Hypermobility and Dance: A Review

Day, Helen; Koutedakis, Yiannis; Wyon, Matthew

doi:10.1055/s-0031-1273690

Cited by 51 publications

(52 citation statements)

References 73 publications

(47 reference statements)

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“…GJH is often diagnosed using the Beighton score (see also “Measurement properties of existing clinical assessment methods for local and generalized joint hypermobility—a systematic review,” Juul‐Kristensen et al, this issue), although this has major limitations in selected populations, such as the very young and the elderly [Dolan et al, ; Castori, ]. It can be asymptomatic, and is more common among dancers and elite athletes where it may confer a constitutional advantage [Day et al, ; Beighton et al, ]; however, it may predispose to higher injury rates [Briggs et al, ; Konopinski et al, ].…”

Section: Clinical Descriptionmentioning

confidence: 99%

Hypermobile Ehlers–Danlos syndrome (a.k.a. Ehlers–Danlos syndrome Type III and Ehlers–Danlos syndrome hypermobility type): Clinical description and natural history

Tinkle

Castori²,

Berglund

et al. 2017

American J of Med Genetics Pt C

370

348

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The hypermobile type of Ehlers-Danlos syndrome (hEDS) is likely the most common hereditary disorder of connective tissue. It has been described largely in those with musculoskeletal complaints including joint hypermobility, joint subluxations/dislocations, as well as skin and soft tissue manifestations. Many patients report activity-related pain and some go on to have daily pain. Two undifferentiated syndromes have been used to describe these manifestations-joint hypermobility syndrome and hEDS. Both are clinical diagnoses in the absence of other causation. Current medical literature further complicates differentiation and describes multiple associated symptoms and disorders. The current EDS nosology combines these two entities into the hypermobile type of EDS. Herein, we review and summarize the literature as a better clinical description of this type of connective tissue disorder.

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Section: Clinical Descriptionmentioning

confidence: 99%

Hypermobile Ehlers–Danlos syndrome (a.k.a. Ehlers–Danlos syndrome Type III and Ehlers–Danlos syndrome hypermobility type): Clinical description and natural history

Tinkle

Castori²,

Berglund

et al. 2017

American J of Med Genetics Pt C

370

348

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“…Not all individuals with GJH are symptomatic, some even take advantage of GJH and excel in certain sports like gymnastics, martial arts or dancing [11,12]. Others experience mild to severe musculoskeletal complaints [13], like joint pain in multiple joints [10], fatigue [13], diminished motor competence [14] and muscle weakness [15].…”

Section: Introductionmentioning

confidence: 99%

The functional consequences of Generalized Joint Hypermobility: a cross-sectional study

Scheper

Vries²,

Juul-Kristensen

et al. 2014

BMC Musculoskelet Disord

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BackgroundGeneralized 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.MethodsA total of 72 female participants (mean age (SD; range): 19.6 (2.2; 17-24)) were recruited among students from the Amsterdam School of Health Professions (ASHP) (n = 36) and the Amsterdam School of Arts (ASA), Academy for dance and theater (n = 36) in Amsterdam, The Netherlands. From each participant the following data was collected: Functional status performance (self-reported Physical activity level) and capacity (walking distance and jumping capacity: side hop (SH) and square hop (SQH)), presence of GJH (Beighton score ≥4), muscle strength, musculoskeletal complaints (pain and fatigue) and demographic characteristics (age and BMI).ResultsGJH was negatively associated with all capacity measures of functional status. Subjects with GJH had a reduced walking distance (B(SE):-75.5(10.5), p = <.0001) and jumping capacity (SH: B(SE):-10.10(5.0), p = .048, and SQH: B(SE):-11.2(5.1), p = .024) in comparison to subjects without GJH, when controlling for confounding: age, BMI and musculoskeletal complaints. In participants with GJH, functional status was not associated with performance measures.ConclusionGJH was independently associated with lower walking and jumping capacity, potentially due to the compromised structural integrity of connective tissue. However, pain, fatigue and muscle strength were also important contributors to functional status.

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“…36 Within the general population of schoolchildren aged 14 years, GJH (cut point, 4/9) prevalence of 11% to 28% has been reported. 4 Some studies have reported a high prevalence of GJH for certain disciplines, such as dancing and ballet, 7,30 possibly due to the great requirements of flexibility in these activities. 30 However, no study has reported the prevalence of GJH in elite-level adolescent athletes for sports such as team handball, TeamGym gymnastics, as well as ballet.…”

mentioning

confidence: 99%

Hypermobility in Adolescent Athletes: Pain, Functional Ability, Quality of Life, and Musculoskeletal Injuries

Schmidt¹,

Pedersen²,

Junge

et al. 2017

J Orthop Sports Phys Ther

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U t STUDY DESIGN:Cross-sectional. U t BACKGROUND:Generalized joint hypermobility (GJH) may increase pain and likelihood of injuries and also decrease function and health-related quality of life (HRQoL) in elite-level adolescent athletes. U t OBJECTIVE:To assess the prevalence of GJH in elite-level adolescent athletes, and to study the association of GJH with pain, function, HRQoL, and musculoskeletal injuries. U t METHODS:A total of 132 elite-level adolescent athletes (36 adolescent boys, 96 adolescent girls; mean ± SD age, 14.0 ± 0.9 years), including ballet dancers (n = 22), TeamGym gymnasts (n = 57), and team handball players (n = 53), participated in the study. Generalized joint hypermobility was classified by Beighton score as GJH4 (4/9 or greater), GJH5 (5/9 or greater), and GJH6 (6/9 or greater). Function of the lower extremity, musculoskeletal injuries, and HRQoL were assessed with self-reported questionnaires, and part of physical performance was assessed by 4 postural-sway tests and 2 single-legged hop-for-distance tests. U t RESULTS:Overall prevalence rates for GJH4, GJH5, and GJH6 were 27.3%, 15.9%, and 6.8%,

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Hypermobility and Dance: A Review

Cited by 51 publications

References 73 publications

Hypermobile Ehlers–Danlos syndrome (a.k.a. Ehlers–Danlos syndrome Type III and Ehlers–Danlos syndrome hypermobility type): Clinical description and natural history

Hypermobile Ehlers–Danlos syndrome (a.k.a. Ehlers–Danlos syndrome Type III and Ehlers–Danlos syndrome hypermobility type): Clinical description and natural history

The functional consequences of Generalized Joint Hypermobility: a cross-sectional study

Hypermobility in Adolescent Athletes: Pain, Functional Ability, Quality of Life, and Musculoskeletal Injuries

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