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Assessing Joint Hypermobility in Preschool-Aged Children
Domenico M Romeo1, Simona Lucibello1, Elisa Musto1
1Pediatric Neurology Unit, Catholic University Rome, Rome, Italy.
The Journal of Pediatrics
|June 25, 2016
Summary
A revised Beighton score effectively identifies joint hypermobility in children under five years. This tool aids in assessing children with genetic syndromes and general hypermobility.
Area of Science:
- Pediatrics
- Rheumatology
- Genetics
Background:
- Joint hypermobility assessment is crucial in pediatric care.
- The Beighton score is a standard tool but requires adaptation for younger children.
- Hypermobility can be associated with genetic syndromes, impacting diagnosis and management.
Purpose of the Study:
- To adapt the Beighton score for children under five years.
- To evaluate the revised score's reliability in preschool-aged children.
- To assess hypermobility in children with genetic syndromes.
Main Methods:
- A revised Beighton score was applied to 284 healthy children and 26 with genetic disorders.
- Assessment included five bilateral joint assessments.
- Data analysis focused on score distribution and cut-off identification.
Main Results:
- A cut-off score >4 identified hypermobility.
- 7% of healthy children and 89% of those with genetic syndromes scored >4.
- Thumb-to-forearm apposition and ankle dorsiflexion were most frequently hypermobile.
Conclusions:
- The revised Beighton score is reliable for assessing generalized joint hypermobility in children up to five years.
- This adapted score aids in longitudinal assessment of children with isolated or syndrome-associated hypermobility.
- The tool supports clinical evaluation and management of pediatric hypermobility.
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