Hypermobile Joints: A Benign Cause of Transitory Motor Delay in Infancy

Benady, Sam; Ivanans, Teresa

doi:10.1177/000992287801701014

Cited by 10 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A similar conclusion was reached by the authors of a previous review [Clarks and Khattab, 2012]. In particular, four studies used non‐standardized methods [Benady and Ivanans, ; Jaffe et al, ; Tirosh et al, ; Davidovitch et al, ], seven applied the Beighton score [Adib et al, ; Kirby et al, ; Kirby and Davies, ; Juul‐Kristensen et al, ; Falkerslev et al, ; Jelsma et al, ; Castori et al, ], one the Bulbena score or Del Mar criteria [Engelbert et al, ; Schubert‐Hjalmasson et al, 2012] and one the Lower Limb Assessment score [Morrison et al, ]. In the remaining two, no detail was provided concerning the assessment of gJHM [Hunter et al, ; Easton et al, ].…”

Section: Discussionsupporting

confidence: 60%

“…The influences of gJHM on development of motor competence were first noted by Benady and Ivanans []; who described nine children (five females and four males) with selective motor delay in combination with gJHM. Shared features included delayed attainment of sitting and walking alone in the absence of clinical signs for any muscle, neurological and overt connective tissue disorder.…”

Section: Literature Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Neurodevelopmental attributes of joint hypermobility syndrome/Ehlers–Danlos syndrome, hypermobility type: Update and perspectives

Ghibellini¹,

Brancati

Castori

2015

American J of Med Genetics Pt C

View full text Add to dashboard Cite

In the last decade, increasing attention has been devoted to the extra-articular and extra-cutaneous manifestations of joint hypermobility syndrome, also termed Ehlers-Danlos syndrome, hypermobility type (i.e., JHS/EDS-HT). Despite the fact that the current diagnostic criteria for both disorders remain focused on joint hypermobility, musculoskeletal pain and skin changes, medical practice and research have started investigating a wide spectrum of visceral, neurological and developmental complications, which represent major burdens for affected individuals. In particular, children with generalized joint hypermobility often present with various neurodevelopmental issues and can be referred for neurological consultation. It is common that investigations in these patients yield negative or inconsistent results, eventually leading to the exclusion of any structural neurological or muscle disorder. In the context of specialized clinics for connective tissue disorders, a clear relationship between generalized joint hypermobility and a characteristic neurodevelopmental profile affecting coordination is emerging. The clinical features of these patients tend to overlap with those of developmental coordination disorder and can be associated with learning and other disabilities. Physical and psychological consequences of these additional difficulties add to the chief manifestations of the pre-existing connective tissue disorder, affecting the well-being and development of children and their families. In this review, particular attention is devoted to the nature of the link between joint hypermobility, coordination difficulties and neurodevelopmental issues in children. Presumed pathogenesis and management issues are explored in order to attract more attention on this association and nurture future clinical research.

show abstract

Section: Discussionsupporting

confidence: 60%

Section: Literature Reviewmentioning

confidence: 99%

Neurodevelopmental attributes of joint hypermobility syndrome/Ehlers–Danlos syndrome, hypermobility type: Update and perspectives

Ghibellini¹,

Brancati

Castori

2015

American J of Med Genetics Pt C

View full text Add to dashboard Cite

show abstract

“…4 This study found that a motor catch up occurred by the age of 3 years, while our investigation suggested that motor development became normal earlier.…”

Section: Discussionmentioning

confidence: 40%

Joint mobility and motor development.

Jaffe

Tirosh

Cohen

et al. 1988

Archives of Disease in Childhood

View full text Add to dashboard Cite

SUMMARY The association of joint hypermobility and motor development was sequentially investigated in 715 infants from the ages of 8 to 14 months. Seven joints were evaluated for mobility, and each infant underwent a physical and neurological examination. Parents were given a Denver Developmental Parents' Questionnaire. All subjects with a general developmental delay, systemic illness or syndrome were excluded. The infants were classified as having normal or delayed motor development with normal or delayed joint mobility. They were re-examined six months later. Multivariate statistical techniques was used for categorical analysis, and three joints were found to be significantly associated with motor delay at the first examination-hip abduction, elbow hyperextension, and foot dorsiflexion. Of the 715 infants, 126 had joint hypermobility and of these 38 (30-2%) had motor delay. Sixty four of 589 (10.9%) with normal joints had delayed motor development. Six months later 23 out of 35 of the group with joint hypermobility and 42 out of 53 of the group with normal joints had normal motor function.Joint hypermobility is associated with an increased incidence of motor delay in infancy. Over the ensuing six months most of the subjects will catch up. These findings, indicating a favourable prognosis, have implications regarding clinical assessment and parental counselling.Paediatricians frequently encounter infants presenting with delayed gross motor development. The evaluation of such cases entails comprehensive paediatric and neurodevelopmental examination, and when cerebral palsy, mental retardation, and other neuromuscular aetiologies have been excluded, a group of slow motor developers of unknown aetiology and prognosis remains. The rather dramatic presentation of an infant who does not attain sitting, crawling, or walking at the same time as his peers often engenders anxiety in the parents. It has been our experience that a number of these infants have hypermobile joints and that they ultimately seem to catch up in motor development.Previous reports suggest that hypermobile joints can be the result of either increased laxity of the ligaments and joint capsule' or muscle hypotonia.2

show abstract

“…The objectives of the present study were (1) to assess the neurologic status of elementary school children with joint hypermobility and compare it to an ageand sex-matched control group without joint hypermobility, (2) to compare the fine motor performance and eyehand integration between these two groups, and (3) to assess the prevalence of joint hypermobility among children with specific learning disabilities in a special education program and compare it to the prevalence in agematched children attending regular elementary classes.…”

mentioning

confidence: 99%

The Relationship Between Joint Hypermobility and Neurodevelopmental Attributes in Elementary School Children

1994

View full text Add to dashboard Cite

Joint hypermobility is associated with motor developmental delay in infancy. To assess this finding in school-aged children, 320 first- and second-grade elementary school children and 110 children attending a special education program were assessed. Joint hypermobility was found in 40 (12.4%) and seven (6.4%) of the children attending the regular and special education classes, respectively. No difference in the neurologic status or verbal and eye-hand coordination task performance was found between the children of the study group and their age- and sex-matched controls. It appears that joint hypermobility and neurodevelopmental dysfunctions are not causally related and have a different maturational course.

show abstract

Hypermobile Joints: A Benign Cause of Transitory Motor Delay in Infancy

Cited by 10 publications

References 0 publications

Neurodevelopmental attributes of joint hypermobility syndrome/Ehlers–Danlos syndrome, hypermobility type: Update and perspectives

Neurodevelopmental attributes of joint hypermobility syndrome/Ehlers–Danlos syndrome, hypermobility type: Update and perspectives

Joint mobility and motor development.

The Relationship Between Joint Hypermobility and Neurodevelopmental Attributes in Elementary School Children

Contact Info

Product

Resources

About