Pediatrics Department, Botucatu Medical School, Graduate Program in Public Health of UNESP, Sao Paulo State University UNESP, Avenida Prof. Mario Rubens Guimarães Montenegro SN, Campus da Unesp, Rubião Junior, CEP, Botucatu, SP, 18618-687, Brazil.
Adv Rheumatol. 2018 May 24;58(1):3. doi: 10.1186/s42358-018-0008-x.
Joint hypermobility is defined as a wide range of movements beyond the physiological limits, it has been recognized in healthy people, gymnasts, acrobats, and carriers of genetic affections of connective tissue. A survey among young adults was conducted to describe the frequency of joint hypermobility, estimating its impact on function and quality of life.
Volunteer university students aged 18 to 25 years old who answered a valid 5-item questionnaire about hypermobility, a physical activity questionnaire, and the Brazilian version of the Medical Outcome Survey Short Form 36 (SF-36) were included. Hypermobility was also assessed by a guided self-examination, with Beighton's criteria being scored and scores greater than or equal to 4 or less than 4 being discriminated.
A total of 388 subjects were included, of which 299 were women (77.06%) and 89 were men (22.94%); the median age was 23 years old. Generalized joint hypermobility (Beighton score ≥ 4) was observed in 104 individuals (26.8%). Localized hypermobility (Beighton score 1-3) was observed in 135 (34.79%) individuals, where the hypermobility of the 5th finger was the most frequent in 165 (57.47%) individuals, followed by hypermobility of the thumb in 126 (32.56%) individuals, hypermobility of the elbows and knees each in 72 (18.6%) individuals, and hypermobility of the spine in 69 (17.79%) individuals. The descriptive observation of physical activity indicated regular practice. The correlation coefficients between the SF-36 domains and hypermobility scores were very low and statistical comparison not significant.
In this population of youngsters, predominantly women, localized hypermobility was more frequent than generalized hypermobility; however, with low impact on health domains and quality of life scores, estimated in each domain of the SF-36, the physical and mental component scores, and the time dedicated to physical activity.
关节过度活动是指超出生理极限的大范围运动，在健康人群、体操运动员、杂技演员和结缔组织遗传疾病患者中都有发现。对年轻人进行了一项调查，以描述关节过度活动的频率，并评估其对功能和生活质量的影响。
18 至 25 岁的大学生志愿者回答了一份关于过度活动的有效 5 项问卷、一份体育活动问卷和巴西版医疗结果调查简表 36 项（SF-36），并接受了指导的自我检查，根据 Beighton 标准评分，评分大于等于 4 或小于 4 进行区分。
共纳入 388 名受试者，其中 299 名女性（77.06%）和 89 名男性（22.94%）；中位年龄为 23 岁。104 名（26.8%）个体存在全身性关节过度活动（Beighton 评分≥4），135 名（34.79%）个体存在局部性关节过度活动（Beighton 评分 1-3），其中第 5 指过度活动最常见于 165 名（57.47%）个体，其次是拇指过度活动 126 名（32.56%），肘部和膝关节过度活动各 72 名（18.6%），脊柱过度活动 69 名（17.79%）。对体育活动的描述性观察表明，他们经常进行锻炼。SF-36 各领域与过度活动评分之间的相关系数非常低，且统计学比较无显著性差异。
在这个以女性为主的年轻人人群中，局部性关节过度活动比全身性关节过度活动更为常见；然而，对 SF-36 各领域、生理和心理成分评分以及用于体育活动的时间的健康状况和生活质量评分影响较小。
