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Hypermobility, developmental coordination disorder and physical activity in an Irish paediatric population

Nicola Moore1, Sarah Rand1, Jane Simmonds1

  • 1Community Paediatric Physiotherapy Department, Mitchels Integrated Services Building, Tralee, Ireland.

Musculoskeletal Care
|May 8, 2019
PubMed

Insights

Generalized joint hypermobility (GJH) affects nearly 22% of children in Irish physiotherapy services. GJH did not impact physical activity or motor coordination in these children.

Area of Science:

  • Paediatric physiotherapy
  • Clinical assessment of hypermobility
  • Developmental coordination disorder

Background:

  • Generalized joint hypermobility (GJH) and generalized hypermobility spectrum disorder (gHSD) require updated classification systems for accurate diagnosis.
  • Understanding the prevalence and impact of GJH and gHSD in pediatric populations is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of GJH and gHSD in a community pediatric physiotherapy service in Ireland using a new classification system.
  • To investigate the relationship between GJH, gHSD, physical activity levels, and probable developmental coordination disorder (pDCD).

Main Methods:

  • A case-controlled cross-sectional study involving children aged 6-12 years recruited from physiotherapy and school settings.
  • GJH identified using a Beighton score (≥6/9); gHSD assessed using the latest framework.
  • Physical activity measured via self-report (Physical Activity Questionnaire-Older Children); pDCD screened using a parent-reported questionnaire.

Main Results:

  • GJH prevalence was 21.9% among children in physiotherapy. gHSD prevalence was 3.1% in the physiotherapy group.
  • No significant difference in physical activity levels was found between children with and without GJH.
  • Probable developmental coordination disorder (pDCD) was highly prevalent (71.9%) in the physiotherapy group, with no significant association with GJH.

Conclusions:

  • This study provides the first prevalence data for GJH and gHSD in the Irish pediatric physiotherapy population.
  • GJH in children attending physiotherapy did not appear to influence their self-reported physical activity or motor coordination.
Abstract

Keywords:
developmental coordination disordergeneralized hypermobility spectrum disordergeneralized joint hypermobilitymotor coordinationmusculoskeletalpaediatricsphysical activityphysiotherapy

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