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:: جلد 22، شماره 1 - ( زمستان 1398: 1-201 1398 ) ::
جلد 22 شماره 1 صفحات 114-121 برگشت به فهرست نسخه ها
ارتباط بین شلی عمومی مفصلی، وضعیت اجتماعی-اقتصادی و سطح فعالیت فیزیکی در دانش‌آموزان ایرانی
اعظم بیک زاده ، علی جهان ، تورج هاشمی ، مریم مقدم سلیمی ، ماندانا رضائی
چکیده:   (537 مشاهده)
هدف: شلی عمومی مفصلی به افزایش فیزیولوژیک در دامنه حرکتی اطلاق می‌شود که تحت تاثیر عواملی از جمله سطح فعالیت فیزیکی و وضعیت اجتماعی اقتصادی تغییر می‌کند. هدف از مطالعه حاضر بررسی ارتباط بین شلی عمومی مفصلی با سطح فعالیت فیزیکی و وضعیت اجتماعی- اقتصادی در دانش‌آموزان ایرانی بود.
مواد و روشها: 782 نفر دانش‌آموز دختر و پسر سالم (رده سنی7- 18سال)، به روش نمونه‌گیری با روش خوشه‌ای مورد مطالعه قرار گرفتند. شلی عمومی مفصلی توسط معیار بی‌تون ارزیابی شد. سطح فعالیت فیزیکی و وضعیت اجتماعی- اقتصادی توسط پرسش‌نامه سنجیده شدند. افراد از طریق پرسش‌نامه با توجه به انجام ورزش‌های باشگاهی، ورزش ژیمناستیک و شرکت در کلاس موسیقی مورد بررسی قرار گرفتند.
یافتهها: نمره کلی بیتون با سطح فعالیت فیزیکی ارتباط مسقیمی داشت (01/0>P). رابطه‌ای بین وضعیت اقتصادی و اجتماعی و نمره کلی بیتون مشاهده نشد (05/0<P). سطح فعالیت فیزیکی و وضعیت اجتماعی- اقتصادی دارای توان پیش‌بینی شلی عمومی مفصلی نبودند (05/0<P). بین نمره کلی بیتون و انجام ورزش ژیمناستیک ارتباط مستقیم معنی‌داری وجود داشت (05/0>P) در حالی‌که ارتباط بین نمره کلی بیتون و شرکت در کلاس موسیقی به صورت معکوس معنی‌دار شد (05/0>P).
نتیجهگیری: طبق نتایج در جامعه ایرانی مورد مطالعه ارتباطی بین شلی عمومی مفصلی و وضعیت اجتماعی- اقتصادی مشاهده نشد. هر چند با افزایش سطح فعالیت فیزیکی، شلی عمومی مفصلی افزایش یافت. با توجه به ارتباط بین فعالیت‌هایی از قبیل ورزش ژیمناستیک و شرکت در کلاس موسیقی با شلی عمومی مفصلی، بررسی دقیق‌تر نقش این عوامل در شلی عمومی مفصلی در رده سنی دانش‌آموزان توصیه می‌گردد.
 
واژه‌های کلیدی: شلی مفصلی، فعالیت فیزیکی، طبقه اجتماعی، وضعیت اقتصادی، دانش‌آموزان
متن کامل [PDF 774 kb]   (104 دریافت)    
نوع مطالعه: پژوهشي | موضوع مقاله: عمومى
دریافت: ۱۳۹۷/۱۰/۲۲ | پذیرش: ۱۳۹۸/۵/۸ | انتشار: ۱۳۹۸/۱۰/۱۴
فهرست منابع
1. [1] Smits-Engelsman B, Klerks M, Kirby A. Beighton score: A valid measure for generalized hypermobility in children. J Pediatr 2011; 158: 119-123. [DOI:10.1016/j.jpeds.2010.07.021] [PMID]
2. [2] Seckin U, Tur BS, Yilmaz O, Yagci I, Bodur H, Arasil T. The prevalence of joint hypermobility among high school students. Rheumatol Int 2005; 25: 260-263. [DOI:10.1007/s00296-003-0434-9] [PMID]
3. [3] Al Rawi Z, Al-Aszawi AJ, Al-Chalabi T. Joint hypermobility among university students in Iraq 1982; 24: 326-331. [DOI:10.1093/rheumatology/24.4.326] [PMID]
4. [4] Birrell FN, Adebajo AO, Hazleman BL, Silman AJ. High prevalence of joint laxity in west africans. Rheumatology 1994; 33: 56-59. [DOI:10.1093/rheumatology/33.1.56] [PMID]
5. [5] Qvindesland A. Articular hypermobility in Icelandic 12-year-olds'. J Orthop Sport Phys Ther 1999; 38: 1014-1016. [DOI:10.1093/rheumatology/38.10.1014] [PMID]
6. [6] Giessen LJ, Liekens D, Rutgers KJ, Hartman A, Mulder PG, Oranje AP. Validation of beighton score and prevalence of connective tissue signs in 773 Dutch children. J Rheumatol 2001; 28: 2726-2730.
