Amelioration of symptoms by enhancement of proprioception in patients with joint hypermobility syndrome
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Abstract Objective Joint hypermobility syndrome (JHS) is characterized by an association between joint hypermobility and musculoskeletal pains, the latter occurring in the absence of any objective indicator of rheumatic disease. The lack of a recognizable disease marker makes this condition difficult to identify and manage. We previously observed that patients with JHS have impaired proprioception compared with that of a matched control group. The purpose of this study was to investigate whether a home‐based exercise program could produce objective enhancement of proprioception as well as alleviate symptoms in JHS. Methods A threshold detection paradigm was used to assess knee joint proprioception, balance was assessed using a balance board, and quadriceps and hamstring strength were measured by an isokinetic dynamometer. A visual analog scale was used to assess musculoskeletal pain, and quality of life was evaluated by a Short Form 36 questionnaire. Assessments were performed before and after an 8‐week program of progressive closed kinetic chain exercises. Results Following the exercise program, proprioceptive acuity increased in 16 of 18 subjects and was very significantly improved overall ( P < 0.001). There was a comparable improvement in performance on the balance board ( P < 0.001), and quadriceps and hamstring strength also increased significantly. Symptomatic improvement also occurred, in terms of both pain ( P = 0.003) and quality‐of‐life ( P = 0.029 for physical functioning; P = 0.008 for mental health) scores. Conclusion Appropriate exercises lead not only to symptomatic improvement, but also to demonstrable enhancement of objective parameters such as proprioception.Keywords:
Proprioception
Joint hypermobility
Hypermobility (travel)
Study Design: Cross-sectional and matchedpairs study. Background and Purpose: The prevalence of joint hypermobility varies according to gender, age, and ethnicity. Studies indicate joint hypermobility is more common in females than males and may be linked to an increase risk of joint injury. Purpose: The purpose of this study was to describe the prevalence of joint hypermobility in a healthy, young adult female sample, and to observe the relationship between hypermobility and reported musculoskeletal injuries. Methods: One hundred and one young adult females participated in this study. Each subject completed questionnaires regarding their general health, physical activity level, and musculoskeletal injuries. The subjects were designated as hypermobile after being tested for joint hypermobility utilizing the Beighton hypermobility scale. Subjects with joint hypermobility were age and activity matched with subjects with normal joint mobility. Results: The frequency of joint hypermobility in this study of young adult women was 15.8%. A small, significant positive correlation was found between raw hypermobility score and musculoskeletal injury score based on self-report. There was a significant difference in the injury score based on hypermobility status after controlling for age and activity level. Subjects designated as hypermobile scored higher on the injury questionnaire than subjects without hypermobility. Conclusion: Sixteen percent of this sample of healthy, young, adult females tested positively for joint hypermobility. Subjects with joint hypermobility reported more musculoskeletal injuries than those without hypermobility. Additional research is needed to determine what influences injury rates in the person with hypermobility, and what interventions are most beneficial to prevent further injury.
Joint hypermobility
Hypermobility (travel)
Joint instability
Musculoskeletal injury
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Joint hypermobility syndrome (JHS) is a hereditary disorder of connective tissue recently considered the one and the same as the Ehlers-Danlos Syndrome Hypermobility Type (EDS-HT). The JHS/EDS-HT is mainly characterized by joint hypermobility, chronic pain and a variable skin involvement. Clinical manifestations expressed by patients are multiple and varied. The rehabilitative approach may play a fundamental role in the understanding and management of symptoms and clinical manifestation. Aim of this study is to make a literature revision of all the aspects of this not so rare disease.
