Motor competence and physical activity in 8-year-old school children with generalized joint hypermobility
Abstract
OBJECTIVE: Because the criteria used for diagnosing between generalized joint hypermobility (GJH) and musculoskeletal complaints, as well as relations between GJH and an insufficient motor development and/or a reduced physical activity level differ, the prevalence of GJH varies considerably. The aim of this study was to survey the prevalence of GJH defined by a Beighton score at ≥4, ≥5, or ≥6 positive tests of 9 and benign joint hypermobility syndrome (BJHS) in Danish primary school children at 8 years of age. A second aim was to compare children with and without GJH and BJHS regarding motor competence, self-reported physical activity, and incidence of musculoskeletal pain and injuries. METHODS: A cross-sectional study of 524 children in the second grade from 10 public schools was performed. A positive response rate was obtained for 416 (79.4%) children, and 411 (78.4%) children were clinically examined and tested for motor competence, whereas questionnaire response to items comprising musculoskeletal pain and injuries, in addition to daily level and duration of physical activity, corresponded to 377 (71.9%) children. RESULTS: In total, 29% of the children had GJH4, 19% had GJH5, 10% had GJH6, and 9% had BJHS, with no gender difference. There was no difference in daily level and duration of physical activity and in frequency of musculoskeletal pain and injuries between those with and without GJH. Children with ≥GJH5 as well as with ≥GJH6 performed better in the motor competence tests. CONCLUSION: Motor competence and physical activity are not reduced in primary school children at 8 years of age with GJH or BJHS. It is recommended that a potential negative influence on the musculoskeletal system over time, as a result of GJH, be investigated by longitudinal studies.
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Studies using a cut-off Beighton score of ≥4 report prevalence rates of approximately 35% for populations of children and adolescents (3-18 years).
“Studies that used a cut-off Beighton score of ≥4 report prevalence rates of approximately 35% for populations consisting of children and adolescents (3–18 years of age) (Smits-Engelsman, Klerks & Kirby, 2011; Arroyo, Brewer & Giannini, 1988; Juul-Kristensen et al., 2009; Qvindesland & Jonsson, 1999).”
From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Juul-Kristensen et al., 2009
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References 53 · Cited by 76
- Authors
- Juul-Kristensen, B., Kristensen, J. H., Frausing, B., Jensen, D. V., Røgind, H., & Remvig, L.
- Affiliations
- Departments of Rheumatology
- Copenhagen University Hospital (DK)
- Department of Rheumatology, Hørsholm Hospital, Hørsholm, Denmark
- Frederiksberg Hospital (DK)
- ORCID
- Røgind, Henrik
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2009-11-01
- Volume
- 124
- Issue
- 5
- Pages
- 1380-1387
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1968957707
- Cited by
- 76
- References
- 53
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 4 · 2023: 5 · 2022: 5 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 5 · 2016: 7 · 2015: 7 · 2014: 10 · 2013: 6 · 2012: 6
- FWCI
- 1.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Fonds National de la Recherche Luxembourg
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- generalized joint hypermobility, benign joint hypermobility syndrome, motor competence, physical activity, musculoskeletal pain, musculoskeletal injuries, Beighton score, prevalence, elementary school students
- MeSH terms
- Child, Female, Humans, Joint Instability, Male, Motor Skills, Pain, Psychomotor Performance, Surveys and Questionnaires, Syndrome, Range of Motion, Articular, Exercise Tolerance
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