7. [7] Jansson A, Saartok T, Werner S, Renstrom P. General joint laxity in 1845 Swedish school children of different ages: age- and gender-specific distributions. Acta Paediatr 2004; 93: 1202-1206. [DOI:10.1111/j.1651-2227.2004.tb02749.x] [PMID]
8. [8] Jamshidi AR, Shaeri HR, Akbarian M. Prevalance and features of joint hypermobilty amoung school children in tehran. Hakim 2004; 7: 6-13. (Persian).
9. [9] Hasija RP, Khubchandani RP, Shenoi S. Joint hypermobility in Indian children. Clin Exp Rheumatol 2008; 26: 146-150.
10. [10] Ziaee V, Moradinejad M. Joint hypermobility in the Iranian school students. Pediatr Rheumatol 2008; 6: P168. [DOI:10.1186/1546-0096-6-S1-P168] [PMCID]
11. [11] El-hamalawy FA. Hypermobility syndrome among misr university students. Bull Fac Ph Th Cairo Univ 2009; 14: 105-114.
12. [12] Clinch J, Deere K, Sayers A, Palmer S, Riddoch C, Tobias JH, et al. Epidemiology of generalized joint laxity hypermobility in fourteen-year-old children from the UK: A population-based evaluation. Arthritis Rheum 2011; 63: 2819-2827. [DOI:10.1002/art.30435] [PMID] [PMCID]
13. [13] Kwon JW, Lee WJ, Park SB, Kim MJ, Jang SH, Choi CK. Generalized joint hypermobility in healthy female Koreans: Prevalence and age-related differences. Ann Rehabil Med 2013; 37: 832-838. [DOI:10.5535/arm.2013.37.6.832] [PMID] [PMCID]
14. [14] Russek LN, Errico DM. Prevalence, injury rate and, symptom frequency in generalized joint laxity and joint hypermobility syndrome in a "healthy" college population. Clin Rheumatol 2016; 35: 1029-1039. [DOI:10.1007/s10067-015-2951-9] [PMID]
15. [15] Gocentas A, Jascaniniene N, Pasek M, Przybylski W, Matulyte E, Mieliauskaite D, et al. Prevalence of generalised joint hypermobility in school-aged children from east-central European region. Folia Morphol 2016; 75: 48-52. [DOI:10.5603/FM.a2015.0065] [PMID]
16. [16] Al-Jarallah K, Shehab D, Al-Jaser MT, Al-Azemi KM, Wais FF, Al-Saleh AM, et al. Prevalence of joint hypermobility in Kuwait. Int J Rheum Dis 2017; 20: 935-940. [DOI:10.1111/1756-185X.12556] [PMID]
17. [17] Kirk BJ, Ansell BM, L Bywaters EG. The hypermobility syndrome musculoskeletal complaints associated with generalized joint hypermobility. Ann rheum Dis 1967; 26: 419-425. [DOI:10.1136/ard.26.5.419] [PMID] [PMCID]
18. [18] Al-Rawi Z, Nessan AH. Joint hypermobility in patients with chondromalacia patellae. Br J Rheumatol 1997; 36: 1324-1327. [DOI:10.1093/rheumatology/36.12.1324] [PMID]
19. [19] Westling L, Mattiasson A. General joint hypermobility and temporomandibular joint derangement in adolescents. Ann Rheum Di 1992; 51: 87-90. [DOI:10.1136/ard.51.1.87] [PMID] [PMCID]
20. [20] Bird HA, Tribe CR, Bacon PA. Joint hypermobility leading to osteoarthrosis and chondrocalcinosis. Ann Rheum Dis 1978; 37: 203-211. [DOI:10.1136/ard.37.3.203] [PMID] [PMCID]
21. [21] Beighton P, Solomon L, Soskolne CL. Articular mobility in an African population. Ann Rheum Dis 1973; 32: 413-418. [DOI:10.1136/ard.32.5.413] [PMID] [PMCID]
22. [22] Larsson L, Baum J, Mudholkar JS, Kollia JD. Benefits and disadvantages of jont hypermobility among musicians. N Engl J Med 1993; 329: 1079-1082. [DOI:10.1056/NEJM199310073291504] [PMID]
23. [23] Boyle KL, Witt P, Riegger-Krugh C. Intrarater and Interrater Reliability of the Beighton and Horan Joint Mobility Index. J Athl Train 2003; 28138: 281-285.
