|Reference : Physiotherapy Intervention for Joint Hypermobility in Three Cases with Heritable Connect...|
|Scientific journals : Article|
|Human health sciences : Orthopedics, rehabilitation & sports medicine|
Human health sciences : Pediatrics
Human health sciences : Rheumatology
Human health sciences : Multidisciplinary, general & others
|Physiotherapy Intervention for Joint Hypermobility in Three Cases with Heritable Connective Tissue Disorders|
|Kaux, Jean-François [Université de Liège - ULg > Département des sciences de la motricité > Médecine physique et réadaptation fonctionnelle >]|
|Foidart-Dessalle, Marguerite [Université de Liège - ULg > Département des sciences de la motricité > Biomécanique >]|
|Croisier, Jean-Louis [Université de Liège - ULg > > Médecine de l'appareil locomoteur >]|
|Toussaint, Geoffrey [Université de Liège - ULg > > Médecine de l'appareil locomoteur >]|
|Forthomme, Bénédicte [Université de Liège - ULg > Département des sciences de la motricité > Rééducation du membre supérieur >]|
|Crielaard, Jean-Michel [Université de Liège - ULg > Département des sciences de la motricité > Evaluation et entraînement des aptitudes physiques - Médecine physique et réadaptation fonctionnelle >]|
|Journal of Musculoskeletal Pain|
|Yes (verified by ORBi)|
|[en] Joint Hypermobility Syndrome ; Pain ; Physiotherapy ; Marfan Syndrome ; Ehlers-Danlos Syndrome ; Osteogenesis Imperfecta|
|[en] Introduction: In Joint Hypermobility Syndromes, chronic pain is the most disabling symptom. Its origin can be multiple (i.e. subluxations, sprains, pathologies of tendons, ligaments, peripheral nerves, multiple operations). The goal of this article was intended to discuss appropriate physiotherapy in hyperlax patients.
Patients and Method: The recovery process was analyzed in three cases (Marfan Syndrome, Ehlers-Danlos Syndrome and Osteogenesis Imperfecta). Hypermobility was assessed using the Brighton scale, pain using the Visual Analogue Scale and quality of life using the Medical Outcome Study Short Form-36. Bone density was evaluated by QDR X-ray absorptiometry. We emphasized that it was important to avoid stretching and to train the patient within a controlled range of motion. Submaximal eccentric exercises within a safe range of motion were incorporated to increase the active control of the joint positioning. Thus, in one patient, isokinetic rehabilitation was successfully undertaken. Each treatment had to be adapted to the individual patient and had to include specific home exercises.
Conclusion: In each case, physiotherapy gave good results in relation to pain, quality of life and stability of rehabilitated joints. Safety must be assured and specific evaluations such osteodensitometry, cardiac explorations and interventions of bracing, proprioceptive and functional strengthening can be very helpful.
|Professionals ; Students ; Others|
|The abstract was presented by Dr. JF Kaux at the Annual Congress of the Royal Belgian Society of Physical and Rehabilitation Medicine (RBSPRM), in Brussels, Belgium, 2nd December 2005.|
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