肌肉骨骼参数与日常功能和参与度在广泛性关节活动过度女性中的相关性：描述性评估。
Correlation of muscle and bone parameters, daily function and participation in women with generalized joint hypermobility: a descriptive evaluation.
机构信息
Department of Physiotherapy, Bern University Hospital, Bern, Switzerland.
Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Belgium.
出版信息
J Musculoskelet Neuronal Interact. 2022 Mar 1;22(1):15-26.
OBJECTIVES
Generalized joint hypermobility (GJH) has a prevalence in women of 15% to 35%. GJH may lead to impaired movement control, frequent sprains or subluxations and pain, and can be associated with early osteoarthritis or chronic fatigue. Aim of this project was to analyse muscle strength, muscle cross-sectional area (mCSA) and daily function in women with GJH and to analyse correlations between these measurements.
METHODS
Descriptive cross-sectional study of women with GJH, defined by Beighton score ≥6/9. Assessments included muscle strength, mCSA by peripheral Quantitative Computed Tomography (pQCT), stair climbing, as well as two questionnaires. Spearman's correlations between parameters were calculated.
RESULTS
51 women with a mean age of 26.5 years participated, whereof 18 (35%) had a Beighton score of 9/9 and 17 (33%) attained 8/9. Internal correlations between strength measurements were high, whereas pQCT parameters were less correlated. Strength was moderately correlated with mCSA, while correlations with stair climbing and SF-36 were not significant.
CONCLUSIONS
This study provides insight into the muscle and bone properties of women with GJH. Only slight differences were seen compared to normative values. Correlations between various dimensions were middle or low, indicating the complex relationship between strength, muscle properties and function.
目的
全身性关节过度活动症（GJH）在女性中的患病率为 15%至 35%。GJH 可能导致运动控制受损、频繁扭伤或半脱位和疼痛，并可能与早期骨关节炎或慢性疲劳有关。本项目的目的是分析 GJH 女性的肌肉力量、肌肉横截面积（mCSA）和日常功能，并分析这些测量值之间的相关性。
方法
采用 Beighton 评分≥6/9 定义的 GJH 女性的描述性横断面研究。评估包括肌肉力量、外周定量计算机断层扫描（pQCT）的 mCSA、爬楼梯以及两个问卷。计算参数之间的 Spearman 相关性。
结果
51 名平均年龄为 26.5 岁的女性参与了研究，其中 18 名（35%）的 Beighton 评分为 9/9，17 名（33%）为 8/9。力量测量值之间的内部相关性较高，而 pQCT 参数的相关性较低。力量与 mCSA 中度相关，而与爬楼梯和 SF-36 的相关性不显著。
结论
本研究提供了 GJH 女性肌肉和骨骼特性的见解。与正常值相比，仅观察到轻微差异。各维度之间的相关性为中等或低，表明力量、肌肉特性和功能之间的复杂关系。
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