正常兒童及青少年關節活動度之調查研究

中文摘要 目的：本研究之目的在於瞭解台灣學童暨青少年關節過度活動的盛行率﹐及其與骨骼肌肉疼痛的關聯性。 方法：關節活動度測定於選定之國民小學及國民中學之學生進行。總共數量有 3044位，年齡層7 至15 歲，以 Beighton 檢查方法測檢關節過度活動，定義為若關節活動度≧ 5 分，即是過度活動。所有學生並填寫問卷詢問有關骨骼肌肉疼痛，及運動傷害情形。 結果：本研究調查關節過度活動的總盛行率為7.8％；女生為 10.6％，而男生5.4％。國小生為11.1％，國中生為5.7％，即隨著年齡增加，盛行率降低，且女生有較男生為高的盛行率。另外得到關節過度活動與骨骼肌肉疼痛狀況無關聯性。 結論：關節過度活動及骨骼肌肉疼痛在小孩是常見的問題，但兩者之間並無關聯性。在本研究調查中，小孩們的長期追蹤表現過度活動是否會增加未來骨骼肌肉相關症候的風險是未來研究之重點。 關鍵字：關節，過度活動，骨骼肌肉疼痛。

ABSTRACT Objective. The purpose of this study is to examine the prevalence of articular hypermobility and its relationship with musculoskeletal pain in Taiwan, and to obtain baseline data for a prospective study on the subject. Methods. Joint mobility was measured in a primary and secondary school populations. A total of 3044 students aged 7-15 year-old were surveyed for articular hypermobility by the Beighton’s criteria, with a total score ≧5 as a cutoff point for joint hypermobility. The children also answered a questionnaire concerning musculoskeletal pain, sports activity and injuries. Results. The total prevalence of joint hypermobility in our study was found to be 7.8%, 10.6% in girls and 5.4% in boys. In comparison, our study of hypermobility in primary school students yielded a prevalence of 11.1% and 5.7% in secondary school students. The results showed that joint mobility decreased with age and female had consistently higher degree of joint mobility compared to male throughout the age group. Of the hypermobile children, 9.7%, and of the nonhypermobile children, 13.4% (p=0.1) had musculoskeletal pain at least twice in three months. No association of hypermobility with musculoskeletal pain was found in this study. Conclusion. Both joint hypermobility and musculoskeletal pain are common in pre-adolescents, however hypermobility does not be found to influence joint symptoms or leisure activities at this age. A longterm followup of the children in our study may show whether hypermobility increases the risk of future musculoskeletal pain symptoms. Keywords : joints, hypermobility , musculoskeletal pain.