24. [24] Aslan UB, Celik E, Cavlak U, Akdag B. Evaluation of interrater and intrarater reliability of beighton and horan joint mobility index. Fiz Rehabil 2006; 17: 113-119.
25. [25] Juul-Kristensen B, Røgind H, Jensen DV, Remvig L. Inter-examiner reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility syndrome. Rheumatology 2007; 46: 1835-1841. [DOI:10.1093/rheumatology/kem290] [PMID]
26. [26] Junge T, Jespersen E, Wedderkopp N, Juul-Kristensen B. Inter-tester reproducibility and inter-method agreement of two variations of the Beighton test for determining generalised joint hypermobility in primary school children. BMC Pediatr 2013; 13: 214. [DOI:10.1186/1471-2431-13-214] [PMID] [PMCID]
27. [27] Faghihimani Z, Nourian M, Nikkar AH, Farajzadegan Z, Khavarian, Ghatrehsamani SH, et al. Validation of the Child and Adolescent International physical activity questionnaires in Iranian children and adolescents. Aria Atheroscler 2010; 5: 163-166.
28. [28] Sahrmann SH. Diagnosis and treatment of movement impairment syndromes. U S A Mosby 2002; 54-57.
29. [29] Osuch JR, Karmaus W, Hoekman P, Mudd L, Zhang J, Haan P, et al. Association of age at menarche with adult leg length and trunk height: Speculations in relation to breast cancer risk. Ann Hum Biol 2010; 37: 76-85. [DOI:10.3109/03014460903213845] [PMID]
30. [30] Abobakri O, Sadeghi-Bazargani H, Asghari-Jafarabadi M, Bagher M, Aghdam A, Imani A, et al. Development and psychometric evaluation of a socioeconomic status questionnaire for Urban households: the preliminary version. Tabriz Univ Med Sci 2015; 5: 250-260. (Persian). [DOI:10.15171/hpp.2015.030] [PMID] [PMCID]
31. [31] Sadeghi-bazargani H, Abobakri O, Asghari-jafarabadi M, Imani A, Tabrizi J, et al. Psychometric properties of the short and ultra-short versions of socioeconomic status assessment tool for health studies in Iran. J Clin Res Gov 2016; 5: 1-6.
32. [32] Must A, Anderson SE. Body mass index in children and adolescents: considerations for population-based applications. Int J Obes 2006; 30: 590-594. [DOI:10.1038/sj.ijo.0803300] [PMID]
33. [33] Van Der Esch M, Steultjens M, Knol DL, Dinant H, Dekker J. Joint laxity and the relationship between muscle strength and functional ability in patients with osteoarthritis of the knee. Arthritis Care Res 2006; 55: 953-959. [DOI:10.1002/art.22344] [PMID]
34. [34] Miyashita M, Kaneshia H. Dyanamic peak torque related to age, sex, and performance. Res Q 1979; 50: 249-255. [DOI:10.1080/10671315.1979.10615607]
35. [35] Gannon LM, Bird HA. The quantification of joint laxity in dancers and gymnasts. J Sports Sci 1990; 17: 743-750. [DOI:10.1080/026404199365605] [PMID]
36. [1] Smits-Engelsman B, Klerks M, Kirby A. Beighton score: A valid measure for generalized hypermobility in children. J Pediatr 2011; 158: 119-123. [DOI:10.1016/j.jpeds.2010.07.021] [PMID]
37. [2] Seckin U, Tur BS, Yilmaz O, Yagci I, Bodur H, Arasil T. The prevalence of joint hypermobility among high school students. Rheumatol Int 2005; 25: 260-263. [DOI:10.1007/s00296-003-0434-9] [PMID]
38. [3] Al Rawi Z, Al-Aszawi AJ, Al-Chalabi T. Joint hypermobility among university students in Iraq 1982; 24: 326-331. [DOI:10.1093/rheumatology/24.4.326] [PMID]
39. [4] Birrell FN, Adebajo AO, Hazleman BL, Silman AJ. High prevalence of joint laxity in west africans. Rheumatology 1994; 33: 56-59. [DOI:10.1093/rheumatology/33.1.56] [PMID]
40. [5] Qvindesland A. Articular hypermobility in Icelandic 12-year-olds'. J Orthop Sport Phys Ther 1999; 38: 1014-1016. [DOI:10.1093/rheumatology/38.10.1014] [PMID]
41. [6] Giessen LJ, Liekens D, Rutgers KJ, Hartman A, Mulder PG, Oranje AP. Validation of beighton score and prevalence of connective tissue signs in 773 Dutch children. J Rheumatol 2001; 28: 2726-2730.
