Association of physical fitness, fundamental motor competency, and Joint mobility among school-going children in Moodbidri town, South India
DOI:
https://doi.org/10.17267/2238-2704rpf.2026.e6493Keywords:
Motor Skills, Physical Fitness, Joint Hypermobility Syndrome, ChildrenAbstract
BACKGROUND: In typically developing children, physical fitness and fundamental motor skills are closely related and develop in tandem. Whether the strength of this relationship differs in children with generalized joint hypermobility remains unclear. OBJECTIVE: To compare the associations between physical fitness components and fundamental motor skill competency in children with and without generalized joint hypermobility. METHODS: This cross-sectional study included 313 school-going children recruited from eight school clusters in Moodbidri, South India. Ethical approval was obtained, and informed consent was secured from school authorities and parents. Physical fitness and fundamental motor skills were assessed over two consecutive days. Physical fitness measures included speed, endurance, flexibility, balance, muscular strength, power and coordination. Fundamental motor skills were evaluated using the locomotor and object control subscales of the Test of Gross Motor Development-2 (TGMD-2). RESULTS: Children with and without generalized joint hypermobility were comparable in age and anthropometric characteristics. Significant differences were observed between groups in several physical fitness components and fundamental motor skill proficiency (p < 0.05). Spearman correlation analyses demonstrated significant associations between selected physical fitness measures and fundamental motor skills in both groups, with Fisher’s r-to-z transformation indicating differences in the strength of these associations between hypermobile and non-hypermobile children. CONCLUSION: The strength of associations between physical fitness components and fundamental motor skill proficiency differs between children with generalized joint hypermobility and those with normal joint mobility, highlighting joint mobility status as an important consideration when interpreting fitness–motor skill relationships in school-aged children.
Downloads
References
1. Zhang L, Wang D, Wu X. Association between fundamental movement skills and accelerometer-measured physical activity in orphan children with severe intellectual disabilities. BMC Pediatr. 2024;24:841. https://doi.org/10.1186/s12887-024-05333-6
2. Bremer E, Cairney J. Fundamental movement skills and health-related outcomes: a narrative review of longitudinal and intervention studies targeting typically developing children. Am J Lifestyle Med. 2016;12(2):148–59. https://doi.org/10.1177/1559827616640196
3. Spring KE, Carroll AV, Wadsworth DD. The relationship in early childhood body composition and physical activity levels regarding fundamental motor skill development. BMC Pediatr. 2023;23:461. https://doi.org/10.1186/s12887-023-04298-2
4. Farley JB, Stein J, Keogh JWL, Woods CT, Milne N. The relationship between physical fitness qualities and sport-specific technical skills in female team-based ball players: a systematic review. Sports Med Open. 2020;6:18. https://doi.org/10.1186/s40798-020-00245-y
5. Gao Z, Wen X, Fu Y, Lee JE, Zeng N. Motor skill competence matters in promoting physical activity and health. Biomed Res Int. 2021;2021:9786368. https://doi.org/10.1155/2021/9786368
6. Gasbarro L, Padua E, Tancredi V, Annino G, Montorsi M, Maugeri G, et al. Joint mobility protection during the developmental age among free climbing practitioners: a pilot study. J Funct Morphol Kinesiol. 2020;5(1):14. https://doi.org/10.3390/jfmk5010014
7. Chen J, Song W, Zhao X, Lou H, Luo D. The relationship between fundamental motor skills and physical fitness in preschoolers: a short-term longitudinal study. Front Psychol. 2023;14:1270888. https://doi.org/10.3389/fpsyg.2023.1270888
8. Trudelle-Jackson E, Leonard D, Morrow JR Jr. Musculoskeletal risk factors as predictors of injury in community-dwelling women. Med Sci Sports Exerc. 2014;46(9):1752–7. https://doi.org/10.1249/MSS.0000000000000295
9. Sundemo D, Senorski EH, Karlsson L, Horvath A, Juul-Kristensen B, Karlsson J, et al. Generalised joint hypermobility increases ACL injury risk and is associated with inferior outcome after ACL reconstruction: a systematic review. BMJ Open Sport Exerc Med. 2019;5(1):e000620. https://doi.org/10.1136/bmjsem-2019-000620
10. Sobhani-Eraghi A, Motalebi M, Sarreshtehdari S, Molazem-Sanandaji B, Hasanlu Z. Prevalence of joint hypermobility in children and adolescents: a systematic review and meta-analysis. J Res Med Sci. 2020;25(1):104. https://doi.org/10.4103/jrms.JRMS_983_19
11. Jari M, Alesaeidi S. Association Between Generalized Joint Hypermobility and Anxiety Disorders in Children: A Case-Control Study. Clin Med Insights Arthritis Musculoskelet Disord. 2025;18:11795441251365672. https://doi.org/10.1177/11795441251365672
