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Prognosis of motor development and joint hypermobility

Article Abstract:

About 17 percent of infants have joints that are hypermobile, capable of an excessive range of motion. Some studies have suggested that children with joint hypermobility tend to be delayed in the development of motor (physical or movement) skills, even when no neurological problem is apparent, but most children tend to catch up by three years of age. The underlying cause of joint hypermobility is unknown. Mobility can be determined by joint structure, ligaments, or by muscle tone. To better understand the factors associated with joint hypermobility and the prognosis of children with this condition, 20 children who were hypermobile with delayed motor development at the age of 18 months (group A), 19 hypermobile children with normal motor development (group B), and 20 normal children (group C) were evaluated at the age of 54 to 60 months. Children in group A had a significantly higher prevalence of overall motor dysfunction at the age of five years. Children who were hypermobile and were delayed in motor development at 18 months were significantly more likely to have the same association of problems at age five. Children in groups A and B did more poorly in one of two tests of fine motor (hand and finger movement) development, with twice as many from group A failing the test. Parents of group A children perceived them to be less proficient in their motor abilities. The study suggests that of all children with joint hypermobility, those with gross motor delays at 18 months tend to continue to have delays in motor development and would benefit from careful follow-up care. (Consumer Summary produced by Reliance Medical Information, Inc.)

Author: Marmur, R., Tirosh, E., Jaffe, M., Taub, Y., Rosenberg, Z.
Publisher: British Medical Association
Publication Name: Archives of Disease in Childhood
Subject: Health
ISSN: 0003-9888
Year: 1991
Joints, Prognosis, Motor ability, Motor skills, Joint instability, Motor ability in children

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Joint account

Article Abstract:

Belgrave ward, St George's Hospital, London, England has assessed the use of multidisciplinary notes in care of the elderly. The study aimed to establish their usefulness and identify possible improvements. Eighteen health workers responded out of a multidisciplinary sample of 31. Eleven respondents graded the notes four on a one to five scale of usefulness. Fourteen respondents considered improved care possible. Collaborative planning was a suggested improvement. Disadvantages included duplication of notes and problems with format.

Author: Price, Jenny
Publisher: Macmillan Publishing Ltd.
Publication Name: Nursing Times
Subject: Health
ISSN: 0954-7762
Year: 1993
Medical records, Hospital records

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Mind over motor

Article Abstract:

Information for people who drive as part of their job and advice on how to cope with problems, such as tiredness, stress and anger, is presented.

Author: Health, Jacqui
Publisher: RoSPA Occuapational Safety Division (UK)
Publication Name: Occupational Safety & Health
Subject: Health
ISSN: 0143-5353
Year: 2000
Analysis, Study and teaching, Motor vehicle drivers, Automobile drivers, Automobile driver education, Driver education

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Subjects list: Evaluation
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