R. J. (2008) · Manual Therapy · doi:10.1016/j.math.2007.11.001 · Cited by 68 · see citing works
Joint Hypermobility: A Common Association with Complex Functional Gastrointestinal Disorders
Kovacic, K., Chelimsky, T. C., Sood, M. R., Simpson, P., Nugent, M., & Chelimsky, G. (2014) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2014.07.021 · Cited by 67 · see citing works
Fikree, A., Aziz, Q., & Grahame, R. (2013) · Rheumatic Disease Clinics of North America · doi:10.1016/j.rdc.2013.03.003 · Cited by 63 · see citing works
Kavuncu, V., Sahin, S., Kamanli, A., Karan, A., & Aksoy, C. (2006) · Rheumatology International · doi:10.1007/s00296-005-0620-z · Cited by 60 · see citing works
Joint hypermobility in Indian children.
Hasija, R., Khubchandani, R. P., & Shenoi, S. (2008) · PubMed · Cited by 48 · see citing works
Articular hypermobility in school children in Sao Paulo, Brazil.
Forleo, L. H. A., Hilário, M. O. E., Peixoto, A. L., Naspitz, C. K., & Goldenberg, J. (1993) · PubMed · Cited by 42 · see citing works
Moraes, D. A. D., Baptista, C. A., Crippa, J. A. S., & Louzada-Junior, P. (2011) · Revista Brasileira de Reumatologia · doi:10.1590/s0482-50042011000100005 · Cited by 39 · see citing works
Is pain the only symptom in patients with benign joint hypermobility syndrome?
Gezer, İ. A., Yılmaz, H., Akkurt, H. E., Sallı, A., & Karaca, G. (2014) · Clinical Rheumatology · doi:10.1007/s10067-014-2610-6 · Cited by 38 · see citing works
Generalized joint hypermobility in healthy female koreans: prevalence and age-related differences
Kwon, J.-W., Lee, W.-J., Park, S.-B., Kim, M. J., Jang, S. H., & Choi, C. K. (2013) · Annals of Rehabilitation Medicine · doi:10.5535/arm.2013.37.6.832 · Cited by 38 · see citing works
Joint hypermobility in south Indian children.
Subramanyam, V., & Janaki, K. V. (1996) · PubMed · Cited by 37 · see citing works
J oint hypermobility syndrome: A review for clinicians
Pacey, V., Tofts, L., Wesley, A., Collins, F., & Singh‐Grewal, D. (2014) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.12731 · Cited by 35 · see citing works
Sperotto, F., Balzarin, M., Parolin, M., Monteforte, N., Vittadello, F., & Zulian, F. (2014) · PubMed · Cited by 32 · see citing works
Functional ability and physical and psychosocial well-being of hypermobile schoolchildren.
Ruperto, N., Malattia, C., Bartoli, M., Trail, L., Pistorio, A., Martini, A., & Ravelli, A. (2004) · PubMed · Cited by 27 · see citing works
Hypermobility and joint hypermobility syndrome in Brazilian students and teachers of ballet dance
Sanches, S. B., Oliveira, G. M., Osório, F. D. L., Crippa, J. A. S., & Martín‐Santos, R. (2014) · Rheumatology International · doi:10.1007/s00296-014-3127-7 · Cited by 27 · see citing works
Vesicourethral Reflux in Pediatrics With Hypermobility Syndrome
Beiraghdar, F., Rostami, Z., Panahi, Y., Einollahi, B., & Teimoori, M. (2013) · Nephro-Urology Monthly · doi:10.5812/numonthly.10770 · Cited by 22 · see citing works
Hypermobility is related with musculoskeletal pain in Indian school-children.
Abujam, B., & Aggarwal, A. (2014) · PubMed · Cited by 22 · see citing works
Generalized joint hypermobility and black admixture in school children of Bahia, Brazil
Santos, M. C. N., & Azevêdo, E. S. (1981) · American Journal of Physical Anthropology · doi:10.1002/ajpa.1330550107 · Cited by 19 · see citing works
Roberto, A. M., Terreri, M. T. R. A., Szejnfeld, V. L., & Hilário, M. O. E. (2002) · Jornal de Pediatria · doi:10.1590/s0021-75572002000600014 · Cited by 19 · see citing works
Öhman, A., Westblom, C., & Henriksson, M. (2014) · PubMed · Cited by 17 · see citing works
Hypermobility and Proprioception in the Finger Joints of Flautists
Artigues-Cano, I., & Bird, H. (2014) · JCR Journal of Clinical Rheumatology · doi:10.1097/rhu.0000000000000109 · Cited by 17 · see citing works
Farmer, A. D., Fikree, A., & Aziz, Q. (2014) · Clinical Autonomic Research · doi:10.1007/s10286-014-0239-9 · Cited by 15 · see citing works
Azma, K., Mottaghi, P., Hosseini, A., Abadi, H. H., & Nouraei, M. H. (2014) · PubMed Central · Cited by 12 · see citing works
Benign joint hypermobility syndrome among children with inguinal hernia.
Nazem, M., Mottaghi, P., Hoseini, A., & Khodadadi, H. (2013) · Europe PMC (PubMed Central) · Cited by 10 · see citing works
Muscle strength assessment among children and adolescents with growing pains and joint hypermobility
Marcolin, A., Cardin, S., & Saad‐Magalhães, C. (2009) · Brazilian Journal of Physical Therapy · doi:10.1590/s1413-35552009005000006 · Cited by 10 · see citing works
Bone mineral density in children. Association with musculoskeletal pain and/or joint hypermobility
Terreri, M. T. R. A., Szejnfeld, V. L., Hilário, M. O. E., & Roberto, A. M. (2002) · Jornal de Pediatria · doi:10.2223/jped.910 · Cited by 9 · see citing works
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Research works printed but not linked: 1
- Moraes DA, Baptista CA, Crippa JA, Louzada-Junior P. Translation into Brazilian Portuguese and validation of the five-part questionnaire for identifying hypermobility. Rev Bras Reumatol. 2011;51:53-69.
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Ribeiro, J. A. D. S., Gomes, G., Aldred, A., Desuó, I. C., & Giacomini, L. A. (2024) · The Yale Journal of Biology and Medicine · doi:10.59249/wgrs1619 · Cited by 14 · see citing works
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- Authors
- Antonio, D. H., & Magalhaes, C. S.
- Affiliations
- Universidade Estadual Paulista (Unesp) (BR)
- Venue
- Advances in Rheumatology
- Published
- 2018-05-24
- Volume
- 58
- Issue
- 1
- Pages
- 3-3
- ISSN
- 0482-5004 (ISSN-L)
- 2523-3106
- OpenAlex
- W2806841883
- Cited by
- 24
- References
- 52
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 5 · 2022: 7 · 2021: 3 · 2020: 1 · 2019: 1
- FWCI
- 0.77
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Revista Brasileira de Reumatologia (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Universidade Estadual Paulista
- Division of Graduate Education
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Health Sciences › Health Professions › Pharmacy › Oral and gingival health research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- joint hypermobility, generalized joint hypermobility, Beighton score, university students, young adults, quality of life, physical activity, sex differences, connective tissue diseases
- MeSH terms
- Adult, Female, Health Surveys, Humans, Joint Instability, Male, Quality of Life, Students, Universities, Exercise, Sex Distribution, Young Adult
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