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Recognizing and Effectively Managing Hypermobility-Related Conditions

Russek, LN; Stott, P; Simmonds, J; (2019) Recognizing and Effectively Managing Hypermobility-Related Conditions. Physical Therapy 10.1093/ptj/pzz078. (In press). Green open access

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Abstract

Hypermobility Spectrum Disorder (HSD) and hypermobile Ehlers-Danlos Syndrome (hEDS) can cause widespread or chronic pain, fatigue, proprioceptive and coordination deficits resulting in functional restrictions. These conditions are common and often unrecognized, and patients are likely to present in physical therapy for musculoskeletal injuries, pain, or coordination deficits. Although physical therapy is considered central to managing these conditions, many patients report pain and iatrogenic injuries due to inappropriate interventions. The diagnostic classification for these conditions was revised in 2017 to supersede previous diagnostic categories of Joint Hypermobility Syndrome and Ehlers-Danlos Syndrome – hypermobility type/type III. It is now known that these conditions affect multiple body systems and not just joints, and that patients require a holistic approach. This perspective article will describe the 2017 diagnostic classification system, clinical presentation, examination, evaluation, and management of patients with HSD/hEDS. Both adult and pediatric cases are presented to illustrate the patient management concepts discussed. This knowledge may lead to more effective management of this patient population.

Type: Article
Title: Recognizing and Effectively Managing Hypermobility-Related Conditions
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/ptj/pzz078
Publisher version: https://doi.org/10.1093/ptj/pzz078
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Joint Instability, Ehlers-Danlos Syndrome, Connective Tissue, Chronic Pain
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Infection, Immunity and Inflammation Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10076290
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