Benign Joint Hypermobility Syndrome in Patients with Attention Deficit/Hyperactivity Disorders
Benign Joint Hypermobility Syndrome in Patients with Attention Deficit/Hyperactivity Disorders
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DOI：
10.5152/tjr.2011.029
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发表时间：
2011-01-01
影响因子：
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通讯作者：
Evcik, Deniz
中科院分区：
文献类型：
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作者：
Dogan, Sebnem Koldas;Taner, Yasemen;Evcik, Deniz
目的：在本研究中，我们确定注意缺陷/多动障碍（ADHD）是否伴有良性关节多动综合征（BJHS），并评估BJHS在ADHD患者中的发病率。患者和方法：本研究于2007年11月至2008年2月在英国乌福克大学医学院物理医学、康复和精神病学部门进行。本研究共纳入54例ADHD患者（男性45例，女性9例，平均年龄9.7±2.2岁，范围7 ~ 12岁）和36例健康对照（男性19例，女性17例，平均年龄9.8±2.3岁，范围7 ~ 12岁）。记录个体的社会人口学和临床特征以及最近一个月的关节疼痛严重程度。采用面部疼痛量表（FPS-R）和Likert疼痛量表评估疼痛严重程度。采用Beighton评分评估关节活动过度。结果：ADHD患者出现良性关节过动综合征的比例为31.5%，对照组为13.9%，差异有统计学意义（p=0.05）。两组间FPS-R、Likert疼痛量表评分差异无统计学意义（p < 0.05）。ADHD患者的Beighton总分较对照组升高，差异有统计学意义（p=0.004）。结论：本研究结果支持关节活动过度可能与ADHD相关，在评估ADHD相关肌肉骨骼症状患者的主诉时应考虑关节活动过度。
Objectives: In this study, we determined whether attention deficit/hyperactivity disorder (ADHD) is accompanied by benign joint hypermobility syndrome (BJHS) and evaluated the incidence of BJHS in patients with ADHD.Patients and methods: This study was performed in the Ufuk University Faculty of Medicine, Departments of Physical Medicine and Rehabilitation and Psychiatry between November 2007 and February 2008. A total of 54 patients (45 males, 9 females; mean age 9.7 +/- 2.2 years; range 7 to 12 years) with ADHD and 36 healthy controls (19 males, 17 females; mean age 9.8 +/- 2.3 years; range 7 to 12 years) were included in the study. The sociodemographic and clinical characteristics of the individuals and the joint pain severity in the last month were recorded. Pain severity was assessed with the Faces Pain Scale-Revised (FPS-R) and the Likert Pain Scale. The joint hypermobility was evaluated by using Beighton scores.Results: Benign joint hypermobility syndrome was found in 31.5% of the patients with ADHD and 13.9% of the individuals in the control group, and the difference was statistically significant (p=0.05). There were no statistically significant differences between the groups in FPS-R or Likert Pain Scale scores (p>0.05). A statistically significant increase was observed in the Beighton total score in ADHD patients compared with the control group (p=0.004).Conclusion: The results of this study support that joint hypermobility may be associated with ADHD, and this condition should be taken into consideration in assessing the complaints of patients with ADHD-related musculoskeletal symptoms.