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Joint hypermobility and its relationship to musculoskeletal pain in schoolchildren: a cross-sectional study
  1. V Leone,
  2. G Tornese,
  3. M Zerial,
  4. C Locatelli,
  5. R Ciambra,
  6. M Bensa,
  7. M Pocecco
  1. Paediatric Department, Maurizio Bufalini Hospital, Cesena, Italy
  1. Dr V Leone, 18 Fleming Place, Fountainhall, Galashiels TD1 2TA, UK; valentinaleone{at}doctors.org.uk

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 ⩾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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Footnotes

  • Competing interests: None.

  • Ethics approval: Ethics approval was provided by the Ethics Committee, Maurizio Bufalini Hospital, Cesena, Italy.

  • Patient consent: Obtained from the parents.

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