Evaluation of posture and pain in persons with benign joint hypermobility syndrome

Abstract

The objective of the present study is to compare and quantify the postural differences and joint pain distribution between subjects with benign joint hypermobility syndrome (BJHS) and the normal population. This observational, non-randomized, and controlled study was conducted at Rheumatology and Physical Medicine and Rehabilitation Medicine Departments of a tertiary care teaching hospital. Subjects comprise 35 persons with diagnosis of BJHS, and the control group was matched for age and sex. Reedco's Posture score (RPS) and visual analogue scale (VAS) were the outcome measures. The subjects were assessed for pain in ten major joints and rated on a VAS. A standard posture assessment was conducted using the Reedco's Posture score. The same procedure was executed for an age- and sex-matched control group. Mean RPS for the BJHS group was 55.29 ± 8.15 and for the normal group it was 67 ± 11.94. The most common postural deviances in subjects with BJHS were identified in the following areas of head, hip (Sagittal plane), upper back, trunk, and lower back (Coronal plane). Intensity of pain was found to be more in BJHS persons than that of the normal persons, and the knee joints were the most affected. The present study compared and quantified the postural abnormalities and the pain in BJHS persons. The need for postural re-education and specific assessment and training for the most affected joints are discussed. There is a significant difference in posture between subjects with BJHS and the normal population. BJHS persons need special attention to their posture re-education during physiotherapy sessions to reduce long-term detrimental effects on the musculoskeletal system.

Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?

“…[6,7] Impaired joint proprioception can lead to poor postural control and balance in patients with HMS, as has been previously demonstrated by the research. [13,26] However, a review of the literature did not reveal any studies which have evaluated balance problems in FMS patients and their association with hypermobility. Furthermore, a connection between increased fall frequency due to balance problems in FMS has been previously shown, but the relationship between hypermobility and fall history has not yet been studied.…”

Symptoms in Daily Life and Activity Level of Women with and without Hypermobility

“…In the current study the result of the question about the localization of the disorders is as expected and as described in the literature [34,35]. Although the collected data on localization and type of disorders is the sum of all the problems ever mentioned over a period of 6 months, direct comparison between the three groups NM, HM-as and HM-s remains difficult.…”

Serum prolidase activity in benign joint hypermobility syndrome

“…A study which investigated the postures of patients with BJHS found significant differences between the patients with BJHS and the control group with regard to posture scores and pain [28]. All the clinical signs and symptoms evaluated under this study were significantly higher and New York posture rating test scores were significantly lower in patients with BJHS.…”