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Hypermobility syndromes in children and adolescents: Assessment, diagnosis and multidisciplinary management
Leslie Lorenda Nicholson1, Cliffton Chan2, Louise Tofts3
1PhD, BAppSc (Phty), GradDip (Sports Sci), GradDip (Manip Ther), GradCert (HigherEd), Associate Professor, Musculoskeletal Anatomy and Physiotherapy, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, NSW.
Insights
Syndromic hypermobility in children presents diagnostic and management challenges due to its complexity. Early identification and a multidisciplinary approach are key to improving quality of life for affected individuals.
Area of Science:
- Pediatric rheumatology
- Genetics
- Developmental pediatrics
Background:
- Syndromic hypermobility in children and adolescents poses significant management challenges.
- The condition involves multiple organ systems, evolving diagnostic criteria, and heterogeneous presentations.
- Standard consultations are often insufficient for comprehensive care.
Purpose of the Study:
- To provide an overview of the diagnosis, management, and support for children with hypermobility syndromes.
- To highlight the role of multidisciplinary teams in managing these conditions.
- To discuss common associated features and their impact.
Main Methods:
- Literature review
- Clinical case review
- Multidisciplinary team consensus
Main Results:
- Early identification of signs and symptoms is crucial for optimizing quality of life.
- Diagnosis, ideally by adolescence, offers validation and guides management.
- Management focuses on mitigating socioeconomic, educational, and health-related impacts.
Conclusions:
- A comprehensive, multidisciplinary approach is essential for effective management.
- Early diagnosis and support empower children and families.
- Addressing associated features improves overall patient outcomes.
Background:
Managing children and adolescents with syndromic hypermobility and their parents is challenging in the context of a standard consultation. The multi-organ involvement of the syndromes, the evolving classification criteria and their highly heterogeneous presentation complicate both diagnosis and management.
Objective:
The purpose of this article is to provide an overview of the diagnosis, management and support of children with hypermobility syndromes, including the role of the multidisciplinary team and common associated features.
Discussion:
Optimising the quality of life of people with syndromic hypermobility begins with the early identification of their signs and symptoms. Diagnosis, ideally by adolescence, provides affected children and their parents with validation and directs their focus to management aimed at mitigating the socioeconomic, educational and health-related quality of life impact of these conditions.
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