Generalised joint hypermobility and shoulder joint hypermobility, – risk of upper body musculoskeletal symptoms and reduced quality of life in the general population

Juul-Kristensen, Birgit; Østengaard, Lasse; Hansen, Sebrina Maj-Britt; Boyle, Eleanor; Junge, Tina; Hestbæk, Lise

doi:10.1186/s12891-017-1595-0

Cited by 21 publications

(20 citation statements)

References 42 publications

(67 reference statements)

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“…(28) Previous studies confirm the link between quality of life and musculoskeletal disorders. (29)(30)(31) The result of this study is the same with the study in Japan. The results of Pearson correlation coefficient show that there is a significant correlation between the scores of the GLFS-25 and EQ-5D (r= 0.85, p= 0.01).…”

Section: Discussionsupporting

confidence: 78%

The Relationship Between Locomotive Syndrome and Quality of Life in the Elderly

Mahali¹,

Hosseini²,

Tabrizi³

et al. 2018

jemds

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BACKGROUND Locomotive system diseases during aging are causes of disability. Locomotive syndrome is a condition where the elderly depends on nursing care for self-care or will be at risk in near future. This syndrome leads to impairment in daily functioning and self-care, loss of autonomy, dependence and movement constraints. The aim of this study was to investigate the association between locomotive syndrome and quality of life in the Qaemshahr elderly. MATERIALS AND METHODS This study is a descriptive study and from the thesis by available sampling. This study was performed on 120 Iranian elders in 2017. Data collection was done using demographic questionnaire, Geriatric Locomotive Function Scale questionnaire (GLFS-25) and European Quality of Life questionnaire (EQ-5D). Data were analysed using SPSS V23, t-test, Chi-square and R-correlation coefficient. RESULTS According to the results, there was a positive correlation between the scores of the GLFS-25 and EQ-5D questionnaires and a negative correlation with the visual level of health (p= 0.01). Also, level of quality of life in two groups with locomotive syndrome and without locomotive syndrome were significantly different (mean differences=-3.3, p= 0.01). CONCLUSION Early diagnosis of LS leads to prevention of physical and psychological effects, increasing the quality of life, reducing the cost of treatment and reducing families and community burden.

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Section: Discussionsupporting

confidence: 78%

The Relationship Between Locomotive Syndrome and Quality of Life in the Elderly

Mahali¹,

Hosseini²,

Tabrizi³

et al. 2018

jemds

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“…GJH with such symptoms has recently been classified as hypermobility spectrum disorder (HSD) [11]. Several studies have found that people with HSD combined with shoulder symptoms report lower health-related quality of life than healthy controls [5,6,12].…”

Section: Introductionmentioning

confidence: 99%

Heavy shoulder strengthening exercise in people with hypermobility spectrum disorder (HSD) and long-lasting shoulder symptoms: a feasibility study

