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Kubasadgoudar, Rajlaxmi
- Study of Correlation between Hypermobility and Body Mass Index in Children aged 6-12 Years
Authors
1 Department of Physiotherapy, SDM College of Medical Sciences And Hospital, Dharwad, IN
2 Department of Pediatrics, SDM College of Medical Sciences And Hospital, Dharwad, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 247-249Abstract
Objectives: Joint hypermobility indicates an increase in the range of joint movement among normal individuals. Joint hypermobility commonly occurs in school age children (8-39%). Weight gain may precipitate the onset of symptoms of hypermobility syndrome. This study was done to assess the correlation between hypermobility and body mass index in children aged 6-12 years.Design: Cross sectional study
Methods: Beighton score was used to evaluate 420 healthy children. One point was scored for each positive result (maximum: 9). Scores >4 were considered to be generalised hypermobility. Body mass index was calculated using height and weight of the children. Then, the data was evaluated statistically using SPSS 16.0 version statistical software and results were obtained.
Results: The result showed that 57.14% of hypermobile children were under weight, 35.93% of hypermobile children had normal weight, 19.15% of hypermobile children were at risk of being overweight where as 16.67% of hypermobile children were overweight. A negative correlation (-0.0008) between hyper mobility and BMI was found.
Conclusion: Hypermobility was more prevalent (57.14%) among under weight children aged 6-12 years.
Keywords
Hypermobility, Beighton Score, 6-12 Years Aged Children, Body Mass IndexReferences
- Russek LN. Hypermobility syndrome. Phys Ther 1999 Jun;79(6):591-599.
- Lamari NM, Chueire AG, Cordeiro JA. Analysis of joint mobility patterns among preschool children. Sao Paulo Med J 2005 May 2;123(3): 119-123.
- Juul Kristensen B, Rogind H, Jensen DV, Remvig L. Inter-examiner reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility. Rheumatology (Oxford) 2007 Dec;46(12):1835-1841.
- van der Giessen LJ, Liekens D, Rutgers KJ, Hartman A, Mulder PG, Oranje AP. Validation of Beighton score and prevalence of connective tissue signs in 773 Dutch children. J Rheumatol 2001 Dec;28(12):2726-2730.
- Peter Beighton, Rodney Grahame, Howard Bird. Hypermobility of joints. 4th ed. Springer Verlag London Limited; 2012. p. 82.
- Hasija RP, Khubchandani RP, Shenoi S. Joint hypermobility in Indian children. Clin Exp Rheumatol 2008 Jan-Feb;26(1):146-150.
- Clinch J, Deere K, Sayers A, Palmer S, Riddoch C, Tobias JH, Clark EM. Epidemiology of generalised joint laxity (hypermobility) in fourteen year old children from the UK. Arthritis Rheum. 2011 Sep;63(9):2819-2827.
- Importance of Screening in 0-18 Months Infants by using INFANIB at Tertiary Hospital
Authors
1 Department of Physiotherapy, SDM College of Medical Sciences and Hospital, Dharwad, IN
2 Department of Pediatrics, SDM College of Medical Sciences and Hospital, Dharwad, IN
3 Pediatric Physiotherapist, Regional Neuroscience Centre, Hubli, Karnataka, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 184-186Abstract
Objectives: Child development is a dynamic process and is often hard to measure by its very nature. The various streams of development, including gross motor, fine motor, language, cognitive, and adaptive behaviour, are interrelated and complex within themselves. Developmental delay refers to when a child's development lags behind established normal ranges for his or her age. The prevalence of developmental delay, deviation, disability or deformity in India is 2.5%. So the objective of this study was to screen the infants at Tertiary hospital and to categorize them as normal, transiently abnormal & abnormal neurologic development according to the INFANIB score.Design: Cross sectional study
Method: 639 subjects were included in this study. According to the INFANIB manual guidelines, screening test was administered and infants were categorized as normal, transiently abnormal and abnormal neurologic development. Then, the data was evaluated statistically and results were obtained.
Results: In Group 1(age of less than 4 months) as per INFANIB score out of 194 samples there were 161(82.99%) normal, 24(12.37%) transiently abnormal and 9(4.64%) abnormal neurologic development infants. Group 2 (age of 4-8 month) had 162(86.63%) normal, 12(6.42%) transiently abnormal and 13(6.95%) abnormal neurologic development infants out of 187 samples. In Group 3(age of 8 months or more) out of 258 samples there were 205(79.46%) normal, 18(6.98%) transiently abnormal and 35(13.57%) abnormal neurologic development infants. When all three age groups were considered, there were 528(82.63%) normal, 54(8.45%) transiently abnormal, 57(8.92%) abnormal neurologic development infants.
Conclusion: On INFANIB screening, there were 8.45% transiently abnormal and 8.92% abnormal neurologic development infants at the Tertiary hospital.
Keywords
Screening, INFANIB, 0-18 Month's ChildrenReferences
- Developmental delay. Encyclopedia of children’s health 2005 Available from URL: http:// www. e n o t e s . c o m / c h i l d r e n s - h e a l t h encyclopedia/ developmental-delay.
- Tervo R. Identifying Patterns of Developmental Delays Can Help Diagnose Neurodevelopmental Disorders. A Paediatric Perspective 2003 july;12(3):1-6.
