Generalised Joint Hypermobility As A Symptom Of Chosen Diseases And Syndromes (original) (raw)
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Joint hypermobility with and without musculoskeletal complaints: a physiotherapeutic approach
International Musculoskeletal Medicine, 2011
Introduction: Physiotherapists' attitudes to hypermobility and its problems should be changing in ways which reflect current views on function, disability, and health. For example, rather than a focus on optimizing body functions, we should optimize activities and participation. We examined the current evidence base for guidance on the best therapeutic strategies when hypermobility is present. Methods: We searched the databases Pubmed and Cinahl to find randomized controlled trials (RCTs) focusing on interventions for generalized joint hypermobility (GHM) and hypermobility syndrome (HMS). Results: We found three RCTs regarding HMS and GHM and one RCT regarding intervention in children with the collagen disease osteogenesis imperfecta. All the trials had some methodological problems but suggested that improvements may result from exercise, education, and training. Conclusion: Intervention seems to be effective, as reported by experience and case reports but further research is required to identify appropriate exercise and training, according to the problems and capabilities of individual cases.
American journal of medical genetics. Part C, Seminars in medical genetics, 2015
This issue of the American Journal of Medical Genetics Seminar Series Part C is dedicated to generalized joint hypermobility (gJHM), joint hypermobility syndrome (JHS), and Ehlers-Danlos syndrome, hypermobility type (EDS-HT). gJHM is the best known clinical manifestation of inherited defects of the connective tissue. On the other side, JHS and EDS-HT are actually considered one and the same from a clinical perspective by most practitioners and researchers (i.e., JHS/EDS-HT), and their molecular basis remains unknown. For decades, "non-syndromic" gJHM and JHS/EDS-HT have been thought to be simple clinical curiosities or an asset for the "affected" individual. In recent years, the attention on these partially overlapping phenotypes has increased, as they are now recognized risk factors for a series of non-communicable diseases and long-term disabilities. This series consists of 10 papers focused on three main topics, namely (i) assessment and differential diagnosis...
Benign joint hypermobility syndrome
Benign hypermobility joint syndrome or benign joint hypermobility syndrome (BJHS) is a common yet poorly recognized disorder of joint in children and adults. It is a connective tissue disorder which affects musculoskeletal system in the absence of general rheumatologic features. Benign hypermobility is stated as laxity of joints that may be associated with pain, discomfort after exercise, and even recurrent subluxations. People with this condition generally report prolonged pain and poor exercise tolerability. The term "benign" has been used to separate BJHS from other hereditary connective tissue disorders that besides having a common denominator of joint hypermobility also involve other organs such as the eyes, bones, heart, and blood vessels. Management includes early recognition keeping a high degree of suspicion using Brighton's criteria. Treatment includes patient education, modifi cation of activity and physiotherapy along with anti-infl ammatory agents in case of severe joint infl iction.
2012
Introduction: Performing artistes have entertained audiences for thousands of years. Their repertoires require the integration of a well ‘tuned’ central nervous system and hypermobility. Hypermobility is a common phenomenon that is beneficial for some but not for others. This thesis discusses hypermobility associated with multisystemic symptoms referred to as Joint Hypermobility Syndrome (JHS). It is suggested that the multifactorial manifestations of the condition contribute to deconditioning thus impacting on the physical and mental well being of individuals with JHS. Purpose: To explore the multi-factorial manifestations of JHS including functional difficulties and their impact on quality of life. Methods: A two part study; part one, development of a questionnaire to assess for functional difficulties; part two, a mixed methods approach to explore aspects of JHS. Results: Principal Axis Factoring was employed to explore the structure of the 9-item Functional Difficulties Question...
The functional consequences of Generalized Joint Hypermobility: A cross-sectional study
2014
Background: Generalized Joint Hypermobility (GJH) has been found to be associated with musculoskeletal complaints and disability. For others GJH is seen as a prerequisite in order to excel in certain sports like dance. However, it remains unclear what the role is of GJH in human performance. Therefore, the purpose of the study was to establish the association between GJH and functional status and to explore the contribution of physical fitness and musculoskeletal complaints to this association.
Rheumatology, 2007
Objective. To test the reproducibility of tests and criteria for generalized joint hypermobility (GJH) and benign joint hypermobility syndrome (BJHS). Methods. A standardized protocol for clinical reproducibility studies was followed using a three-phase study (with a training, an overall agreement and a test phase). An overall agreement of at least 0.80 was required to proceed to the test phase. Phases 1, 2 and 3 used 14 patients (with varying degrees of hypermobility), 20 patients (50% cases) and 40 patients (50% cases), respectively. The inclusion criterion for cases was hypermobility (patients with Ehlers-Danlos Syndrome or BJHS) and for controls, non-hypermobility (patients with shoulder and/or back pain); patients were selected from patients' files (phases 1 and 2) or included consecutively from our outpatient clinic (phase 3).
Generalized Joint Hypermobility: A Review
https://ijshr.com/IJSHR\_Vol.6\_Issue.3\_July2021/IJSHR-Abstract.08.html, 2021
Generalized Joint Hypermobility (GJH) is a condition where most of an individual's synovial joints are found to have a range of motion (ROM) beyond their normal limits. Like most human traits, joint hypermobility is multifactorial resulting from a combination of environmental factors (eg. age, trauma, injury, conditioning, infection, inflammation) and multiple genetic factors, each contributing a small amount to the total phenotype. Clinical features of JHS are mainly associated to the connective tissue and can either be articular or extra-articular. The Beighton 9-point scoring systemalso referred to as the modified or revised Beighton scoreis a widely accepted method used to define GJH. Management of Generalized Joint Hypermobility is multidisciplinary which requires a team of physicians, physiotherapists, occupational therapists and podiatrists, among others. Physical therapy rehabilitation comprising of core stabilizing, joint stabilizing, strengthening and proprioception enhancing exercise coupled with general fitness program form the basis of GJH management.
Muscles, ligaments and tendons journal, 2021
Background. The purpose of the present study was to investigate changes in mechanical properties of muscles and tendons in asymptomatic individuals with generalized joint hypermobility (GJH). Methods. This cross-sectional study was conducted in 126 participants aged 19-40 years. The Beighton score was used to determine whether the participants had GJH. An experienced physiotherapist screened all participants using the Beighton score to inquire about the presence of GJH. At the end of the clinical evaluations, 36 asymptomatic participants with GJH (age, 24.6 ± 6.1 years) and 34 age-and sex-matched controls (age, 24.6 ± 6.8 years) were included in the present study. The oscillation frequency (indicator of tone), dynamic stiffness (indicator of stiffness), and logarithmic decrement (related to elasticity) of the medial and lateral gastrocnemius, biceps brachii, and brachioradialis muscles, and the Achilles and patellar tendons were measured with a portable myotonometer (MyotonPRO, Myoton AS, Tallinn, Estonia). Results. The oscillation frequency, dynamic stiffness, and logarithmic decrement of the biceps brachii, brachioradialis, and medial and lateral gastrocnemius muscles were similar in GJH and control groups (p > 0.05). In addition, there was no significant difference between groups in terms of the oscillation frequency, dynamic stiffness, and logarithmic decrement of the Achilles and patellar tendons (p > 0.05). Conclusions. The elasticity, stiffness, and/or tone of the biceps brachii, brachioradialis, and medial and lateral gastrocnemius muscles were similar in individuals with and without GJH. The results obtained suggest that the mechanical properties of muscles and tendons are not associated with GJH.