The frequency of hypermobility and its relationship with clinical findings of fibromyalgia patients

Şendur, Ömer Faruk; Gürer, Gülcan; Bozbaş, Gülnur Taşçı

doi:10.1007/s10067-006-0304-4

Cited by 54 publications

(55 citation statements)

References 15 publications

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“…Most of the women in the sample were classified within the population average, independent of FMS, a result that disagrees with evidence indicating that FMS is associated with joint hypermobility [24][25][26] . As described when presenting the protocol, in the Flexitest, each assessed movement is scored from 0 (lowest range of motion) to 4 (largest range of motion).…”

Section: Discussioncontrasting

confidence: 82%

Aspectos da flexibilidade de mulheres com síndrome de fibromialgia

Almeida

Santos

2015

Rev. Bras. Cineantropom. Desempenho Hum.

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-Regular physical exercise tends to benefit people with fibromyalgia syndrome (FMS). The effects have been observed regarding aerobic power and strength; however, results concerning flexibility have been controversial. In general, studies have evaluated specific joints or tests involving only a single body movement. The aim of this study was to compare the flexibility profile of FMS and asymptomatic women using a more comprehensive test protocol regarding the number of movements and joints involved. The sample consisted of 30 women divided into two groups: asymptomatic (n = 15; mean age: 50.2 ± 8.2 years; mean weight: 63.0 ± 9.6 kg; mean height: 157 ± 6 cm) and fibromyalgia (n = 15; mean age: 47.3 ± 9.4 years; mean weight: 61.9 ± 12.2 kg; mean height: 159 ± 7 cm). Flexibility was measured using the Flexitest, which was evaluated by the global index of flexibility (Flexindex), and the five indices of variability of joint mobility: intermovement (IVIM), interjoint (IVIA), flexion-extension (IVFE), between segment (IVES) and distal-proximal (IVDP). All of the indices were calculated based on the results of the 20 movements of the Flexitest. There was no difference between groups (44.4 ± 3.7 vs. 45.7 ± 4.1 points, for asymptomatic and fibromyalgia, respectively; p = 0.379; 95% confidence interval (CI): -4.2 to 1.6). Most of the sample (83%) showed an average level of flexibility based on reference values for gender and age. Only IVIM showed a significant difference between the groups. Asymptomatic and fibromyalgic women have similar overall levels of flexibility but with different profiles. Key words: Chronic pain; Joints; Range of motion. (n = 15; 50,2 ± 8,2 anos; 63,0 ± 9,6 kg; 157 ± 6 cm) e fibromiálgicas (n = 15; 47,3 ± 9,4 anos; 61,9 ± 12,2 kg; 159 ± 7 (44,4 ± 3,7 vs 45,7 ± 4,1 pontos, para assintomáticas e fibromiálgicas respectivamente; p=0,379;2 a 1,6 Resumo -Exercícios físicos em mulheres com síndrome de fibromialgia (SFM) têm apresentado efeitos na força e potência aeróbica, contudo, os resultados acerca da flexibilidade têm sido controversos. Além disso, os estudos têm avaliado articulações específicas ou testes que envolvam apenas um único movimento corporal. Objetivou-se comparar o perfil de flexibilidade global de mulheres acometidas pela SFM e assintomáticas a partir de um protocolo de teste mais abrangente quanto ao número de movimentos e articulações envolvidas. Participaram da pesquisa 30 mulheres divididas em dois grupos: assintomáticas cm). A flexibilidade medida pelo Flexiteste foi avaliada pelo índice global de flexibilidade (flexíndice) e pelos cinco índices de variabilidade da mobilidade articular: intermovimentos (IVIM), intra-articulação (IVIA), flexão-extensão (IVFE), entre segmentos (IVES) e distal-proximal (IVDP). Todos os índices foram calculados com base nos resultados dos 20 movimentos do flexiteste. Não houve diferença no flexíndice entre os grupos

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Section: Discussioncontrasting

confidence: 82%

Aspectos da flexibilidade de mulheres com síndrome de fibromialgia

Almeida

Santos

2015

Rev. Bras. Cineantropom. Desempenho Hum.

