Evidence map›Paper›PMID 37932711›Full record

Trial reportBMC pediatrics2023

The effects of joint hypermobility on pain and functional biomechanics in adolescents with juvenile fibromyalgia: secondary baseline analysis from a pilot randomized controlled trial.

William R Black, Christopher A DiCesare, Laura A Wright, Staci Thomas, Megan Pfeiffer, Katie Kitchen, Tracy V Ting, Sara E Williams, Gregory D Myer, Susmita Kashikar-Zuck

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.2field-weighted citation impact, top 5% of its field
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

10 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Lower Limb Biomechanical Observations in Hypermobile Children: An Exploratory Case-Control Study.International journal of environmental research and public health · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
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

10 authors at 4 institutions in 1 country.

William R BlackDepartment of Pediatrics, University of Kansas School of Medicine, Kansas City, KS, USA. William.Black@nationwidechildrens.org.ORCID 0000-0002-1060-0187
Christopher A DiCesareDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Laura A WrightDepartment of Neuropsychology, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Staci ThomasDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Megan PfeifferDivision of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Katie KitchenDivision of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Tracy V TingDivision of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Sara E WilliamsDivision of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Gregory D MyerEmory Sports Performance and Research Center (SPARC), Flowery Branch, GA, USA.
Susmita Kashikar-ZuckDivision of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Cincinnati Children's Hospital Medical Center · USChildren's Healthcare of Atlanta · USEmory Healthcare · USNationwide Children's Hospital · US

Funding

Pediatric musculOskeletal & RheumaTology Innovation COre center (PORTICO)P30AR076316 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI BRUNNER, HERMINE I · 2019 to 2023
$3.4M
Behavioral Interventions and Long Term Outcomes in Juvenile Fibromyalgia SyndromeK24AR056687 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI KASHIKAR-ZUCK, SUSMITA · 2009 to 2018
$1.4M
Fibromyalgia Integrative Training Program for Teens (FIT Teens)R21AR063412 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI KASHIKAR-ZUCK, SUSMITA · 2013 to 2014
$365k
NIAMS NIH HHS K24 AR056687NIAMS NIH HHS P30 AR076316NIAMS NIH HHS R21 AR063412
6 · The paper itself

Abstract

backgroundJoint hypermobility is a common clinical finding amongst hereditary connective tissue disorders that is observed in pediatric rheumatological settings, and often associated with chronic pain. Joint hypermobility may also contribute to deficits in physical functioning and physical activity, but previous findings have been inconsistent. It is possible that physical activity impairment in joint hypermobility may be due to chronic aberrant movement patterns subsequent to increased joint laxity.

methodAs part of a larger randomized pilot trial of juvenile onset fibromyalgia (JFM), a secondary analysis was conducted to explore whether adolescents with JFM and joint hypermobility differed from non-joint hypermobility peers in terms of pain, daily functioning, and biomechanics (i.e., kinetics and kinematics) during a moderately vigorous functional task.

resultsFrom the larger sample of adolescents with JFM (N = 36), 13 adolescents (36.1%) met criteria for joint hypermobility and 23 did not have joint hypermobility. Those with joint hypermobility exhibited poorer overall functioning (Md = 20, Q

conclusionsIn this exploratory study, there were small but notable differences in biomechanics between patients with JFM who also had joint hypermobility versus those without joint hypermobility during a landing and jumping task (e.g., DVJ). These differences may indicate decreased joint stiffness during landing, associated with increased joint laxity and decreased joint stability, which may put them at greater risk for injury. Further study with a larger sample size is warranted to examine whether these biomechanical differences in patients with JFM and joint hypermobility affect their response to typical physical therapy or exercise recommendations.

Indexed as

Chronic PainFibromyalgiaJoint InstabilityAdolescentBiomechanical PhenomenaChildHumansMovementPilot ProjectsBiomechanicsChronic painHypermobility

Identifiers

PMID37932711
PMCPMC10626644
OpenAlexW4388419963

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.