42. [7] Jansson A, Saartok T, Werner S, Renstrom P. General joint laxity in 1845 Swedish school children of different ages: age- and gender-specific distributions. Acta Paediatr 2004; 93: 1202-1206. [DOI:10.1111/j.1651-2227.2004.tb02749.x] [PMID]
43. [8] Jamshidi AR, Shaeri HR, Akbarian M. Prevalance and features of joint hypermobilty amoung school children in tehran. Hakim 2004; 7: 6-13. (Persian).
44. [9] Hasija RP, Khubchandani RP, Shenoi S. Joint hypermobility in Indian children. Clin Exp Rheumatol 2008; 26: 146-150.
45. [10] Ziaee V, Moradinejad M. Joint hypermobility in the Iranian school students. Pediatr Rheumatol 2008; 6: P168. [DOI:10.1186/1546-0096-6-S1-P168] [PMCID]
46. [11] El-hamalawy FA. Hypermobility syndrome among misr university students. Bull Fac Ph Th Cairo Univ 2009; 14: 105-114.
47. [12] Clinch J, Deere K, Sayers A, Palmer S, Riddoch C, Tobias JH, et al. Epidemiology of generalized joint laxity hypermobility in fourteen-year-old children from the UK: A population-based evaluation. Arthritis Rheum 2011; 63: 2819-2827. [DOI:10.1002/art.30435] [PMID] [PMCID]
48. [13] Kwon JW, Lee WJ, Park SB, Kim MJ, Jang SH, Choi CK. Generalized joint hypermobility in healthy female Koreans: Prevalence and age-related differences. Ann Rehabil Med 2013; 37: 832-838. [DOI:10.5535/arm.2013.37.6.832] [PMID] [PMCID]
49. [14] Russek LN, Errico DM. Prevalence, injury rate and, symptom frequency in generalized joint laxity and joint hypermobility syndrome in a "healthy" college population. Clin Rheumatol 2016; 35: 1029-1039. [DOI:10.1007/s10067-015-2951-9] [PMID]
50. [15] Gocentas A, Jascaniniene N, Pasek M, Przybylski W, Matulyte E, Mieliauskaite D, et al. Prevalence of generalised joint hypermobility in school-aged children from east-central European region. Folia Morphol 2016; 75: 48-52. [DOI:10.5603/FM.a2015.0065] [PMID]
51. [16] Al-Jarallah K, Shehab D, Al-Jaser MT, Al-Azemi KM, Wais FF, Al-Saleh AM, et al. Prevalence of joint hypermobility in Kuwait. Int J Rheum Dis 2017; 20: 935-940. [DOI:10.1111/1756-185X.12556] [PMID]
52. [17] Kirk BJ, Ansell BM, L Bywaters EG. The hypermobility syndrome musculoskeletal complaints associated with generalized joint hypermobility. Ann rheum Dis 1967; 26: 419-425. [DOI:10.1136/ard.26.5.419] [PMID] [PMCID]
53. [18] Al-Rawi Z, Nessan AH. Joint hypermobility in patients with chondromalacia patellae. Br J Rheumatol 1997; 36: 1324-1327. [DOI:10.1093/rheumatology/36.12.1324] [PMID]
54. [19] Westling L, Mattiasson A. General joint hypermobility and temporomandibular joint derangement in adolescents. Ann Rheum Di 1992; 51: 87-90. [DOI:10.1136/ard.51.1.87] [PMID] [PMCID]
55. [20] Bird HA, Tribe CR, Bacon PA. Joint hypermobility leading to osteoarthrosis and chondrocalcinosis. Ann Rheum Dis 1978; 37: 203-211. [DOI:10.1136/ard.37.3.203] [PMID] [PMCID]
56. [21] Beighton P, Solomon L, Soskolne CL. Articular mobility in an African population. Ann Rheum Dis 1973; 32: 413-418. [DOI:10.1136/ard.32.5.413] [PMID] [PMCID]
57. [22] Larsson L, Baum J, Mudholkar JS, Kollia JD. Benefits and disadvantages of jont hypermobility among musicians. N Engl J Med 1993; 329: 1079-1082. [DOI:10.1056/NEJM199310073291504] [PMID]
58. [23] Boyle KL, Witt P, Riegger-Krugh C. Intrarater and Interrater Reliability of the Beighton and Horan Joint Mobility Index. J Athl Train 2003; 28138: 281-285.
