Symptomatic joint hypermobility

Tinkle, Brad T.

doi:10.1016/j.berh.2020.101508

Cited by 60Connective tissue disorders researchMusculoskeletal pain and rehabilitationMyofascial pain diagnosis and treatment

Symptomatic joint hypermobility

Tinkle, Brad T.·2020·Best Practice & Research Clinical Rheumatology

DOI 10.1016/j.berh.2020.101508

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Abstract

Joint hypermobility is relatively common and has many influences such as age, gender, training, and ethnicity among many. Joint hypermobility may be asymptomatic or symptomatic. It may also be non-syndromic or syndromic. However, "asymptomatic" joint hypermobility may result in repetitive use injury, alter biomechanics of joints at other body sites, or become symptomatic later in life. Symptomatic joint hypermobility can result from soft-tissue rheumatism (e.g. bursitis, tendonitis, etc.) or muscular tension pain due to muscular imbalance. Generalized joint hypermobility (GJH) can be easily assessed using a standardized, quick, in-office examination. Management is relatively straight forward once joint hypermobility is recognized using neuromuscular re-training. It is important to recognize that GJH may also be a feature of a heritable connective tissue disorder with other systemic findings. Therefore, assessing joint hypermobility in those with musculoskeletal complaints may lead to recognizing systemic manifestations and allow the appropriate management.

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To improve, treat and prevent musculoskeletal manifestations of joint hypermobility, education, active participation and active physical therapy intervention are recommended.
“Generally, to improve, treat and prevent musculoskeletal manifestations of joint hypermobility, the facets of education, active participation and active physical therapy intervention are recommended. [23, 24, 40–43].”
From Are patients with hypermobile Ehlers–Danlos syndrome or hypermobility spectrum disorder so different? (2021) · cites this paper as [40]
The proportion of women, mean age, prevalence of pain, and fatigue in the sample are similar to those in prior studies.
“Reassuringly, the proportion of women [16, 17], mean age, prevalence of pain, and fatigue are similar to that in prior studies [16, 17, 40].”
From Are patients with hypermobile Ehlers–Danlos syndrome or hypermobility spectrum disorder so different? (2021) · cites this paper as [40]
Strong evidence for physical therapy is lacking, yet it is the mainstay of management.
“Strong evidence for physical therapy is lacking [39], yet it is the mainstay of management [8, 40, 41].”
From Are patients with hypermobile Ehlers–Danlos syndrome or hypermobility spectrum disorder so different? (2021) · cites this paper as [40]

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Preface
Martinez, J. E., & Paiva, E. S. (2020) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2020.101561 · Cited by 1 · see citing works
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Authors: Tinkle, B. T.
Affiliations: Peyton Manning Children’s Hospital at St.Vincent (US)
Corresponding author: Tinkle, Brad T.
ORCID: Tinkle, Brad T.
Venue: Best Practice & Research Clinical Rheumatology
Publisher: Elsevier BV
Published: 2020-06
Volume: 34
Issue: 3
Pages: 101508
ISSN: 1521-6942 (ISSN-L)
DOI: 10.1016/j.berh.2020.101508
OpenAlex: W3015024609
Cited by: 60
References: 40
Citations by year: 2026: 4 · 2025: 15 · 2024: 16 · 2023: 14 · 2022: 5 · 2021: 4 · 2020: 2
FWCI: 0.89
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Best Practice & Research Clinical Rheumatology (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
Keywords: joint hypermobility, generalized joint hypermobility, joint biomechanics, bursitis, tendinitis, muscle imbalance, neuromuscular retraining, hereditary connective tissue disorders, Ehlers-Danlos syndrome, musculoskeletal symptoms
MeSH terms: Connective Tissue Diseases, Ehlers-Danlos Syndrome, Humans, Joint Instability

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