The relationship between joint hypermobility and neurodevelopmental attributes in elementary school children
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Published on: January 12, 2019
M Davidovitch1, E Tirosh, Y Tal
1Hannah Khoushy Child Development Center, Bnai Zion Medical Center, Haifa, Israel.
Insights
Joint hypermobility in children does not appear linked to neurodevelopmental issues. This study found no causal relationship between joint hypermobility and developmental delays in school-aged children.
Area of Science:
- Pediatric neurology
- Developmental pediatrics
- Orthopedics
Background:
- Joint hypermobility is often associated with motor developmental delays in infancy.
- The relationship between joint hypermobility and neurodevelopmental outcomes in older children requires further investigation.
Purpose of the Study:
- To assess the association between joint hypermobility and neurodevelopmental status in school-aged children.
- To determine if joint hypermobility is causally related to neurodevelopmental dysfunctions in children.
Main Methods:
- Assessed 320 first- and second-grade elementary students and 110 special education students for joint hypermobility.
- Compared neurologic status and performance on verbal and eye-hand coordination tasks with age- and sex-matched controls.
Main Results:
- Joint hypermobility was identified in 12.4% of regular education students and 6.4% of special education students.
- No significant differences were found in neurologic status or coordination tasks between hypermobile children and controls.
Conclusions:
- Joint hypermobility and neurodevelopmental dysfunctions in school-aged children do not appear to be causally related.
- The maturational trajectories of joint hypermobility and neurodevelopmental status seem distinct.
Abstract:
Joint hypermobility is associated with motor developmental delay in infancy. To assess this finding in school-aged children, 320 first- and second-grade elementary school children and 110 children attending a special education program were assessed. Joint hypermobility was found in 40 (12.4%) and seven (6.4%) of the children attending the regular and special education classes, respectively. No difference in the neurologic status or verbal and eye-hand coordination task performance was found between the children of the study group and their age- and sex-matched controls. It appears that joint hypermobility and neurodevelopmental dysfunctions are not causally related and have a different maturational course.
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