THE MORPHOLOGICAL PHENOTYPIC CHANGES IN THE STATE OF THE MUSCULOSKELETAL SYSTEM IN CHILDREN 4-6 YEARS WITH VARYING DEGREES OF HYPERMOBILITY OF THE JOINTS
DOI:
https://doi.org/10.32782/2077-6594.2.1.2022.258924Keywords:
children, hypermobility of joints, musculoskeletal system, posture disorders, flat feet, dolichostenomiliaAbstract
Purpose of the study. The find morphological phenotypic changes of the musculoskeletal system of children 4-6 years with different degrees of hypermobility of joints.
Materials and methods. Examined 446 children from four to six years. We copied the data of a comprehensive medical examination. The evaluated the hypermobility of the joints. Anthropometric examination of children was included and morphological manifestations of dolichostenomilia were assessed. The method of podometry was used to control the condition of the arch of the foot of children with hypermobility of the joints.
Results. Children with joint hypermobility have growth disproportion. Kyphotic posture was diagnosed in 46% of children, scoliotic posture was found in 36% of children with a pronounced degree of hypermobility. It was determined that flat feet are manifested with severe hypermobility, and dental anomalies were diagnosed in 59% of the contingent.
Of the phenotypic manifestations of dolichostenomilia, the largest number of cases – 12% were disharmonious ratios of hand length and 13% of the foot relative to body length. 5% of children with articular manifestations had a violation of the proportions of the upper and lower body segments.
Conclusions. Characteristic phenotypic signs of dysplastic lesions have been established. The determined tendency of children to disproportionate development of the musculoskeletal system against the background of hypermobility of joints is confirmed. These facts are the basis for the development of methods of health and preventive measures.
References
Birt L., Pfeil M., Macgregor A., et al. Adherence to home physiotherapy treatment in children and young people with joint hypermobility: A qualitative report of family perspectives on acceptability and efficacy. Musculoskel Car. 2014; 12:56–61. DOI: 10.1002/msc.1055.
Carlos A., Cara A., Fernandez V., et al. Functional Gastrointestinal Disorders, Autonomic Nervous System Dysfunction, and Joint Hypermobility in Children: Are They Related. The Journal of Pediatrics. 2020; 10:101. DOI: 10.1016/j.jpeds.2019.11.009.
Connelly E., Hakim A., Davenport HS., et al. A Study exploring the prevalence of Hypermobility Syndrome in a musculoskeletal triage clinic. Physiother Res Pract. 2015; 36:43–53. DOI:10.3233/PPR-140046.
Скиба О., Дяченко Ю, Пшенична Л., ВертельА. Обґрунтування системи заходів по збереженню здоров’я дітей в умовах позашкільних навчальних закладів спортивного профілю. Science and education a new dimension. Natural and Technical Sciences. 2018; 6(20), 172: 64 – 66. https://doi.org/10.31174/SEND-NT2018-172VI20-15.
Дяченко Ю. Л. Доцільність застосування індексних методик у процесі фізичної реабілітації дітей із порушеннями постави / Ю. Л. Дяченко // Педагогічні науки, теорія, історія, інноваційні технології. 2016; 3(2):139–143.
Diachenko YU. Skyba О., Kondratyuk S., Pshenychna L. Prognostic research of changes in the phenotypic features in the musculoskeletal apparatus in children with joint hypermobility that require physical rehabilitation. Journal of Physical Education and Sport. 2018; 18 (2):921 – 925. DOI:10.7752/jpes.2018.02136.
Scheper MC, Pacey V, Rombaut L, et al. Generalized hyperalgesia in children and adults diagnosed with hypermobility syndrome and Ehlers-Danlos syndrome hypermobility type: a discriminative analysis. Arthritis Care Res. 2017;69(3):421–429. doi: 10.1002/acr.22998.
Juul-Kristensen В., Оstengaard L., Hansen S., et al. Generalised joint hypermobility and shoulder joint hypermobility, – risk of upper body musculoskeletal symptoms and reduced quality of life in the general population. BMC Musculoskeletal Disorders. 2017; 18:226. doi:10.1186/s12891-017-1595-0.
Nathan J. Rudin N. The Hypermobile Patient, Guide to the Inpatient Pain Consult, 2020; 10:407–413. DOI:10.1007/978-3-030-40449-9_27.
Farid A, Beekhuizen S, van der Lugt J, Rutgers M. Knee joint instability after total knee replacement in a patient with Ehlers-Danlos syndrome: the role of insert changes as practical solution. BMJ Case Rep. 2018; https://doi.org/10.1136/bcr-2017-223395.
Raoul H.H., Juul-Kristensen B., Pacey V., et al. The evidence-based rationale for physical therapy treatment of children, adolescents, and adults diagnosed with joint hypermobility syndrome/hypermobile Ehlers Danlos syndrome. American Journal of Medical Genetics Part C (Seminars in Medical Genetics). 2017; 175:158–167.
Smits-Engelsman B., Klerks M., Kirby A. Beighton score: a valid measure for generalized hypermobility in children. J Pediatr. 2011; 158:119–123.