Romeo Domenico M, Venezia Ilaria, De Biase Margherita, Ascione Federica, Lala Maria Rosaria, Arcangeli Valentina, Mercuri Eugenio, Brogna Claudia
Pediatric Neurology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy.
Pediatric Neurology Unit, Università Cattolica del Sacro Cuore, 00168 Roma, Italy.
Children (Basel). 2022 Jul 7;9(7):1011. doi: 10.3390/children9071011.
Children with developmental coordination disorder (DCD) and joint hypermobility could present an overlap of symptoms and motor functional difficulties. The link between these two clinical conditions has not yet been clarified. Recent studies reported a high incidence (30-50%) of motor delay in children who are referred to hypermobility and of enhanced joint hypermobility in children with DCD. The aim of this study was to provide a critical review of the literature outlining the association between DCD or limited motor performance and joint hypermobility. Studies were eligible for inclusion if they were written in English and human-based. All the studies were first selected, looking for the presence of a clinical association between developmental coordination disorder or motor performance and hyperlaxity and reporting details of outcome. After a review of the full texts, 16 articles for a total of 1898 children met the inclusion criteria. In general, there was evidence of a higher incidence of motor delay or DCD in children who are referred to hypermobility and of enhanced joint hypermobility in children with DCD with similar range of functional difficulties. These results could influence the way to support children with rehabilitation and the type of intervention according to the prevalence of one of the two conditions.
患有发育性协调障碍(DCD)和关节活动过度的儿童可能会出现症状重叠和运动功能困难。这两种临床状况之间的联系尚未明确。最近的研究报告称,被诊断为关节活动过度的儿童中运动发育迟缓的发生率很高(30 - 50%),而患有DCD的儿童关节活动过度的情况更为明显。本研究的目的是对概述DCD或有限运动表现与关节活动过度之间关联的文献进行批判性综述。如果研究是用英文撰写且以人类为研究对象,则符合纳入标准。首先筛选所有研究,寻找发育性协调障碍或运动表现与关节过度松弛之间的临床关联,并报告结果细节。在对全文进行审查后,共有16篇文章涉及1898名儿童符合纳入标准。总体而言,有证据表明,被诊断为关节活动过度的儿童中运动发育迟缓或DCD的发生率较高,而患有DCD且功能困难程度相似的儿童关节活动过度情况更为明显。这些结果可能会影响根据这两种状况之一的患病率为儿童提供康复支持的方式和干预类型。