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Cited by 22Shoulder Injury and TreatmentConnective tissue disorders researchMyofascial pain diagnosis and treatment

The effect of five isometric exercises on glenohumeral translations in healthy subjects and patients with the hypermobility type of the ehlers-danlos syndrome (heds) or hypermobility spectrum disorder (hsd) with multidirectional shoulder instability: an observational study

Spanhove, Valentien, De Wandele, Inge, Kjær, Birgitte Hougs, Malfait, Fransiska, Vanderstukken, Fran, Cools, Ann·2020·Physiotherapy
DOI 10.1016/j.physio.2019.06.010
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Abstract

Objectives To examine whether patients, diagnosed with the hypermobility type of the Ehlers-Danlos syndrome (hEDS) or Hypermobility Spectrum Disorder (HSD), with multidirectional shoulder instability (MDI) have increased humeral head translations compared to healthy controls and to describe the direction of the humeral translations during five exercises.Design Observational study.Setting Ghent University Hospital.Participants Twenty-seven female patients (aged mean (SD) 35 (13) years) with hEDS/HSD and MDI and 20 female healthy controls (aged 34 (11) years) participated in this study.Interventions The acromiohumeral (AHD) and humeralglenoid distance (HGD) were measured using ultrasound during five isometric exercises: shoulder external rotation, shoulder extension, shoulder flexion, elbow extension and holding a 2kg dumbbell.Main outcome measures Ultrasound measures of the AHD and HGD.Results During isometric shoulder extension, elbow extension and dumbbell loading, patients had a significantly larger change in AHD compared to controls. In patients, the AHD was significantly smaller during isometric shoulder flexion, extension and elbow extension compared to the AHD measured in rest. By contrast, the AHD was significantly larger during isometric external rotation and dumbbell loading compared to the AHD measured in rest. Regarding the HGD, no significant differences between patients and controls were observed. However, significantly smaller HGD values were found in patients during isometric shoulder flexion compared to the HGD in rest.Conclusions Isometric external rotation and holding a 2kg dumbbell caused an inferior translation in patients with hEDS/HSD and MDI, whereas isometric shoulder flexion and shoulder/elbow extension respectively led to an anterior-superior and superior translation.

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  • An observational study of 27 female patients with HSDs/hEDS found that isometric external rotation while holding a 2 kg dumbbell resulted in inferior translation, whereas isometric shoulder flexion and shoulder/elbow extension led to anterior-superior and superior translation, respectively.

    “An observational study of 27 female patients with HSDs/hEDS demonstrated isometric external rotation while holding a 2 kg dumbbell resulted in inferior translation whereas isometric shoulder flexion and shoulder/elbow extension respectively led to anterior-superior and superior translation.[61]”

    From Hypermobility spectrum disorders: A review (2023) · cites this paper as [61]

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Authors
Spanhove, V., De Wandele, I., Kjær, B. H., Malfait, F., Vanderstukken, F., & Cools, A.
Affiliations
  • Ghent University (BE)
  • Frederiksberg Hospital (DK)
  • Ghent University Hospital (BE)
Corresponding author
Spanhove, Valentien
ORCID
Venue
Physiotherapy
Publisher
Elsevier BV
Published
2020-06
Volume
107
Pages
11-18
ISSN
0031-9406 (ISSN-L)
DOI
10.1016/j.physio.2019.06.010
OpenAlex
W2954830732
Cited by
22
References
40
Citations by year
2026: 1 · 2025: 2 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 3
FWCI
2.39
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Physiotherapy (publishedVersion)
  • PubMed (publishedVersion)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion)
Funders
Bijzonder Onderzoeksfonds
Topics
  • Health Sciences › Medicine › Surgery › Shoulder Injury and Treatment
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
Keywords
hypermobility spectrum disorders, multidirectional shoulder instability, glenohumeral translation, isometric exercise, acromiohumeral distance, shoulder external rotation, shoulder flexion, shoulder extension, elbow extension, ultrasonic measurement, humeral head translation
MeSH terms
Adult, Ehlers-Danlos Syndrome, Female, Humans, Joint Instability, Middle Aged, Shoulder Joint, Ultrasonography, Exercise, Healthy Volunteers

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