伊朗全身性韧带松弛症的流行病学：一项涵盖不同伊朗族群的全国性研究及其与肌肉骨骼疾病的关系。
Epidemiology of Generalized Ligamentous Laxity in Iran: A National Study Including Different Iranian Ethnic Groups and its Relationship with Musculoskeletal Disorders.
作者信息
Saremi Hossein, Ebrahimzadeh Mohammad H, Shiruei Sepehr, Karami Manoochehr, Rouhani Alireza, Momenzadeh Omid Reza, Mardani-Kivi Mohsen, Sadoni Hanon, Shahbazi Farnaz, Dehghani Mohammad, Karbalaeikhani Ali
机构信息
Department of Orthopedics, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
Arch Bone Jt Surg. 2022 Mar;10(3):286-292. doi: 10.22038/ABJS.2022.56641.2813.
BACKGROUND
Ligamentous laxity is a condition that leads to joints' hypermobility beyond their average and normal range of motion. It can cause musculoskeletal and joint injuries. This national multi-centered study investigated the epidemiology of generalized ligamentous laxity and its relationship with musculoskeletal disorders among Iranian adults with different ethnic backgrounds.
METHODS
A total of 1,488 people (age range: 17-40 years) were selected from eight cities and six different ethnicities of Iran and included in this cross-sectional study. The presence of ligamentous laxity with clinical examinations was searched according to Beighton score criteria. They were also examined for any kind of musculoskeletal disorders that might accompany ligamentous laxity. The Chi-square test was used to compare the frequency of ligamentous laxity based on gender and ethnicity; moreover, the t-test was utilized to compare the frequency of ligamentous laxity based on age.
RESULTS
In total, 280 (18.8%) participants had generalized ligamentous laxity, and it was more prevalent in women (22.7%), compared to men (14.4%). Regarding ethnicity, the highest and lowest prevalence rates were in Gilak (37.9%) and Persian-Arab (6%) ethnicities, respectively (). Ligamentous laxity showed a significant relationship with sports injury, joint complaint, joint dislocation, ligament sprain, sciatica and back pain, Baker's cyst, and varicose veins (). Most participants with generalized ligamentous laxity (93.6%) had no knowledge of their problem and its importance in choosing an appropriate sports activity.
CONCLUSION
The prevalence of generalized ligamentous laxity seems to be relatively high among the 17-40-year-old population of Iran, especially in women. It seems to be significantly related to ethnicity. It is strongly recommended that examinations, screening, and information be provided at an early age in schools or at least in areas with a high prevalence as national programs.
背景
韧带松弛是一种导致关节活动度超过其平均和正常范围的状况。它会引发肌肉骨骼和关节损伤。这项全国多中心研究调查了伊朗不同种族背景成年人中广泛性韧带松弛的流行病学及其与肌肉骨骼疾病的关系。
方法
从伊朗的八个城市和六个不同种族中选取了总共1488人（年龄范围：17 - 40岁）纳入这项横断面研究。根据贝顿评分标准通过临床检查来查找韧带松弛的存在情况。他们还接受了可能伴随韧带松弛的任何类型肌肉骨骼疾病的检查。卡方检验用于比较基于性别和种族的韧带松弛频率；此外，t检验用于比较基于年龄的韧带松弛频率。
结果
总共有280名（18.8%）参与者存在广泛性韧带松弛，女性（22.7%）比男性（14.4%）更为普遍。在种族方面，患病率最高和最低的分别是吉兰族（37.9%）和波斯 - 阿拉伯族（6%）。韧带松弛与运动损伤、关节不适、关节脱位、韧带扭伤、坐骨神经痛和背痛、贝克囊肿以及静脉曲张存在显著关系。大多数广泛性韧带松弛的参与者（93.6%）对自己的问题及其在选择合适体育活动中的重要性并不知晓。
结论
在伊朗17 - 40岁人群中，广泛性韧带松弛的患病率似乎相对较高，尤其是在女性中。它似乎与种族显著相关。强烈建议在学校尽早提供检查、筛查和信息，或者至少在患病率高的地区作为国家项目来开展。
Zotero 插件