Mikkelsson M, Salminen J J, Kautiainen H
Rheumatism Foundation Hospital, Heinola, Finland.
J Rheumatol. 1996 Nov;23(11):1963-7.
To study the prevalence of joint hypermobility and the association of hypermobility with musculoskeletal pain in pre-adolescents.
Finnish school children in the 3rd and 5th grade, n = 1637, mean ages 9.8 and 11.8 years, were studied by Beighton criteria for joint hypermobility, with total score > or = 6 as a cutoff point for hypermobility, pretested questionnaire for musculoskeletal pain, and classification to different pain groups on the basis of painful body area and frequency of pain.
The mean Beighton scores were 2.7 and 2.4 for the 3rd and 5th grade children, respectively. Total score was > or = 6 in 7.8% of the children. No association of hypermobility with musculoskeletal pain was found. Of the hypermobile children, 29.9% (95% CI 22.3 to 38.8), and of the nonhypermobile children, 32.3% (95% CI 29.9 to 34.7) had musculoskeletal pain at least once a week. Children with hypermobility did not have more pain due to injuries. Disability caused by musculoskeletal pain did not correlate with Beighton total score.
Both joint hypermobility and musculoskeletal pain are common in pre-adolescents. Hypermobility appears not to be a contributing factor to musculoskeletal pain in pre-adolescents.
研究青春期前儿童关节活动过度的患病率以及关节活动过度与肌肉骨骼疼痛之间的关联。
对芬兰三、五年级的1637名学童进行研究，他们的平均年龄分别为9.8岁和11.8岁。采用贝顿（Beighton）关节活动过度标准进行评估，以总分≥6分为关节活动过度的临界值；使用预先测试的肌肉骨骼疼痛问卷，并根据疼痛的身体部位和疼痛频率将其分为不同的疼痛组。
三年级和五年级儿童的贝顿平均得分分别为2.7分和2.4分。7.8%的儿童总分≥6分。未发现关节活动过度与肌肉骨骼疼痛之间存在关联。在关节活动过度的儿童中，29.9%（95%可信区间22.3至38.8）至少每周出现一次肌肉骨骼疼痛；在非关节活动过度的儿童中，这一比例为32.3%（95%可信区间29.9至34.7）。关节活动过度的儿童因受伤导致的疼痛并不更多。肌肉骨骼疼痛导致的残疾与贝顿总分无关。
关节活动过度和肌肉骨骼疼痛在青春期前儿童中都很常见。关节活动过度似乎不是青春期前儿童肌肉骨骼疼痛的一个促成因素。
