The effect of five isometric exercises on glenohumeral translations in healthy subjects and patients with the hypermobility type of the ehlers-danlos syndrome (heds) or hypermobility spectrum disorder (hsd) with multidirectional shoulder instability: an observational study

Spanhove, Valentien; Wandele, Inge De; Kjær, Birgitte Hougs; Malfait, Fransiska; Vanderstukken, Fran; Cools, Ann

doi:10.1016/j.physio.2019.06.010

Cited by 17 publications

(21 citation statements)

References 39 publications

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“…(compared to <2 in healthy populations) but is often above 7, 8, or 9 in adolescence and early adulthood 6,79 .…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

“…The majority of patients who receive physiotherapy report an overall positive effect 70 . The goal of rehabilitation in EDS is to achieve dynamic stability during activities of daily living and physical activity, focusing on increasing active rather than passive ROM 79 . It is also critical to improve scapulohumeral coordination and correct any underlying scapular dyskinesia.…”

Section: Conservative Managementmentioning

confidence: 99%

“…An emphasis on dynamic kinetics and controlled strengthening is essential for achieving functional stability of the glenohumeral and scapulothoracic articulations in hEDS patients (Table 4). A recent observational study investigated humeral head translation with different isometric exercises in female patients with hypermobility spectrum disorder (including 13 women with hEDS) compared to healthy controls 79 . They demonstrated an increase in acromiohumeral distance (AHD) with weighted (2kg) isometric external rotation, and a decrease in AHD with weighted isometric shoulder flexion and shoulder/elbow extension.…”

Section: Conservative Managementmentioning

confidence: 99%

See 2 more Smart Citations

Management of shoulder instability in hypermobility-type Ehlers-Danlos syndrome

Broida

Sweeney

Gottschalk

et al. 2021

JSES Reviews, Reports, and Techniques

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“…(compared to <2 in healthy populations) but is often above 7, 8, or 9 in adolescence and early adulthood 6,79 .…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

Section: Conservative Managementmentioning

confidence: 99%

Section: Conservative Managementmentioning

confidence: 99%

See 1 more Smart Citation

Management of shoulder instability in hypermobility-type Ehlers-Danlos syndrome

Broida

Sweeney

Gottschalk

et al. 2021

JSES Reviews, Reports, and Techniques

View full text Add to dashboard Cite

show abstract

“…For this study, only hEDS/HSD patients with MDI were selected. MDI was diagnosed based on the following inclusion criteria (17): 1) shoulder pain for at least 3 months prior to the study; 2) symptoms of shoulder instability (e.g., involuntary recurrent subluxations/dislocations, apprehensive muscle tension, sensation of shoulder giving way) in daily life, without a traumatic onset; and 3) shoulder laxity in at least 2 directions confirmed on clinical examination (Table 1). Additionally, participants had to be able to elevate their arm up to 120° without shoulder luxation or subluxation.…”

Section: Methodsmentioning

confidence: 99%

Electromyographic Muscle Activity and Three‐Dimensional Scapular Kinematics in Patients With Multidirectional Shoulder Instability: A Study in the Hypermobile Type of the Ehlers‐Danlos Syndrome and the Hypermobility Spectrum Disorders

Spanhove

Berckmans

Palmans

et al. 2022

Arthritis Care & Research

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Objective To investigate differences in electromyography (EMG), muscle activity, and scapular kinematics during elevation in the scapular plane between healthy controls, participants with multidirectional shoulder laxity (MDL), and patients with multidirectional shoulder instability (MDI) who are diagnosed with hypermobile Ehlers‐Danlos syndrome (hEDS) or hypermobility spectrum disorder (HSD). Methods Twenty‐seven women with hEDS/HSD and MDI, 27 female healthy control subjects, and 28 female subjects with MDL participated in this study. Scapular 3‐dimensional kinematic data were obtained using 8 Oqus Qualisys cameras. Simultaneously, surface EMG was used to measure muscle activity of the upper, middle, and lower trapezius, infraspinatus, latissimus dorsi, serratus anterior, posterior deltoid, and pectoralis major during arm elevation in the scapular plane. Group differences were assessed using statistical parametric mapping. Results Regarding scapular kinematics, significantly less upward rotation was observed in hEDS/HSD patients with MDI compared to both healthy controls and MDL subjects. Significantly less posterior tilt was seen in hEDS/HSD patients compared to MDL subjects. Furthermore, significantly higher EMG activity of the infraspinatus, middle trapezius, and posterior deltoid was found in hEDS/HSD patients with MDI. Conclusion hEDS/HSD patients with MDI demonstrate altered scapular kinematics and increased EMG muscle activity compared to subjects without MDI. These findings could serve as a stepping stone for future research regarding treatment strategies in patients whose conditions belong to the hypermobility spectrum.

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“… 4) By identifying that patients with hEDS/JHS has a larger subacromial space outlet than healthy patients during arm elevation, the impact of hEDS/JHS on the biomechanical function of the shoulder joint might be better understood and treatment protocols can be modified accordingly when managing these patients. 4 12 13) …”

Section: Shoulder Instability In Heds/jhs Patientsmentioning

confidence: 99%

Surgical Management of Shoulder and Knee Instability in Patients with Ehlers-Danlos Syndrome: Joint Hypermobility Syndrome

et al. 2020

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Ehlers-Danlos Syndrome (EDS) is a hereditary disorder of the connective tissue, which has been classified into numerous subtypes over the years. EDS is generally characterized by hyperextensible skin, hypermobile joints, and tissue fragility. According to the 2017 International Classification of EDS, 13 subtypes of EDS have been recognized. The majority of genes involved in EDS are either collagen-encoding genes or genes encoding collagen-modifying enzymes. Orthopedic surgeons most commonly encounter patients with the hypermobile type EDS (hEDS), who present with signs and symptoms of hypermobility and/or instability in one or more joints. Patients with joint hypermobility syndrome (JHS) might also present with similar symptomatology. This article will focus on the surgical management of patients with knee or shoulder abnormalities related to hEDS/JHS.

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The effect of five isometric exercises on glenohumeral translations in healthy subjects and patients with the hypermobility type of the ehlers-danlos syndrome (heds) or hypermobility spectrum disorder (hsd) with multidirectional shoulder instability: an observational study

Cited by 17 publications

References 39 publications

Management of shoulder instability in hypermobility-type Ehlers-Danlos syndrome

Management of shoulder instability in hypermobility-type Ehlers-Danlos syndrome

Electromyographic Muscle Activity and Three‐Dimensional Scapular Kinematics in Patients With Multidirectional Shoulder Instability: A Study in the Hypermobile Type of the Ehlers‐Danlos Syndrome and the Hypermobility Spectrum Disorders

Surgical Management of Shoulder and Knee Instability in Patients with Ehlers-Danlos Syndrome: Joint Hypermobility Syndrome

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