Table 3: Point prevalence of joint hypermobility at various sites used in the Beighton criteria (Cut-off ≥4)
Generalized joint hypermobility (GJH) is common among schoolchildren and usually benign. However, it may progressively lead to joint pain and developmental delay. Identifying GJH in school-aged children would facilitate the monitoring of early changes and planning for early rehabilitative intervention. Epidemiological studies addressing the prevalence of GJH among children in the Gulf region and Arab ethnicity are lacking. Hence, we aimed to determine the prevalence, pattern, and factors
... ted with GJH among school-aged children in the Majmaah region, Saudi Arabia. Male and female school-aged children 8-14 years of age from the Majmaah region of Saudi Arabia participated in this cross-sectional study. Beighton score was used to assess GJH. Personal characteristics such as age, height, weight, body mass index, and handedness were also collected. Descriptive statistics were obtained for personal characteristics, the point prevalence of hypermobility, frequency of Beighton score distribution, and prevalence of GJH. The associations between specific factors and the presence of GJH were analyzed using chi-square and Mann-whitney tests. Using the Beighton score cutoff ≥ 4 and ≥ 6, 15.2% and 7.6% of the school children in our study were diagnosed with GJH respectively. The prevalence of GJH was higher among females (16.8%) than among males (13.4%), but the difference was not statistically significant. The elbow joints (17.2%) were the most common hypermobile joints and the trunk (0.7%) was the least involved. The children with GJH were younger and had lesser BMI compared to children without GJH (P < 0.05). The prevalence reported in this study among school-aged children was comparable with those reported worldwide. Bulbena A, Duro JC, Porta M, Faus S, Vallescar R. 1992. Clinical assessment of hypermobility of joints: assembling criteria. Journal of Rheumatology 19:115-122. Carter C, Wilkinson J. 1964. Persistent joint laxity and congenital dislocation of the hip. Journal of Bone and Joint Surgery. British Volume 46:40-45. Clinch J, Deere K, Sayers A, Palmer S, Riddoch C, Tobias JH, Clark EM. 2011. Epidemiology of generalized joint laxity (hypermobility) in fourteen-year-old children from the UK: a population-based evaluation. Remvig L. 2007. Prevalence of general hypermobility in 12-13-year-old school children and impact of an intervention against injury and pain incidence. Advances in Physiotherapy 9:10-15 Silman AJ, Day SJ, Haskard DO. 1987. Factors associated with joint mobility in an adolescent population.