Hypermobility and the hypermobility syndrome

Area of Science:

• Rheumatology
• Genetics
• Physical Therapy

Background:

• Joint hypermobility involves excessive range of motion beyond typical age, gender, and ethnicity.
• Joint hypermobility syndrome (JHS) is a symptomatic, hereditary connective tissue disorder often underdiagnosed and poorly managed.
• JHS predominantly affects females, with symptoms often starting in childhood and persisting into adulthood.

Purpose of the Study:

• To provide an overview of Joint Hypermobility Syndrome (JHS).
• To suggest clinical guidelines for identifying and managing JHS based on evidence and experience.

Main Methods:

• Utilized Brighton Criteria for diagnosis.
• Employed a 5-point questionnaire by Hakim and Grahame for identification.
• Reviewed existing research and clinical experience for management strategies.

Main Results:

• The Brighton Criteria and Hakim and Grahame questionnaire are validated tools for JHS identification.
• Management involves education, lifestyle advice, behavioral modification, manual therapy, taping, bracing, electrotherapy, exercise, and rehabilitation.
• A multidisciplinary approach involving various health professionals is recommended.

Conclusions:

• JHS is a significant condition requiring better recognition and management.
• Careful management strategies can lead to symptom amelioration and improved functional fitness.
• Early and accurate diagnosis is crucial for effective JHS treatment.