HYPERMOBILITY SYNDROME/EDS III. LORRAINE FRIEL EXTENDED SCOPE PRACTITIONER CENTRE FOR RHEUMATIC DISEASES GLASGOW ROYAL INFIRMARY.
EXTENDED SCOPE PRACTITIONER
CENTRE FOR RHEUMATIC DISEASES
GLASGOW ROYAL INFIRMARY
Musculoskeletal symptoms in the presence of generalised joint hypermobility but in the absence of other defined rheumatic diseases (Kirk et al 1967)HYPERMOBILITY & HYPERMOBILITY SYNDROME
Pereception of JHS as a mild or trivial condition with lax joints, pain, joint dislocation/subluxation, possible OA in later life.
This has changed…..
Now considered an inherited, genetically determined multisystemic disorder of connective tissues rendering them more vulnerable to injury and mechanical failure.
Muscles function most efficiently
Optimum positions for thoracic and abdominal organsGood postural alignment
Stress and strain in HM collagenous tissues
Decreased muscle use leading to stiffness, weakness, deconditioning, fatigueHabitual postures
Less efficient balancePoor postural alignment
Improve balance and coordination
Reassure and educate – good to stretch
Treatment often takes longer(many affected areas, longer healing time, mismanaged in past)
Complete resolution rarely occurs