Assessment of joint laxity in children and adolescents - a review of methods
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2012, Vol 14, Issue 5
Abstract
SummaryJoint laxity 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. Many of authors noted the co-occurrence of joint laxity with the following symptoms: back and joints pain, as well as disturbance of body posture.Clinicians apply various methods to assess joint laxity. Beighton scale is the most frequent method used in clinical screening. It consists of assessing: extension of the fifth MPC joint to 90°, thumb abduction to front forearm, hyperextension of elbow and knee joint above 10°, as well as capability to stand bend and place one`s palms flat on the ground. Carter and Wilkinson method is similar to this scale. The difference concerns the assessment of passive hyperextension of all four II-V fingers, instead of the assessment of the fifth finger only. The second difference involves assessing the range of ankle dorsiflexion, instead of assessing the ability to touch the ground with one`s palms. Marshall test is another method for assessing joint laxity. This test is based on the thumb motion range measured in the forearm direction. Hakim and Grahame suggests that the diagnosis of joint laxity may be done with a 5-point questionnaire. It would allow a fast overview as its questions refer to symptoms observed both at present and in the past.Taken into account the common occurrence of joint laxity as well as common use the flexibility exercises in the physiotherapeutic process, the joint laxity should be systematically assessed by both physicians and physiotherapists.
Authors and Affiliations
Dariusz Czaprowski , Tomasz Kotwicki , Łukasz Stoliński
Keywords
Related Articles
- EP ID EP57241
- DOI -
- Views 95
- Downloads 0
Ograniczone artrodezy w leczeniu niestabilności nadgarstka
Na podstawie przeglądu aktualnego piśmiennictwa autorzy dokonali próby podsumowania obecnego stanu wiedzy, dotyczącego ograniczonych (międzynadgarstkowych, częściowych) artrodez nadgarstka. Mają one zastosowanie w leczen...
Computed tomography in bone density measurement and vertebral rotation assessment before and after surgical treatment of scoliosis
Background. There are changes on radiograms of bone tissue structure after surgical treatment in scoliosis.The aim of the study. The aim of the current study is the assesment of bone density and vertebral rotation in api...
Operacje tenomioplastyczne poprawiające funkcję stawu ramiennego w leczeniu okołoporodowych uszkodzeń splotu ramiennego
Wstęp:Przykurcz stawu ramiennego w przebiegu okołoporodowego uszkodzenia splotu ramiennego wpływa w istotny sposób na funkcjonowanie kończyny górnej jako całości. Celem pracy było przedstawienie doświadczeń własnych w za...
Skojarzone z urazem kręgosłupa szyjnego uszkodzenie tchawicy - opis przypadku.
Śmiertelność w wyniku urazowych uszkodzeń kręgosłupa szyjnego wynika głównie z powikłań oddechowych. Obok niedodmy, zapalenia płuc, niewydolności oddechowej, zatorowości płucnej możliwe są również uszkodzenia anatomiczn...
Clinical experience in the application of allogenic grafts from a bone tissue bank in the surgical treatment of tumor-like bone lesions
Background. The objective of our study was to evaluate the effectiveness of the surgical treatment of bony tumor-like lesions using bone allografts.Material and methods. The study group consisted of 266 patients, 136 mal...