Indian Articles: Brief Report on Joint Hypermobility in South Indian Children

"Joint hypermobility in south Indian children." 

Subramanyam, Vedavati, and K. V. Janaki. Indian pediatrics 33 (1996): 771-771.

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This article reports the first Indian study that studied the prevalence of joint hypermobility in pediatric population in India. One thousand children between the ages of 6 and 15 years in Madras were studied. There were equal number of boys and girls. Presence of grades III or IV malnutrition, Down's syndrome, Ehlers Danlos syndrome or any other musculoskeletal disorders were exclusion criteria. The researchers used the Carter-Wilkinson's scoring method for evaluating hypermobility of joints.

Results: The overall prevalence of benign hypermobility of the joints for both boys and girls was 17.2%.  In the 6-10 years group, 65% boys and 35% girls had hypermobility. In the age group 11 to 15 years, 41% and 59% girls had hypermobility.

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The study assesses presence of joint hypermobility in children who had not been diagnosed with any connective tissue disorder. Different evaluation criteria, different age-groups of subjects, sample sizes, different ethnicity and other demographic factors lead to different results regarding the prevalence of joint hypermobility. It is generally accepted that joint hypermobility is common in children and it decreases with age.

It would be interesting to evaluate joint hypermobility in children and interviewing and assessing the parents of children who have hypermobile joints for the presence of H-EDS/JHS.

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