Clinical Characteristics of 100 Patients With Hypermobility Spectrum Disorders and Shoulder Complaints With or Without Mechanical Symptoms: A Cross-sectional Study

Abstract

This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

The biopsychosocial impact of hypermobility spectrum disorders in adults: a scoping review

“…Self-reported clinical characteristics were more severe for those with mechanical symptoms, longer symptom duration, shoulder dislocations, feeling the shoulder is loose, and additional discomfort, received supplemental treatment. Importance of addressing mechanical symptoms in the shoulder during treatment to fully cover and understand the patients’ impairments Berglund & Björck (2012) [ 42 ] Miscellaneous: mucosal problems, oral problems, nasal problems, eye problems, genital problems, physical pain, handicap, functional limitation Negative affect: felt insecure, felt tense, difficulty relaxing, felt embarrassed, life has been less satisfactory, psychologic discomfort Lifestyle: life has been less satisfactory Women with EDS report a low oral health related QoL as measured with the OHiP-14. Particularly in physical pain, psychologic discomfort, and handicap.…”

“…Negative affect is the experience of negative emotions and psychological distress. This population described being fearful, specifically fear of movement [ 18 , 26 , 42 ]. One study utilised the Tampa Kinesiophobia Scale (TSK) to measure this, finding a statistically significant difference between individuals with EDS/HSD and without, including within the activity avoidance and somatic focus subscales ( p < 0.01) [ 26 ].…”

Short-term effectiveness of high-load compared with low-load strengthening exercise on self-reported function in patients with hypermobile shoulders: a randomised controlled trial

“…Secondary self-reported outcome measures were: the WOSI subdomains; shoulder pain worst, least and the average for the past week (scale 0–10)44; discomfort due to shoulder symptoms other than pain (instability, subluxation, laxity) (scale 0–10)45; Patient-Specific Functional Scale (scale 0–10)46; Checklist Individual Strength, the subscale of fatigue (scale 8–56)47; the COOP/WONCA questionnaire (scale 6–30)48 49; Tampa Scale of Kinesiophobia-11 (scale 11–44)50; European Quality of life-5 Dimensions-5-Level Scale (scale <0–1)51 52; EQ-Visual Analogue Scale (scale 0–100)52 53; Global Perceived Effect (GPE) on each of the WOSI subdomains (7-point scales, range: ‘worse, an important worsening’ to ‘better, an important improvement’) 54 55…”

The association between number of shoulder diagnoses and positive clinical tests with self-reported function and pain: A cross-sectional study of patients with hypermobile joints and shoulder complaints

“…While all three diagnoses (AI, MDI, symptomatic LSH) cause physical impairments, having additional shoulder diagnoses and higher number of positive clinical shoulder tests may potentially lead to a more complex entity; a patient with instability or laxity in all directions is expected to have greater impairments compared with having instability or laxity in one direction. Mechanical shoulder symptoms has recently been defined as self-reported shoulder symptoms, such as instability, subluxation, or laxity (Liaghat et al, 2022a). Experiencing mechanical shoulder symptoms, such as instability, subluxation, or laxity, seems to be associated with longer symptom duration and greater treatment utilization in patients with HSD and shoulder complaints (Liaghat et al, 2022a).…”

“…Mechanical shoulder symptoms has recently been defined as self-reported shoulder symptoms, such as instability, subluxation, or laxity (Liaghat et al, 2022a). Experiencing mechanical shoulder symptoms, such as instability, subluxation, or laxity, seems to be associated with longer symptom duration and greater treatment utilization in patients with HSD and shoulder complaints (Liaghat et al, 2022a). Furthermore, patients with mechanical symptoms reported on average worse physical function than patients without mechanical symptoms (Liaghat et al, 2022a).…”