Hypermobility (travel)
Joint hypermobility
Ehlers–Danlos syndrome
Joint instability
Connective Tissue Disorder
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Objectives: To investigate the prevalence of joint hypermobility classes, hypermobility spectrum disorders, hypermobile Ehlers-Danlos syndrome and their relations with sex ina university population. They are notable topics in rehabilitation, since they represents the basis for some secondary disability conditions. Methods: Three hundred and thirty-five students met the inclusion criteria (university students who are not disabled, without known disease, aged 18-25 years). Joint hypermobility were classified as generalized, peripheral and localized asymptomatic or hypermobility spectrum disorders. Hypermobile Ehlers-Danlos syndrome was defined according to; 1) Brighton criteria with cut-off Beighton scoring ≥ 4/9, 2) Villefranche criteria with cut-off Beighton scoring ≥ 5/9, and 3) The 2017 International Classification of Ehlers-Danlos syndrome. Results: In total, 77.3% (n = 259) of participants had any class of joint hypermobility and 25.9% (n=87) of them had generalized class. Asymptomatic joint hypermobility and hypermobility spectrum disorders prevalence in a university population were found to be 38.8% and 38.5%, respectively. Generalized, peripheral, localized asymptomatic joint hypermobility and hypermobility spectrum disorders were found; 13.1%, 4.2%, 21.5%, and 12.8%, 7.5%, 18.2%, respectively. Prevalence of hypermobile Ehlers-Danlos syndrome according to three classifications were found to be; 19.4%, 15.2%, and 1.2%, respectively. Conclusions: The most common classes are localized asymptomatic joint hypermobility in women and localized hypermobility spectrum disorders in men. Awareness of the prevalence of joint hypermobility, hypermobility spectrum disorders and hypermobile Ehlers-Danlos syndrome in healthy young population may contribute prevention of disability.
Joint hypermobility
Hypermobility (travel)
Ehlers–Danlos syndrome
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Joint hypermobility is considered to be both an advantage and a disadvantage. However, the degree of hypermobility in members of particular occupations requiring intense physical activity and the nature of the association between symptoms referable to specific joints and their hypermobility are unknown.
Hypermobility (travel)
Joint hypermobility
Disadvantage
Joint instability
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Joint hypermobility
Hypermobility (travel)
Ehlers–Danlos syndrome
Joint instability
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Hypermobility (travel)
Joint hypermobility
Ehlers–Danlos syndrome
Joint instability
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Citations (51)
Context: It is well-known that subjects affected by Ehlers-Danlos Syndrome (EDS), hypermobility type/Joint Hypermobility Syndrome are characterized by severe joint hypermobility with recurrent joint dislocations and chronic pain and biomechanical dysfunction of the temporo-mandibular joint (TMJ). Aims: The study aims to measure TMJ mobility in EDS subjects to quantitatively characterize the TMJ dislocation during specific tasks as well as head adjustments, already documented by literature by observational techniques. Materials and Methods: Female EDS subjects and age matched controls were asked to perform simple opening-closing movements of the mandible. Kinematics data was recorded and analyzed through an optoelectronic motion capture system. Some parameters of the motion were studied: range of motion of the condyles, range of motion of the chin, aperture angle, movement speed, and frequency. Statistical Analysis Used: The statistical t-test was used to compare results from pathological group to the control group. Results: Significant differences, between EDS group and controls, were found for the backward rotation of the head, lateral range of motion of the chin, frequency, and velocity. Results were in accordance with the clinical observations. The results not only confirmed that EDS subjects back-rotate the head while performing the opening-closing task but also quantified the entity of this behavior. Conclusions: The method we proposed is noninvasive and is able to analyze mandible kinematics. It may be used by clinicians to assess the healthy status of TMJ, to quantify mobility, and hypermobility of the mandible and to help diagnosis of TMJ dysfunctions.
Joint hypermobility
Hypermobility (travel)
Ehlers–Danlos syndrome
Joint instability
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Hypermobility (travel)
Joint hypermobility
Ehlers–Danlos syndrome
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Joint mobility was examined on 1.136 schoolchildren of both sexes at the ages of 11 and 14 years. At the same time, they were asked if they had a history of bone fractures and about their weekly consumption of liver. The results were that 13% of the boys and 21% of the girls had hypermobility of their joints. A description is made of a short test to detect hypermobility. It was found that liver consumption and hypermobility are related, also that only in boys hypermobility is contrarily related with the history of fractures.
Hypermobility (travel)
Joint hypermobility
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Joint mobility was examined on 1.136 schoolchildren of both sexes at the ages of 11 and 14 years. At the same time, they were asked if they had a history of bone fractures and about their weekly consumption of liver. The results were that 13% of the boys and 21% of the girls had hypermobility of their joints. A description is made of a short test to detect hypermobility. It was found that liver consumption and hypermobility are related, also that only in boys hypermobility is contrarily related with the history of fractures.
Hypermobility (travel)
Joint hypermobility
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Citations (2)