ABSTRACT
BACKGROUND: Hypotonia is considered a determinant factor in multiple developmental disorders and is associated with various characteristics and morbidities. It is necessary to perform a systematic review to know which characteristics are described as associated with hypotonia in children and which methods are used for its diagnosis. METHODS: Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were used to develop the systematic review protocol. A search of databases (Pubmed, Cochrane, Web of Knowledge, among others) was performed in May 2021 to identify relevant studies. Those describing characteristics or tests of hypotonia assessment were included, excluding those that exclusively addressed peripheral hypotonia. Two reviewers evaluated the articles and collected the data in a table, noting the authors, date of publication, type of study, and characteristics or tests described in relation to hypotonia. The quality of the studies was also assessed, and data were extracted. RESULTS: A total of 8778 studies were identified and analyzed, of which 45 met the inclusion criteria. Fifty-three characteristics associated with hypotonia and tests used for its evaluation were located, with pull to sit and vertical suspension being the most frequently referenced. CONCLUSIONS: The characteristics associated with hypotonia, more highly debated by authors are muscle strength, hypermobility, or the maintenance of antigravity postures. The most used test in the diagnosis of hypotonia is observation, followed by the pull-to-sit test, and adoption of frog posture. A unanimous understanding of the term hypotonia would favor further research.
Subject(s)
Databases, Genetic , Muscle Hypotonia , Child , Humans , Muscle Hypotonia/diagnosis , Muscle Hypotonia/etiology , KnowledgeABSTRACT
Los Trastornos de Conducta Externalizantes (TCE) constituyen uno de los problemas de salud mental más comunes entre los adolescentes, y repercuten gravemente en el ámbito familiar, escolar y social. La finalidad de este estudio fue comparar adolescentes de población general sin diagnóstico de TCE con adolescentes de una muestra clínica en una serie de variables identificadas como predictoras de la de la conducta externalizada. El estudio incluyó a adolescentes con edades comprendidas entre 12-15 años de la Región de Murcia. Se empleó un diseño selectivo descriptivo y analítico, así como comparativo transversal en una muestra de 327 adolescentes, que se distribuyeron de la siguiente manera: (a) Grupo Clínico (GC), integrado por 59 participantes, y (b) Grupo General (GG), formado por 268 adolescentes. Los resultados de este estudio indican que la conducta externalizada está relacionada principalmente con la impulsividad, aunque modulada por factores relacionados con la socialización familiar y cultural del adolescente. Asimismo, los adolescentes de la muestra clínica describen los estilos parentales que reciben como más autoritarios y menos inductivos que los adolescentes de población general
Externalizing Behavior Disorders are one of the most common mental health problems among adolescents, and they have a severe impact on family, school, and social settings. The purpose of this study was to compare adolescents from the general population without an externalizing behavior diagnosis with adolescents from a clinical sample in a series of variables identified as predictors of externalizing behavior. The study included adolescents aged between 12-15 years from the Region of Murcia. A cross-sectional, descriptive, analytical design was used with a sample of 327 adolescents, who were distributed as follows: (a) Clinical Group, made up of 59 participants, and (b) General Group, made up of 268 adolescents. The results of this study indicate that externalizing behavior is mainly related to Impulsivity, although modulated by factors related to the adolescent's family and cultural socialization. The adolescents of the clinical sample described the parental styles they received as more authoritarian and less inductive than those of the adolescents from the general population
