The occurrence of defects in the lower limbs in children with polyarticular hypermobility

Roszak Magdalena, Weber Nowakowska Katarzyna. The occurrence of defects in the lower limbs in children with polyarticular hypermobility. Journal of Education, Health and Sport. 2018;8(01):139-147. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1163700 http://ojs.ukw.edu.pl/index.php/johs/article/view/5240 https://pbn.nauka.gov.pl/sedno-webapp/works/852136 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.12.2017. Revised: 15.12.2017. Accepted: 31.01.2018. The occurrence of defects in the lower limbs in children with polyarticular hypermobility Magdalena Roszak1, Katarzyna Weber Nowakowska2 1 Student Scientific Society of Physiotherapists and Manual Therapists of the Pomeranian Medical University in the Department of Musculoskeletal System Rehabilitaton 2 Department of Musculoskeletal System Rehabilitaton, Pomeranian University of Medical Science Adress for corespondence Dr n. zdr. Katarzyna Weber – Nowakowska, Department of Musculoskeletal System Rehabilitaton, Pomeranian University of Medical Science katarzyna.weber@pum.edu.pl SUMMARY Introduction Faulty posture, overweight and obesity are one of the most common health problems in Poland among children and adolescents. Although posture disorders are usually commonly diagnosed, the occurrence of polyarticular hypermobility is rarely taken into account when planning corrective exercises. The aim of the study was to assess the influence of hypermobility on the occurrence of lower limb defects. Materials and methods The study included 35 children (14 girls and 21 boys) aged 6-10 years with diagnosed in a Beighton test hypermobility. The control group also consisted of 35 children of the same age and the same number of girls and boys. Using the calipers and the goniometer, the valgus, varus or hyperextension of the knee joints, valgus and varus of the ankles as well as flat feet have been assessed. Then, the results obtained in the hypermobility and control group were compared. Results There were statistically significant differences (p = 0.001) in the occurrence of most defects of the lower limbs in children with hypermobility in relation to healthy ones. For knee valgus, the rho-Spearman correlation was r = 0.611; for deformity of the knees r = 0.56; for knee hyperextension r = 0.52; for flat feet r = 0.628; for valgity of feet r = 0.555. In the examined groups, no varus deformation was observed. Conclusions 1.Hypermobility predisposes to the occurrence of lower limb defects in children. 2. There is an indication for performing screening tests in children of early school age and implementation of prevention programs for polyarthritis hypermobility. Key words: hypermobility, defects of the lower limbs of children, physiotherapy, preventio