59. [24] Aslan UB, Celik E, Cavlak U, Akdag B. Evaluation of interrater and intrarater reliability of beighton and horan joint mobility index. Fiz Rehabil 2006; 17: 113-119.
60. [25] Juul-Kristensen B, Røgind H, Jensen DV, Remvig L. Inter-examiner reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility syndrome. Rheumatology 2007; 46: 1835-1841. [DOI:10.1093/rheumatology/kem290] [PMID]
61. [26] Junge T, Jespersen E, Wedderkopp N, Juul-Kristensen B. Inter-tester reproducibility and inter-method agreement of two variations of the Beighton test for determining generalised joint hypermobility in primary school children. BMC Pediatr 2013; 13: 214. [DOI:10.1186/1471-2431-13-214] [PMID] [PMCID]
62. [27] Faghihimani Z, Nourian M, Nikkar AH, Farajzadegan Z, Khavarian, Ghatrehsamani SH, et al. Validation of the Child and Adolescent International physical activity questionnaires in Iranian children and adolescents. Aria Atheroscler 2010; 5: 163-166.
63. [28] Sahrmann SH. Diagnosis and treatment of movement impairment syndromes. U S A Mosby 2002; 54-57.
64. [29] Osuch JR, Karmaus W, Hoekman P, Mudd L, Zhang J, Haan P, et al. Association of age at menarche with adult leg length and trunk height: Speculations in relation to breast cancer risk. Ann Hum Biol 2010; 37: 76-85. [DOI:10.3109/03014460903213845] [PMID]
65. [30] Abobakri O, Sadeghi-Bazargani H, Asghari-Jafarabadi M, Bagher M, Aghdam A, Imani A, et al. Development and psychometric evaluation of a socioeconomic status questionnaire for Urban households: the preliminary version. Tabriz Univ Med Sci 2015; 5: 250-260. (Persian). [DOI:10.15171/hpp.2015.030] [PMID] [PMCID]
66. [31] Sadeghi-bazargani H, Abobakri O, Asghari-jafarabadi M, Imani A, Tabrizi J, et al. Psychometric properties of the short and ultra-short versions of socioeconomic status assessment tool for health studies in Iran. J Clin Res Gov 2016; 5: 1-6.
67. [32] Must A, Anderson SE. Body mass index in children and adolescents: considerations for population-based applications. Int J Obes 2006; 30: 590-594. [DOI:10.1038/sj.ijo.0803300] [PMID]
68. [33] Van Der Esch M, Steultjens M, Knol DL, Dinant H, Dekker J. Joint laxity and the relationship between muscle strength and functional ability in patients with osteoarthritis of the knee. Arthritis Care Res 2006; 55: 953-959. [DOI:10.1002/art.22344] [PMID]
69. [34] Miyashita M, Kaneshia H. Dyanamic peak torque related to age, sex, and performance. Res Q 1979; 50: 249-255. [DOI:10.1080/10671315.1979.10615607]
70. [35] Gannon LM, Bird HA. The quantification of joint laxity in dancers and gymnasts. J Sports Sci 1990; 17: 743-750. [DOI:10.1080/026404199365605] [PMID]
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Beyk Zadeh A, Jahan A, Hashemi T, Moghadam Salimi M, Rezaei M. Relationship between generalized joint hypermobility, socioeconomic status and physical activity level in Iranian school students. koomesh. 2020; 22 (1) :114-121
URL: http://koomeshjournal.semums.ac.ir/article-1-5428-fa.html

بیک زاده اعظم، جهان علی، هاشمی تورج، مقدم سلیمی مریم، رضائی ماندانا. ارتباط بین شلی عمومی مفصلی، وضعیت اجتماعی-اقتصادی و سطح فعالیت فیزیکی در دانش‌آموزان ایرانی. كومش. 1398; 22 (1) :114-121

URL: http://koomeshjournal.semums.ac.ir/article-1-5428-fa.html



جلد 22، شماره 1 - ( زمستان 1398: 1-201 1398 ) برگشت به فهرست نسخه ها
کومش Koomesh
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