- Soleimani F, Vameghi R, Hemmati S, Roghani RS. Perinatal and Neonatal Risk Factors for Neurodevelopmental Outcome in Infants in Karaj. Arch Iran med 2009 March;12(2):135-139.
- MKC Nair, Babu G, Padmamohan J, Sunitha RM, Resmi VR et al. Developmental delay and disability among under -5 children in a rural ICDs blocks. Indian Paediatrics 2009 Jan;46:75-77.
- Aly Z, Taj F, Ibrahim S. Missed opportunities in surveillance and screening systems to detect developmental delay: A developing country perspective. J braindev 2010;32:90-97.
- Wilhelm IJ. Physical therapy assessment in early infancy. New York: Churchill Livingstone; 1993. p.46-48.
- Sung IY, Kang W. Infant Neurological International Battery (INFANIB) as a Predictor of Neuromotor Outcome in Risk Infants. J Korean Acad Rehabil Med 1997 April;21(2):406-413.
- To Assess the Prevalence of Generalised Hypermobility in School Children of Dharwad (urban), Karnataka
Authors
1 SDM College of Physiotherapy, Dharwad, Karnataka, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 87-90Abstract
Objectives: The term generalised joint hypermobility indicates that the range of motion in general is increased compared with the mean range of motion of the general population. Generalised joint hypermobility is claimed to be present in 5-15% of general population. Children possess an inherently greater range of motion in their joints than adults, with a gradual reduction in this range observed with age. This study was done to assess the prevalence of generalized hypermobility in 6-12 years aged school children of Dharwad (Urban).
Design: Cross sectional study
Methods: 420 healthy children were evaluated using Beighton score. Passive extension of fifth finger (>90º), passive apposition of thumb to forearm, active extension of elbow and knee (>10º) and anterior trunk flexion placing flat hand on ground were assessed. One point was scored for each positive result (maximum: 9). Scores>4 were considered to be generalised hypermobility. The data were evaluated statistically using SPSS 16.0 version statistical software and results were obtained.
Results: Generalised hypermobility was found to be 34.29% of the children. Hypermobility was more among girls (35.12%) than boys (33.73%). Hypermobility was 41.94% in the age group of 6-6.11 years, 30% in 7-7.11 years of age group, 26.23% in 8-8.11 years of age group, 18.97% in 9-9.11 years of age group, 54.84% in 10-10.11 years of age group, 38.60% in 11-11.11 years of age group and 33.33% in 12 years of age group.
Conclusion: The prevalence of generalised hypermobility was 34.29% in 6-12 years school children of Dharwad (Urban).
Keywords
Hypermobility, Beighton Score, 6-12 Years Children, Dharwad (urban)References
- Lamari NM, Chueire AG, Cordeiro JA. Analysis of joint mobility patterns among preschool children. Sao Paulo Med J 2005 May 2;123(3): 119-23.
- Adib N, Davies K, Grahame R, Woo P, Murray KJ. Joint hypermobility syndrome in childhood. A not so benign multisystem disorder. Rheumatology (Oxford) 2005 Jun;44(6):744-750.
- Tofts LJ, Elliott EJ, Munns C, Pacey V, Sillence DO. The differential diagnosis of children with joint hypermobility: a review of the literature. Pediatr Rheumatol Online J 2009 Jan 5;7:1.
- Juul Kristensen B, Rogind H, Jensen DV, Remvig L. Inter-examiner reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility. Rheumatology (Oxford) 2007 Dec;46(12):1835-41.
- Hanewinkel van Kleef YB, Helders PJ, Takken T, Engelbert RH. Motor performance in children with generalized hypermobility: the influence of muscle strength and exercise capacity. Pediatr Phys Ther 2009 Summer;21(2):194-200.
- van der Giessen LJ, Liekens D, Rutgers KJ, Hartman A, Mulder PG, Oranje AP. Validation of Beighton score and prevalence of connective tissue signs in 773 Dutch children. J Rheumatol 2001 Dec;28(12):2726-30.
- Erkula G, Kiter AE, Kilic BA, Er E, Demirkan F, Sponseller PD. The relation of joint laxity and trunk rotation. J Pediatr Orthop B 2005 Jan;14(1):38-41.
- EI Metwally A, Salminen JJ, Auvinen A, Macfarlane G, Mikkelsson M. Risk factors for development of non-specific musculoskeletal pain in preteens and early adolescents: a prospective 1- year follow-up study. BMC Musculoskelet disord 2007 May 23;8:46.
- Alter Michael J. Science of flexibility. 3rd ed. United States of America: Sheridan Books; 1952. p. 88-96.
- Russek LN. Hypermobility syndrome. Phys Ther1999 Jun;79(6):591-99.
- Subramanyam V, Janaki KV. Joint hypermobility in south Indian children. Indian Pediatr 1996 Sep;33(9):771-2.
- Hasija RP, Khubchandani RP, Shenoi S. Joint hypermobility in Indian children. Clin Exp Rheumatol 2008 Jan-Feb;26(1):146-50.
- RikkenBultman DG, Wellink L, van Dongen PW. Hypermobility in two Dutch school populations. Eur J Obstet Gynecol Reprod Biol 1997 Jun;73(2):189-92.