Assessment of lower limbs in people with Generalized Joint Hypermobility – preliminary report Cover

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Assessment of lower limbs in people with Generalized Joint Hypermobility – preliminary report

Advances in Rehabilitation

Volume 35 (2021): Issue 4 (December 2021)

By: Paulina Ewertowska , Agnieszka Kleniewska , Jakub Wasilewski , Agata Wasilewska , Afrodyta Zielińska , Ireneusz Haponiuk and Dariusz Czaprowski

Open Access

|Aug 2021

Figures & Tables

The results of tibial torsion

	Lower limb	GJH		CG		p

		Mean ± SD	Min:Max	Mean ± SD	Min:Max
Children	Right (°)	4.9 ± 9.9	−10:15	7.4 ± 7.1	−10:20	0.46
Children	Left (°)	7.9 ± 12.4	−11:22	9.4 ± 6.6	−10:20	0.67
Adults	Right (°)	2.3 ± 6.7	−18:10	2.8 ± 10.0	−20:16	0.54
Adults	Left (°)	1.7 ± 8.9	−20:10	4.2 ± 8.0	−10:20	0.63

Characteristics of participants with GJH and from the CG (n = 81)

	Children 7–13 years (n = 30)			Adults 20–29 years (n = 51)

	GJH n = 13	CG n = 17	p	GJH n = 19	CG n = 32	p

	Mean ± SD	Mean ± SD		Mean ± SD	Mean ± SD
Age (years)	9.3 ± 1.4	10.4 ± 1.5	0.06	23.4 ± 1.0	23.1 ± 2.0	0.10
Weight (kg)	30.4 ± 10.2	33.3 ± 7.4	0.08	64.6 ± 10.8	72.4 ± 15.2	0.12
Height (m)	1.38 ± 0.1	1.42 ± 0.1	0.19	1.71 ± 0.1	1.76 ± 0.1	0.03^*
BMI (kg/m²)	15.8 ± 2.6	16.5 ± 2.5	0.46	22.0 ± 2.4	23.1 ± 3.2	0.46

The occurrence of knee valgus and varus

	Lower limb	Axis of limb	GJH	CG	p

			n (%)	n (%)
Children	Right	Norm	11 (91.7)	17 (94.4)
		Valgus	0 (0.0)	1 (5.6)	0.33
		Varus	1 (8.3)	0 (0.0)
	Left	Norm	11 (91.7)	17 (94.4)
		Valgus	0 (0.0)	1 (5.6)	0.33
		Varus	1 (8.3)	0 (0.0)

Adults	Right	Norm	16 (84.2)	29 (90.6)	0.55
		Valgus	2 (10.5)	1 (3.1)
		Varus	1 (5.3)	2 (6.3)
	Left	Norm	16 (84.2)	30 (93.8)	0.17
		Valgus	2 (10.5)	0 (0)
		Varus	1 (5.3)	2 (6.3)

The results of internal and external rotation of the hip joint

			GJH	CG	p

	Lower limb	Rotation (º)	Mean ± SD	Mean ± SD
Children	Right	Internal	60.2 ± 10.4	50.2 ± 13.0	0.03^*
	Left		60.8 ± 12.2	48.2 ± 10.3	0.00^*
	Right	External	38.1 ± 8.8	35.7 ± 6.3	0.42
	Left		39.5 ± 8.8	40.0 ± 9.7	0.89

Adults	Right	Internal	56.6 ± 11.6	43.6 ± 9.9	0.00^*
	Left		56.9 ± 11.2	44.6 ± 11.6	0.00^*
	Right	External	43.5 ± 10.7	41.7 ± 7.2	0.47
	Left		40.6 ± 17.8	44.1 ± 12.0	0.40

The results of arches of the foot

		Foot	GJH	CG	p

			Mean ± SD	Mean ± SD
Clarke angle (°)	Children	Right	50.5 ± 3.5	43.8 ± 7.2	0.00^*
	Children	Left	49.5 ± 4.9	41.3 ± 13.1	0.11
	Adults	Right	45.2 ± 7.1	44.0 ± 8.8	0.89
	Adults	Left	46.2 ± 7.8	44.4 ± 6.7	0.49

Wejsflog Index	Children	Right	2.55 ± 0.13	2.55 ± 0.19	0.98
	Children	Left	2.64 ± 0.24	2.56 ± 0.20	0.37
	Adults	Right	2.58 ± 0.13	2.63 ± 0.14	0.28
	Adults	Left	2.56 ± 0.13	2.64 ± 0.16	0.08

The results of the Beighton test

	GJH		CG

	Mean ± SD	Median (interquartile range)	Mean ± SD	Median (interquartile range)
Children	5.6 ± 0.8	5.0 (5–6)	1.7 ± 1.6	2.0 (0–4)
Adults	5.6 ± 1.5	5.0 (5–7)	1.0 ± 1.0	1.0 (0–2)

DOI: https://doi.org/10.5114/areh.2021.108381 | Journal eISSN: 1734-4948

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Language: English

Page range: 25 - 32

Submitted on: Apr 19, 2021

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Accepted on: Aug 3, 2021

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Published on: Aug 23, 2021

Published by: University of Physical Education in Warsaw

In partnership with: Paradigm Publishing Services

Keywords:

Generalized Joint Hypermobility,

tibial torsion,

Related subjects:

Clinical medicine,

Physical and rehabilitation medicine,

Sports and recreation,

Sports and recreation, other

© 2021 Paulina Ewertowska, Agnieszka Kleniewska, Jakub Wasilewski, Agata Wasilewska, Afrodyta Zielińska, Ireneusz Haponiuk, Dariusz Czaprowski, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License.

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