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Paediatric Rheumatology


Hypermobility among school children aged five to eight years: the Hospital del Mar Criteria gives higher prevalence for hypermobility than the Beighton score

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2014 Vol.32, N°2
PI 0285, PF 0290
Paediatric Rheumatology

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PMID: 24143889 [PubMed]

Received: 10/04/2013
Accepted : 09/08/2013
In Press: 17/10/2013
Published: 09/04/2014


The purpose was to investigate the distribution of hypermobility among school children aged five to eight years.
One hundred and twenty-eight participants were assessed using the Beighton score and the Hospital del Mar criteria.
With the Beighton score using the cut-off ≥4, the prevalence was 12%, and with the Hospital del Mar criteria the prevalence was 34%. There were significantly higher scores for females on both the Beighton (p=0.01) and Hospital del Mar criteria (p<0.0001). The youngest children aged five to six years scored higher compared with the seven- and eight-year-olds (p=0.016). The knee flexion was most likely to be hypermobile (97%), followed by shoulder rotation (80%), thumb (31%), elbow (27%), metatarsal-phalangeal (16%), hip (15.5%), fingers (10%) or knee (10%), ankle (6%), trunk (4%) and patella (2%).
Gender and probably age must be taken into account when children are assessed for hypermobility. The Hospital del Mar criteria need to be modified for some of the motions.

Rheumatology Article