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美国大学生中全身关节过度活动、肌肉骨骼损伤和慢性肌肉骨骼疼痛的患病率。

Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students.

作者信息

Reuter Peter R, Fichthorn Kaylee R

机构信息

Department of Rehabilitation Sciences, Marieb College of Health & Human Services, Florida Gulf Coast University, Fort Myers, FL, USA.

出版信息

PeerJ. 2019 Sep 11;7:e7625. doi: 10.7717/peerj.7625. eCollection 2019.

Abstract

The objective of this study was to investigate the prevalence of generalized joint hypermobility (GJH) in a university-aged population, whether young adults (aged 18-25 years) with GJH are prone to sustain more musculoskeletal injuries, and are more likely to suffer from chronic musculoskeletal pain. The study used an interactive survey to gather data; GJH was assessed using a cut-off Beighton score of ≥5 in accordance with the 2017 International Classification of EDS criteria. The analyzed sample consisted of 482 female and 172 male participants from Florida Gulf Coast University (USA). The prevalence of GJH in a university-aged population can be estimated at 12.5%. Women did not have higher rates of GJH than men. However, female participants showed significantly higher rates of hypermobility of the spine as well as the right knee and elbow joints. The Beighton scores did not differ by ethnicity/race. Female participants had a lower rate of self-reported injuries than male participants, although this difference was not significant. There was no difference in the proportion of all participants classified within different categories (0; 1-4; 5-9) of Beighton scores and whether or not they reported having been injured. Male and female participants reported chronic pain of joints and neck or back at the same rates across the Beighton score categories. Female participants, however, reported higher pain intensity for chronic neck and back pain. This study increases knowledge about a correlation between GJH, musculoskeletal injuries, and chronic pain of joints, neck, and back in a university-aged population.

摘要

本研究的目的是调查大学年龄段人群中全身关节过度活动(GJH)的患病率,患有GJH的年轻人(18 - 25岁)是否更容易遭受更多的肌肉骨骼损伤,以及是否更有可能患有慢性肌肉骨骼疼痛。该研究使用交互式调查来收集数据;根据2017年国际EDS标准,使用Beighton评分≥5的临界值来评估GJH。分析样本包括来自美国佛罗里达海湾海岸大学的482名女性和172名男性参与者。大学年龄段人群中GJH的患病率估计为12.5%。女性的GJH发生率并不高于男性。然而,女性参与者在脊柱以及右膝和肘关节的过度活动发生率显著更高。Beighton评分在不同种族之间没有差异。女性参与者自我报告的损伤发生率低于男性参与者,尽管这种差异并不显著。在Beighton评分的不同类别(0;1 - 4;5 - 9)中,所有参与者报告是否受伤的比例没有差异。在Beighton评分类别中男、女性参与者报告关节、颈部或背部慢性疼痛的发生率相同。然而,女性参与者报告的慢性颈部和背部疼痛强度更高。本研究增加了对大学年龄段人群中GJH、肌肉骨骼损伤以及关节、颈部和背部慢性疼痛之间相关性的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af0/6744937/09be235bd904/peerj-07-7625-g001.jpg

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