Volume 7 Supplement 1

8th International Conference on Conservative Management of Spinal Deformities and SOSORT 2011 Annual Meeting

Open Access

Joint hypermobility syndrome in children with idiopathic scoliosis

  • D Czaprowski1,
  • T Kotwicki2,
  • P Pawlowska1 and
  • L Stolinski3
Scoliosis20127(Suppl 1):O69

https://doi.org/10.1186/1748-7161-7-S1-O69

Published: 27 January 2012

Purpose of study

To assess the frequency of occurrence of the hypermobility syndrome (HS) in children and teenagers with idiopathic scoliosis (IS). To assess the presence of HS in relation to the angle of curvature, vertebral rotation, length of scoliosis and the treatment used.

Background

Joint hypermobility syndrome is diagnosed when the mobility of small and large joints is increased in relation to standard mobility for any given age, gender and race, and after excluding systemic diseases [1][2][3]. It is assessed by clinical examination using specific scales (Beighton) [4]. Some methods of physiotherapy used to treat scoliotic children, include exercises that aim at increasing the range of spinal mobility to achieve curve correction [5][6][7][8][9].

Materials and methods

128 children (92 girls and 36 boys) aged 9 to 18 years, comprising 70 IS children (34 single and 36 double IS), Cobb angle from 11 to 53 degrees, and 58 scoliosis-free controls were examined. Beighton scale as well as Hakim and Grahame questionnaire were used to disclose the presence of HS [1][4][9].

Results

HS was noted more often in children with scoliosis than in the control group (p<0.0001). The angle of curvature, the apical vertebra rotation, the number of vertebrae of the primary curve and the treatment (brace or physiotherapy) did not influence the frequency of occurrence of HS. In single curve IS, the HS appeared more often than in double curve IS (p=0.03).

Conclusions

HS appears more often in children with IS than in healthy controls, especially in single curves. There was no relation of HS with the angle, rotation, length of scoliosis or treatment type. HS should be taken into account when physiotherapy is planned in IS children.

Authors’ Affiliations

(1)
Józef Rusiecki University College in Olsztyn
(2)
University of Medical Sciences
(3)
Rehasport Clinic; Sports Secondary School Complex the John Paul IIPoznań

References

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Copyright

© Czaprowski et al; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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