Liaghat

Skou

Jørgensen

et al. 2020

Pilot Feasibility Stud

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Background: People with hypermobility spectrum disorder (HSD) are in great risk of experiencing shoulder symptoms, but evidence for treatment is sparse. Therefore, the objective was to evaluate the feasibility of 16-week shoulder strengthening programme for improving shoulder strength and function in people with HSD and shoulder symptoms for more than 3 months to inform a future randomised controlled trial (RCT). Methods: Twelve participants (11 females, 39.3 ± 13.9 years) with HSD and shoulder instability and/or pain for more than 3 months underwent a 16-week heavy shoulder strengthening exercise programme three times weekly using exercises targeting scapular and rotator cuff muscles. Primary outcomes were pre-defined research progression criteria including recruitment rate (acceptable, 6 participants/month), assessment duration (acceptable: < 120 min), participant retention (acceptable: > 80% complete intervention), training adherence (acceptable: > 75% adhere to > 36 training sessions) and adverse events (acceptable: minor events with no participants discontinuing the study), besides participant and physiotherapist feedback. Secondary treatment outcomes were assessed using the Western Ontario Shoulder Instability Index (WOSI, 0-2100 better to worse), self-reported pain, kinesiophobia and fatigue, isometric shoulder strength, besides clinical tests for instability, hypermobility, laxity, and proprioception. Results: Recruitment rate was 5.6/month, assessment duration (mean ± SD) 105 ± 9 min, retention 100%, adherence 83%, and four participants experienced short-lasting soreness or pain. Participant feedback was positive, and physiotherapists found the intervention relevant and applicable to the population. The WOSI total score showed an improvement by 51% (mean ± SD, points: baseline 1037 ± 215; Follow up 509 ± 365; mean change (95% CI), − 528 (− 738, − 318)), and participants reported reduced pain, kinesiophobia and fatigue. Shoulder strength measurements improved by 28-31% (mean change (95% CI), Nm/kg: scaption 0.51 (0.23, 0.78); internal rotation 1.32 (0.70, 1.95) and external rotation 0.89 (0.37, 1.40)), and clinical tests indicated decreased shoulder laxity/ instability.

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“…In specific conditions, a standardised questionnaire can be used 10. The prevalence of GJH ranges from 2% to 57%, depending on the definition and methods used 11–14. A large, recent study of a general Danish population found that the self-reported prevalence of GJH and knee joint hypermobility was 13% and 23%, respectively 15.…”

Section: Introductionmentioning

confidence: 99%

Generalised joint hypermobility increases ACL injury risk and is associated with inferior outcome after ACL reconstruction: a systematic review

Sundemo

Senorski

Karlsson

et al. 2019

BMJ Open Sport Exerc Med

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ObjectivesTo investigate the association between generalised joint hypermobility (GJH) and ACL injury risk. Secondary aims involved evaluating associations between GJH and postoperative outcome (including graft-failure risk, knee laxity and patient-reported outcome). Furthermore, we aimed to compare the performance of different grafts in patients with GJH.MethodsDatabases MEDLINE/PubMed, EMBASE and the Cochrane Library were searched, including 2760 studies. Two reviewers independently screened studies for eligibility. A modified version of the MINORS score was applied for quality appraisal. Studies assessing GJH while reporting the risk of ACL injury and/or postoperative outcome were included.ResultsTwenty studies were included, using several different methods to determine GJH. There was consistent evidence showing that GJH is a risk factor for unilateral ACL injury in males, while in females, the results were conflicting. There was limited evidence associating GJH with increased knee laxity 5 years postoperatively. There was consistent evidence of inferior postoperative patient-reported outcome in patients with GJH. Moreover, there was limited yet consistent evidence indicating that patellar-tendon autografts are superior to hamstring-tendon autografts in patients with GJH in terms of knee laxity and patient-reported outcome. There was insufficient evidence to draw conclusions regarding the outcomes of bilateral ACL injury and graft failure.ConclusionsIn men, GJH was associated with an increased risk of unilateral ACL injury. Moreover, GJH was associated with greater postoperative knee laxity and inferior patient-reported outcome. Based on the available evidence, a patellar-tendon autograft appears to be superior to a hamstring-tendon autograft in patients with GJH. However, the included studies were heterogeneous and there is a need for consensus in the assessment of GJH within sports medicine.

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Generalised joint hypermobility and shoulder joint hypermobility, – risk of upper body musculoskeletal symptoms and reduced quality of life in the general population

Cited by 21 publications

References 42 publications

The Relationship Between Locomotive Syndrome and Quality of Life in the Elderly

The Relationship Between Locomotive Syndrome and Quality of Life in the Elderly

Heavy shoulder strengthening exercise in people with hypermobility spectrum disorder (HSD) and long-lasting shoulder symptoms: a feasibility study

Generalised joint hypermobility increases ACL injury risk and is associated with inferior outcome after ACL reconstruction: a systematic review

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