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“…[8] The coexistence of HMS and FMS has been shown in previous studies in which it was suggested that hypermobility may play a prominent role in the pathogenesis of pain in women with FMS. [9][10][11][12] It has also been reported that FMS is associated with balance problems and increased fall frequency. [13] To the best of our knowledge, at the present time no published reports have specifically reported the relationship between hypermobility and balance in patients with FMS.…”

Section: Discussionmentioning

confidence: 99%

“…[13,24,25] In addition, a strong association exists between FMS and hypermobility. [9][10][11][12] Hypermobility syndrome is a systemic disorder which affects virtually all joints, and the lack of proprioception is a wellknown feature. [6,7] Impaired joint proprioception can lead to poor postural control and balance in patients with HMS, as has been previously demonstrated by the research.…”

Section: Discussionmentioning

confidence: 99%

Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?

et al. 2013

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“…In addition, Bridges et al [24] found joint hypermobility in 15% of adult patients referred to a rheumatologist. Moreover, Ofluoğlu et al [25] and Şendur et al [26] found a BJHS rate of 64.2% and 46.6% respectively in women with fibromyalgia, and Nijs et al [27] reported a GJH rate of 20.6% in 68 cases with chronic fatigue syndrome and a rate of 4.3% in the healthy control group. Furthermore, Aktaş et al [28] demonstrated that BJHS is a predisposing factor for carpal tunnel syndrome, and Bird et al [29] found that there was an increased risk of OA due to joint overloading associated with an abnormal increase in joint ROM and decreased proprioception in cases with BJHS.…”

Section: Discussionmentioning

confidence: 98%

The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder

et al. 2013

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Amaç: Bu çalışmada generalize eklem hipermobilitesi (GEH) ve omzun adeziv kapsüliti (AK) arasındaki muhtemel ilişki araştırıldı. Hastalar ve yöntemler:Çalışma grubunda 120'si AK tanılı ve kontrol grubunda 120'si primer subakromiyal sıkışma sendromu tanılı olmak üzere, toplam 240 hasta çalışmaya dahil edildi. Her iki grupta da ağrı şiddeti, omuz eklem hareket açıklığı, fonksiyonel değerlendirme, engellilik ve hipermobilite değerlendirildi. Generalize eklem hipermobilitesi Beighton skoru, benign eklem hipermobilite sendromu (BEHS) ise revize Brighton kriterleri ile değerlendirildi. Bulgular: Adeziv kapsülit grubunda, GEH sadece bir hastada (%0.08) olmak üzere oldukça nadir (p<0.05) saptanırken, BEHS'ye rastlanmadı. Kontrol grubunda ise dokuz hastada (%7.5) GEH, beş hastada (%4.2) BEHS gözlendi.Sonuç: Çalışma bulgularımız, GEH'in AK gelişimi için koruyucu veya önleyici bir faktör olabileceğini göstermektedir. Klinik pratikte, GEH olan hastalarda gelişen omuz ağrılarında, tablonun AK'ye dönüşümü açısından daha iyimser olunabileceğine inanıyoruz. Generalize eklem hipermobilitesi bulunan hastalarda AK gelişimi söz konusu ise, bu hastalar tedaviye daha iyi yanıt verebilir.Anahtar sözcükler: Adeziv kapsülit; benign eklem hipermobilite sendromu; sıkışma sendromu.Objectives: This study aims to investigate the possible relationship between generalized joint hypermobility (GJH) and adhesive capsulitis (AC) of the shoulder. Patients and methods:A total of 240 patients were enrolled in this study, including 120 patients diagnosed with AC in a study group and 120 patients diagnosed with primary subacromial impingement syndrome in the control group. We evaluated the pain severity, range of motion of the shoulder joint, functional status, disability, and hypermobility in both groups. The Beighton score was used to evaluate the GJH while the revised Brighton criteria were utilized for the patients with benign joint hypermobility syndrome (BJHS). Results:In the adhesive capsulitis group, GJH was significantly rare (p<0.05) with only one patient (0.08%) whereas BJHS was not found. In the control group, nine patients (7.5%) had GJH, and five (4.2%) had BJHS. Conclusion:Our study results suggest that GJH may be a protective or preventive factor in the development of AC. In clinical practice, we believe that in GJH patients we can be more optimistic regarding the concern of the conversion of shoulder pain to AC. If this has already taken place, then these patients may respond more positively to treatment in cases involving GJH.

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The frequency of hypermobility and its relationship with clinical findings of fibromyalgia patients

Cited by 54 publications

References 15 publications

Aspectos da flexibilidade de mulheres com síndrome de fibromialgia

Aspectos da flexibilidade de mulheres com síndrome de fibromialgia

Is There a Balance Problem in Hypermobile Patients with Fibromyalgia?

The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder

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