12. Black WR, DiCesare CA, Wright LA, Thomas S, Pfeiffer M, Kitchen K, et al. The effects of joint hypermobility on pain and functional biomechanics in adolescents with juvenile fibromyalgia: secondary baseline analysis from a pilot randomized controlled trial. BMC Pediatr. 2023;23:557. https://doi.org/10.1186/s12887-023-04353-y
13. Ituen OA, Akwaowo CD, Ferguson G, Duysens J, Smits-Engelsman B. Impact of generalized joint hypermobility on quality of life and physical activity in school-aged children: a longitudinal study. BMC Musculoskelet Disord. 2025;26:4. https://doi.org/10.1186/s12891-024-08259-3
14. Roberts DW. Treating mechanical joint dysfunction in children: a retrospective exploratory report of selected cases. J Man Manip Ther. 2024;32(3):325–34. https://doi.org/10.1080/10669817.2022.2099182
15. de Koning L, Warnink-Kavelaars J, van Rossum M, Limmen S, Van der Looven R, Muiño-Mosquera L, et al. Physical activity and physical fitness in children with heritable connective tissue disorders. Front Pediatr. 2023;11:1057070. https://doi.org/10.3389/fped.2023.1057070
16. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–91. https://doi.org/10.3758/BF03193146
17. Smits-Engelsman B, Klerks M, Kirby A. Beighton score: a valid measure for generalized hypermobility in children. J Pediatr. 2011;158(1):119–23.e1-4. https://doi.org/10.1016/j.jpeds.2010.07.021
18. Masanovic B, Gardasevic J, Marques A, Peralta M, Demetriou Y, Sturm DJ, et al. Trends in physical fitness among school-aged children and adolescents: a systematic review. Front Pediatr. 2020;8:627529. https://doi.org/10.3389/fped.2020.627529
19. Marques A, Henriques-Neto D, Peralta M, Martins J, Gomes F, Popovic S, et al. Field-based health-related physical fitness tests in children and adolescents: a systematic review. Front Pediatr. 2021;9:640028. https://doi.org/10.3389/fped.2021.640028
20. Tun MT, Aye T, Htut TZC, Mar Tin W, Khin MT. Fundamental motor skill proficiency among 7- to 10-year-old children with Down syndrome. J Phys Ther Sci. 2023;35(1):1–6. https://doi.org/10.1589/jpts.35.1
21. Rey E, Carballo-Fazanes A, Varela-Casal C, Abelairas-Gómez C; ALFA-MOV Project collaborators. Reliability of the test of gross motor development: a systematic review. PLoS One. 2020;15(7):e0236070. https://doi.org/10.1371/journal.pone.0236070
22. Kavanagh H, Issartel J, Meegan S, Manninen M. Exploring the motor skill proficiency barrier among children with intellectual disabilities: analysis at a behavioural component level. PLoS One. 2023;18(11):e0288413. https://doi.org/10.1371/journal.pone.0288413
23. Bardid F, Utesch T, Stodden DF, Lenoir M. Developmental perspectives on motor competence and physical fitness in youth. Scand J Med Sci Sports. 2021;31(Suppl 1):5–7. https://doi.org/10.1111/sms.13946
24. Zhao M, Liu S, Han X, Li Z, Liu B, Chen J, et al. School-based comprehensive strength training interventions to improve muscular fitness and perceived physical competence in Chinese male adolescents. Biomed Res Int. 2022;2022:7464815. https://doi.org/10.1155/2022/7464815
25. Pitchford EA, Leung W, Webster EK. Associations of fundamental motor skill competence, isometric plank, and modified pull-ups in 5-year-old children: an observational analysis of 2012 NHANES NYFS. PLoS One. 2022;17(10):e0276842. https://doi.org/10.1371/journal.pone.0276842
26. Fu T, Zhang D, Wang W, Geng H, Lv Y, Shen R, et al. Functional training focused on motor development enhances gross motor, physical fitness, and sensory integration in 5–6-year-old healthy Chinese children. Front Pediatr. 2022;10:936799. https://doi.org/10.3389/fped.2022.936799
27. Alsiri N, Cramp M, Barnett S, Palmer S. The effects of joint hypermobility syndrome on the kinematics and kinetics of the vertical jump test. J Electromyogr Kinesiol. 2020;55:102483. https://doi.org/10.1016/j.jelekin.2020.102483
28. Tinkle BT. Symptomatic joint hypermobility. Best Pract Res Clin Rheumatol. 2020;34(3):101508. https://doi.org/10.1016/j.berh.2020.101508
29. Scheper MC, Nicholson LL, Adams RD, Tofts L, Pacey V. The natural history of children with joint hypermobility syndrome and Ehlers-Danlos hypermobility type: a longitudinal cohort study. Rheumatology (Oxford). 2017;56(12):2073-83. https://doi.org/10.1093/rheumatology/kex148
30. Wesley A, Bray P, Munns CF, Pacey V. Impact of heritable disorders of connective tissue on daily life of children: parent perspectives. J Paediatr Child Health. 2021;57(5):626-30. https://doi.org/10.1111/jpc.15284
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Kshama Shetty, Hariharasudhan Ravichandran, Soumya Ranjan Sahoo, Noble Vavachan, Swapnika Sanjay Satam, Balamurugan Janakiraman

This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
