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
http://hdl.handle.net/2268/19159
Physiotherapy Intervention for Joint Hypermobility in Three Cases with Heritable Connective Tissue Disorders
English
Kaux, Jean-François mailto [Université de Liège - ULg > Département des sciences de la motricité > Médecine physique et réadaptation fonctionnelle >]
Foidart-Dessalle, Marguerite mailto [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 mailto [Université de Liège - ULg > Département des sciences de la motricité > Rééducation du membre supérieur >]
Crielaard, Jean-Michel mailto [Université de Liège - ULg > Département des sciences de la motricité > Evaluation et entraînement des aptitudes physiques - Médecine physique et réadaptation fonctionnelle >]
Oct-2010
Journal of Musculoskeletal Pain
Haworth Press
18
3
254-60
Yes (verified by ORBi)
International
1058-2452
Binghamton
NY
[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
http://hdl.handle.net/2268/19159
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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