As chiropractors we normally deal with HYPOmobility - but what about those who are on the opposite end of the spectrum? Joint hypermobility-related disorders, historically referred to as Joint Hypermobility Syndrome (JHS) or Ehlers-Danos Syndrome (EDS), are more accurately referred to by the more restrictively diagnosed hypermobile Ehlers-Danlos Syndrome (hEDS) or less restrictively as hypermobility spectrum disorder (HSD).
Despite these diagnoses, it must be remembered that hypermobility is properly defined as a structure/function impairment and is not a diagnosis in and of itself. Hypermobility can be limited to individual joints, or be generalized. Causes are variable, and include possible genetic links, with hypermobility generally characterized by connective tissue abnormalities causing widespread signs and symptoms involving most body systems.
This perspective article aimed to: 1) improve the ability of all clinicians to recognize HSD/hEDS while applying the diagnostic criteria for hEDS; 2) understand the impact of the multi-system involvement of hypermobility; and 3) apply evidence-based principles to the management of these patients.
THIS WEEK'S RESEARCH REVIEW: “Recognizing & Managing Hypermobility-Related Conditions”
This paper was published in Physical Therapy (2019) and this Review is posted in Recent Reviews, Clinical Practice, Pediatrics and the 2020 Archive.
hypermobility wrist