What
we know about Joint Hypermobility Syndrome (JHMS):
·
Often this condition gets misdiagnosed
or goes undiagnosed
·
Many different names: Benign Joint
Hypermobility Syndrome, Hypermobile Joint Syndrome
·
Upper end or beyond of normal joint
movement due to ligament laxity and associated with pain and or injury
·
More prevalent among Asians and Africans
than Caucasians
·
1.1 to 5.5 times more prevalent in
females than males
·
Hypermobility appears to decrease with
age
·
Symptoms can present at any time from
age 3 to 70 years
Diagnosis:
No Universal agreement at this time
·
Beighton Scale of >5/9
·
Carter and Wilkinson scale of >3/5
Associated
Clinical Conditions:
·
Increased incidence of nerve compression
disorders
·
Osteoarthritis
·
Sprains, subluxations, and dislocations
more common
·
Anxiety disorders more prevalent
·
TMJ, fibromyalgia, and sleep
disturbances
Treatment:
EDUCATION
·
Teaching proper body mechanics and
muscle control
·
Job selection, sports participation, and
or recreational activities
Other Options
·
Splints, braces, and taping
·
Strengthening exercise and
proprioceptive exercises for the affected joints
·
Stretching exercises should be limited
to muscles and not the joints themselves
·
Medications (controversial; mixed
results)
Beighton
Scale: Score _____/ 9 (one point for
each positive test)
Hands to floor:
_________
Little finger extension beyond 90 degrees: _________
Thumb apposition to forearm: __________
Elbow extension 10 degrees beyond neutral: _______
Knee extension 10 degrees beyond neutral: _______
References:
Russek, LN. Examination and Treatment of a Patient with Hypermobility Syndrome. Phys Ther. April 2000; 80(4): 386-398.
Russek, LN. Hypermobility Syndrome. Phys Ther. June 1999; 79(6): 591-599.
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