Russek Leslie N, Errico Deanna M
Department of Physical Therapy, Clarkson University, Box 5880, Potsdam, NY, 13699, USA.
Department of Physical Therapy, Utica College, 1600 Burrstone Rd, Utica, NY, 13502, USA.
Clin Rheumatol. 2016 Apr;35(4):1029-39. doi: 10.1007/s10067-015-2951-9. Epub 2015 May 1.
Generalized joint hypermobility (GJH) and joint hypermobility syndrome (JHS) are gaining increased attention as potential sources of pain and injury. The aims of this study were to evaluate prevalence of GJH and JHS and to determine whether musculoskeletal injuries and symptoms commonly attributed to GJH and JHS were more common within a "healthy" college student population. The study involved a convenience sample of 267 college and graduate students, aged 17-26. GJH was assessed using the Beighton score with a cutoff of 5/9, while JHS was assessed using the Brighton criteria. Injury history and symptoms were assessed by recall. Prevalence of GJH was 26.2 % overall (females 36.7 %, males 13.7 %). Prevalence of JHS was 19.5 % overall (females 24.5 %, males 13.7 %). Injury rates were not significantly different for individuals who had GJH vs. those who did not have GJH. Individuals with JHS were significantly more likely to have had sprains, back pain, and stress fractures. Symptoms were no different between those with GJH and those who did not have GJH. However, individuals with JHS were significantly more likely to report clumsiness, easy bruising, and balance problems than those who did not have JHS. GJH and JHS were relatively common in this healthy college student population; GJH was not associated with increased incidence of injury or symptoms commonly attributed to JHS, but JHS was associated with increased incidence of some injuries and symptoms.
全身性关节过度活动(GJH)和关节过度活动综合征(JHS)作为疼痛和损伤的潜在来源正日益受到更多关注。本研究的目的是评估GJH和JHS的患病率,并确定通常归因于GJH和JHS的肌肉骨骼损伤和症状在“健康”大学生群体中是否更常见。该研究涉及267名年龄在17 - 26岁的大学生和研究生的便利样本。使用Beighton评分评估GJH,临界值为5/9,而使用布莱顿标准评估JHS。通过回忆评估损伤史和症状。GJH的总体患病率为26.2%(女性为36.7%,男性为13.7%)。JHS的总体患病率为19.5%(女性为24.5%,男性为13.7%)。患有GJH的个体与未患有GJH的个体的损伤率无显著差异。患有JHS的个体更有可能发生扭伤、背痛和应力性骨折。GJH患者与未患GJH的患者之间的症状无差异。然而,与未患JHS的个体相比,患有JHS的个体更有可能报告笨拙、容易出现瘀伤和平衡问题。GJH和JHS在这个健康的大学生群体中相对常见;GJH与通常归因于JHS的损伤或症状的发生率增加无关,但JHS与一些损伤和症状的发生率增加有关。