Evidence map›Paper›PMID 25786251›Full record

ArticlePloS one2015

The examination of the musculoskeletal system based only on the evaluation of pelvic-hip complex muscle and trunk flexibility may lead to failure to screen children for generalized joint hypermobility.

Dariusz Czaprowski, Agnieszka Kędra, Paulina Pawłowska, Aleksandra Kolwicz-Gańko, Justyna Leszczewska, Marcin Tyrakowski

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dariusz CzaprowskiDepartment of Rehabilitation, University of Physical Education, Marymoncka 34, 00-968 Warsaw, Poland; Department of Physiotherapy, Józef Rusiecki University College in Olsztyn, Bydgoska 33, 10-243 Olsztyn, Poland.
Agnieszka KędraDepartment of Posture Correction and Compensation, Faculty of Physical Education and Sport in Biała Podlaska, Józef Piłsudski University of Physical Education in Warsaw, Akademicka 2, 21-500 Biała Podlaska, Poland.
Paulina PawłowskaDepartment of Physical Education, University of Physical Education, Marymoncka 34, 00-968 Warsaw, Poland.
Aleksandra Kolwicz-GańkoDepartment of Physical Education, University of Physical Education, Marymoncka 34, 00-968 Warsaw, Poland.
Justyna LeszczewskaDepartment of Physical Education, University of Physical Education, Marymoncka 34, 00-968 Warsaw, Poland.
Marcin TyrakowskiDepartment of Orthopedics, Pediatric Orthopedics and Traumatology, The Centre of Postgraduate Medical Education in Warsaw, Konarskiego 13, 05-400 Otwock, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of the study was to evaluate whether the clinical assessment of the pelvic-hip complex muscle and trunk flexibility is sufficient for diagnosing generalized joint hypermobility (GJH).

designA cross-sectional study.

settingCenter of Body Posture in Olsztyn, North East Poland.

participantsThe study included 136 females and 113 males aged 10-13 years.

main outcome measuresIn order to assess muscle flexibility, the straight leg raise (SLR) test (for hamstring) and modified Thomas test for one- (O-JHF) and two-joint (T-JHF) hip flexors were performed. To evaluate trunk flexibility the fingertip-to-floor (FTF) and lateral trunk flexion (LTF) tests were used. The GJH occurrence was assessed with the use of nine-point Beighton scale (threshold value ≥5 points for females, ≥4 for males). The analysis was carried out separately for females and males.

resultsThere were no significant differences between females with versus without GJH, and males with versus without GJH regarding SLR (p = 0.86, p = 0.19 for females and males, respectively), O-JHF (p = 0.89, p = 0.35 for females and males, respectively), T-JHF (p = 0.77, p = 0.4 for females and males, respectively), FTF (p = 0.19, p = 0.84 for females and males, respectively) and LTF (p = 0.58, p = 0.35 for females and males, respectively) tests results.

conclusionsClinical examination of the pelvic-hip complex muscles and trunk flexibility by use of SLR, O-JHF, T-JHF, FTF and LTF revealed to be insufficient in diagnosing GJH in children aged 10-13 years. Thus, the Beighton scale should be considered a standard element of physiotherapeutic examination of the musculoskeletal system in children and youth.

Indexed as

AdolescentChildFalse Negative ReactionsFemaleHipHumansJoint InstabilityMaleMovementMusclesPelvisPilot Projects

Identifiers

PMID25786251
PMCPMC4364744

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.