The effect of combined exercise therapy on knee proprioception, pain intensity and quality of life in patients with hypermobility syndrome: A randomized clinical trial

Daman, Mahnaz; Shiravani, Farideh; Hemmati, Ladan; Taghizadeh, Shohreh

doi:10.1016/j.jbmt.2017.12.012

Cited by 23 publications

(54 citation statements)

References 8 publications

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“…Of the controlled studies, only Celenay and Kaya [29], Daman et al [30] and Reychler et al [35] found consistent evidence of the superiority of conservative interventions relative to no-treatment controls post-treatment. However, those studies only focused on a single area of the body, only recruited women, and had no long-term follow-up.…”

Section: Resultsmentioning

confidence: 97%

“…Three studies were with children [27,32,33], with the remainder being in adult participants. Bathen et al [28], Celenay and Kaya [29], Daman et al [30] and Reychler et al [35] recruited only women, whilst the others had both sexes. Total samples sizes recruited ranged from n = 12 to n = 119, with n = 10 to n = 59 allocated to the conservative intervention groups.…”

Section: Resultsmentioning

confidence: 99%

“…Villefranche criteria (EDS-HT) and Brighton criteria (JHS). Reviewed joint [18,19,30,32,35]. A very wide range of impairment, activity and participation level outcome measures were included across the studies.…”

Section: Resultsmentioning

confidence: 99%

“…Randomisation was conducted in all eight of the controlled trials. Kemp et al [32] and Celenay and Kaya [29] both used computer-generated block randomisation, whilst Daman et al [30], Reychler et al [35], Pacey et al [33] and Palmer et al [34] used simple computer-generated randomisation. Bale et al [27] used minimisation techniques, a valid alternative to randomisation [40].…”

Section: Group Allocationmentioning

confidence: 99%

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The effectiveness of conservative interventions for the management of syndromic hypermobility: a systematic literature review

et al. 2020

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Introduction 'Syndromic hypermobility' encompasses heritable connective tissue disorders such as hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorders which are characterised by excessive joint range of motion and pain. Conservative interventions such as exercise are the cornerstone of management, yet their effectiveness is unclear. Aim To systematically appraise the effectiveness of conservative management for people with syndromic hypermobility. Method A systematic online database search was conducted (AMED, BND, CINAHL Plus, MEDLINE, PEDro, PsychINFO and SportDiscus). Potential articles were assessed for eligibility by two researchers against the following criteria: adults and children with a hEDS/HSD diagnosis (or equivalent diagnosis using specific criteria); non-pharmacological or non-surgical interventions; outcomes related to pain, physical function, psychological well-being or quality of life. Controlled trials and cohort studies were included. Critical Appraisal Skills Programme checklists were used to assess methodological quality. Results Eleven studies were included, comprising eight controlled trials and three cohort studies. All studies investigated interventions that had exercise as the primary component. Three small controlled studies demonstrated superior effects of conservative management relative to a control group. However, those studies only focused on a single area of the body, only recruited women, and had no long-term follow-up. All studies reported improvements in a wide range of outcomes over time. Conclusion Controlled trial evidence for the superiority of conservative management over comparators is weak. There is some evidence that people improve over time. Robust randomised controlled trial research of the long-term effectiveness of 'wholebody' (rather than individual joints or body areas) conservative management is required.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Group Allocationmentioning

confidence: 99%

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The effectiveness of conservative interventions for the management of syndromic hypermobility: a systematic literature review

et al. 2020

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“…It seems remarkable that despite the small sample size of this study, significant improvements were found in most of the outcome variables with medium-to-large effects. Earlier studies in children and adults with G-HSD/hEDS who received physical training only, showed comparable results regarding improvements in pain intensity (36,37). In addition, a RCT study showed that a physiotherapistprescribed exercise programme for children with G-HSD/ hEDS and hypermobile knees led to improvements in knee muscle strength, pain reduction and psychosocial factors (38).…”

Section: Discussionmentioning

confidence: 93%

Multidisciplinary treatment for hypermobile adolescents with chronic musculoskeletal pain

Meulenbroek¹,

Conijn²,

Huijnen³

et al. 2020

J Rehabil Med-CC

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Background: To determine whether adolescents with generalized hypermobility spectrum disorder/ hypermobile Ehlers-Danlos syndrome (G-HSD/ hEDS) show changes in the level of disability, physical functioning, perceived harmfulness and pain intensity after completing multidisciplinary rehabilitation treatment. Methods: Pre-test post-test design. Fourteen adolescents with G-HSD/hEDS participated. The multidisciplinary rehabilitation treatment consisted of a combination of physical training and exposure in vivo. Physical training aims to improve aerobic capacity, muscle strength and propriocepsis for compensating hypermobility. Exposure in vivo aims to decrease disability and pain-related fear. Pre-and post-treatment assessments were conducted to assess the level of disability, physical functioning (motor performance, muscle strength and physical activity level), perceived harmfulness and pain intensity. Results: After completing multidisciplinary rehabilitation treatment, the adolescents showed a significant and clinically relevant improvement (improvement of 67%, p < 0.01) in functional disability. Furthermore, significant improvements were found in motor performance (p < 0.01), muscle strength (p < 0.05), perceived harmfulness (p < 0.01) and pain intensity (p < 0.01) after completing multidisciplinary rehabilitation treatment. Conclusion: Multidisciplinary rehabilitation treatment leads to a significantly and clinically relevant improvement in the level of disability for adolescents with G-HSD/hEDS. Positive effects were also found in physical functioning, perceived harmfulness and pain intensity. Although the results

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Physical therapy treatment of hypermobile Ehlers–Danlos syndrome: A systematic review

Reychler

Backer

Piraux

et al. 2021

American J of Med Genetics Pt A

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Physiotherapy techniques are regularly prescribed in the hypermobile type Ehlers-Danlos syndrome (hEDS) and they are appreciated by the patients. The objective of this systematic review was to investigate the effect of the different physiotherapy techniques related to the children and adult patients with hEDS. PubMed, SPORTDiscus, Cochrane Library, PEDro, Scopus, and Embase databases were analyzed from inception to April 2020. Characteristics of the studies (authors), patients (sample size, sex, age, Beighton score), and nonpharmacological treatment (length of the program, number of session, duration of the session, and type of intervention), and the results with the dropout rate were extracted. From the 1045 retrieved references, 6 randomized controlled trial with a sample size ranging from 20 to 57 patients were included in the systematic review. There was a huge heterogeneity in the interventions. The durations of the program were from 4 to 8 weeks. Pain or proprioception demonstrated significant improvements in the intervention group regardless of the type of intervention. A benefit of the inspiratory muscle training was observed on functional exercise capacity. The quality of life was systematically improved. Physiotherapy benefits on proprioception and pain in patients with hEDS even if robust randomized control studies are missing.

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The effect of combined exercise therapy on knee proprioception, pain intensity and quality of life in patients with hypermobility syndrome: A randomized clinical trial

Cited by 23 publications

References 8 publications

The effectiveness of conservative interventions for the management of syndromic hypermobility: a systematic literature review

The effectiveness of conservative interventions for the management of syndromic hypermobility: a systematic literature review

Multidisciplinary treatment for hypermobile adolescents with chronic musculoskeletal pain

Physical therapy treatment of hypermobile Ehlers–Danlos syndrome: A systematic review

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