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Children with generalised joint hypermobility and musculoskeletal complaints: state of the art on diagnostics, clinical characteristics, and treatment.
Biomed Res Int 2013; 2013:121054BR

Abstract

INTRODUCTION

To provide a state of the art on diagnostics, clinical characteristics, and treatment of paediatric generalised joint hypermobility (GJH) and joint hypermobility syndrome (JHS).

METHOD

A narrative review was performed regarding diagnostics and clinical characteristics. Effectiveness of treatment was evaluated by systematic review. Searches of Medline and Central were performed and included nonsymptomatic and symptomatic forms of GJH (JHS, collagen diseases).

RESULTS

In the last decade, scientific research has accumulated on all domains of the ICF. GJH/JHS can be considered as a clinical entity, which can have serious effects during all stages of life. However research regarding the pathological mechanism has resulted in new potential opportunities for treatment. When regarding the effectiveness of current treatments, the search identified 1318 studies, from which three were included (JHS: n = 2, Osteogenesis Imperfecta: n = 1). According to the best evidence synthesis, there was strong evidence that enhancing physical fitness is an effective treatment for children with JHS. However this was based on only two studies.

CONCLUSION

Based on the sparsely available knowledge on intervention studies, future longitudinal studies should focus on the effect of physical activity, fitness, and joint stabilisation. In JHS and chronic pain, the effectiveness of a multidisciplinary approach should be investigated.

Authors+Show Affiliations

Education of Physiotherapy, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands. m.c.scheper@hva.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23971021

Citation

Scheper, M C., et al. "Children With Generalised Joint Hypermobility and Musculoskeletal Complaints: State of the Art On Diagnostics, Clinical Characteristics, and Treatment." BioMed Research International, vol. 2013, 2013, p. 121054.
Scheper MC, Engelbert RH, Rameckers EA, et al. Children with generalised joint hypermobility and musculoskeletal complaints: state of the art on diagnostics, clinical characteristics, and treatment. Biomed Res Int. 2013;2013:121054.
Scheper, M. C., Engelbert, R. H., Rameckers, E. A., Verbunt, J., Remvig, L., & Juul-Kristensen, B. (2013). Children with generalised joint hypermobility and musculoskeletal complaints: state of the art on diagnostics, clinical characteristics, and treatment. BioMed Research International, 2013, p. 121054. doi:10.1155/2013/121054.
Scheper MC, et al. Children With Generalised Joint Hypermobility and Musculoskeletal Complaints: State of the Art On Diagnostics, Clinical Characteristics, and Treatment. Biomed Res Int. 2013;2013:121054. PubMed PMID: 23971021.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Children with generalised joint hypermobility and musculoskeletal complaints: state of the art on diagnostics, clinical characteristics, and treatment. AU - Scheper,M C, AU - Engelbert,R H H, AU - Rameckers,E A A, AU - Verbunt,J, AU - Remvig,L, AU - Juul-Kristensen,B, Y1 - 2013/07/22/ PY - 2013/04/12/received PY - 2013/06/13/revised PY - 2013/07/04/accepted PY - 2013/8/24/entrez PY - 2013/8/24/pubmed PY - 2014/2/8/medline SP - 121054 EP - 121054 JF - BioMed research international JO - Biomed Res Int VL - 2013 N2 - INTRODUCTION: To provide a state of the art on diagnostics, clinical characteristics, and treatment of paediatric generalised joint hypermobility (GJH) and joint hypermobility syndrome (JHS). METHOD: A narrative review was performed regarding diagnostics and clinical characteristics. Effectiveness of treatment was evaluated by systematic review. Searches of Medline and Central were performed and included nonsymptomatic and symptomatic forms of GJH (JHS, collagen diseases). RESULTS: In the last decade, scientific research has accumulated on all domains of the ICF. GJH/JHS can be considered as a clinical entity, which can have serious effects during all stages of life. However research regarding the pathological mechanism has resulted in new potential opportunities for treatment. When regarding the effectiveness of current treatments, the search identified 1318 studies, from which three were included (JHS: n = 2, Osteogenesis Imperfecta: n = 1). According to the best evidence synthesis, there was strong evidence that enhancing physical fitness is an effective treatment for children with JHS. However this was based on only two studies. CONCLUSION: Based on the sparsely available knowledge on intervention studies, future longitudinal studies should focus on the effect of physical activity, fitness, and joint stabilisation. In JHS and chronic pain, the effectiveness of a multidisciplinary approach should be investigated. SN - 2314-6141 UR - https://www.unboundmedicine.com/medline/citation/23971021/Children_with_generalised_joint_hypermobility_and_musculoskeletal_complaints:_state_of_the_art_on_diagnostics_clinical_characteristics_and_treatment_ L2 - https://dx.doi.org/10.1155/2013/121054 DB - PRIME DP - Unbound Medicine ER -