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Recognizing and Effectively Managing Hypermobility-Related Conditions.
Phys Ther 2019; 99(9):1189-1200PT

Abstract

Hypermobility spectrum disorder (HSD) and hypermobile Ehlers-Danlos syndrome (hEDS) can cause widespread or chronic pain, fatigue, and 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 can lead to more effective management of this patient population.

Authors+Show Affiliations

Physical Therapy Department, Clarkson University, Potsdam, NY 13699 (USA).Elevation Wellness, Golden, Colorado.Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31158283

Citation

Russek, Leslie N., et al. "Recognizing and Effectively Managing Hypermobility-Related Conditions." Physical Therapy, vol. 99, no. 9, 2019, pp. 1189-1200.
Russek LN, Stott P, Simmonds J. Recognizing and Effectively Managing Hypermobility-Related Conditions. Phys Ther. 2019;99(9):1189-1200.
Russek, L. N., Stott, P., & Simmonds, J. (2019). Recognizing and Effectively Managing Hypermobility-Related Conditions. Physical Therapy, 99(9), pp. 1189-1200. doi:10.1093/ptj/pzz078.
Russek LN, Stott P, Simmonds J. Recognizing and Effectively Managing Hypermobility-Related Conditions. Phys Ther. 2019 09 1;99(9):1189-1200. PubMed PMID: 31158283.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Recognizing and Effectively Managing Hypermobility-Related Conditions. AU - Russek,Leslie N, AU - Stott,Patricia, AU - Simmonds,Jane, PY - 2018/07/22/received PY - 2019/01/09/accepted PY - 2019/6/4/pubmed PY - 2020/1/17/medline PY - 2019/6/4/entrez SP - 1189 EP - 1200 JF - Physical therapy JO - Phys Ther VL - 99 IS - 9 N2 - Hypermobility spectrum disorder (HSD) and hypermobile Ehlers-Danlos syndrome (hEDS) can cause widespread or chronic pain, fatigue, and 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 can lead to more effective management of this patient population. SN - 1538-6724 UR - https://www.unboundmedicine.com/medline/citation/31158283/Recognizing_and_Effectively_Managing_Hypermobility_Related_Conditions_ L2 - https://academic.oup.com/ptj/article-lookup/doi/10.1093/ptj/pzz078 DB - PRIME DP - Unbound Medicine ER -