The functional consequences of generalized joint hypermobility: a cross-sectional study
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BACKGROUND: Generalized Joint Hypermobility (GJH) has been found to be associated with musculoskeletal complaints and disability. For others GJH is seen as a prerequisite in order to excel in certain sports like dance. However, it remains unclear what the role is of GJH in human performance. Therefore, the purpose of the study was to establish the association between GJH and functional status and to explore the contribution of physical fitness and musculoskeletal complaints to this association. METHODS: A total of 72 female participants (mean age (SD; range): 19.6 (2.2; 17-24)) were recruited among students from the Amsterdam School of Health Professions (ASHP) (n = 36) and the Amsterdam School of Arts (ASA), Academy for dance and theater (n = 36) in Amsterdam, The Netherlands. From each participant the following data was collected: Functional status performance (self-reported Physical activity level) and capacity (walking distance and jumping capacity: side hop (SH) and square hop (SQH)), presence of GJH (Beighton score ≥4), muscle strength, musculoskeletal complaints (pain and fatigue) and demographic characteristics (age and BMI). RESULTS: GJH was negatively associated with all capacity measures of functional status. Subjects with GJH had a reduced walking distance (B(SE):-75.5(10.5), p = <.0001) and jumping capacity (SH: B(SE):-10.10(5.0), p = .048, and SQH: B(SE):-11.2(5.1), p = .024) in comparison to subjects without GJH, when controlling for confounding: age, BMI and musculoskeletal complaints. In participants with GJH, functional status was not associated with performance measures. CONCLUSION: GJH was independently associated with lower walking and jumping capacity, potentially due to the compromised structural integrity of connective tissue. However, pain, fatigue and muscle strength were also important contributors to functional status.
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The prevalence of GJH in child and adult populations has been reported to range from 2% to almost 65%.
“The prevalence of GJH in child and adult populations has been reported to range from 2% to almost 65% (Scheper et al., 2014; Remvig et al., 2011; Rikken-Bultman, Wellink & Van Dongen, 1997; Simmonds & Keer, 2007; Lamari, Chueire & Cordeiro, 2005; Leone et al., 2009).”
From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Scheper et al., 2014
Symptomatic as well as asymptomatic joint hypermobility is due to inherited alterations of proteins that lead to laxity of connective tissue, although there is no consensus on the underlying pathophysiology.
“Symptomatic as well as asymptomatic joint hypermobility is due to inherited alterations of proteins that lead to a laxity of connective tissue, although there is no consensus on the underlying pathophysiology (Scheper et al., 2014; Remvig et al., 2011; Remvig, Jensen & Ward, 2007).”
From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Scheper et al., 2014
The prevalence of GJH in the adult population has been reported to range from 10% to 30%.
“The prevalence of GJH in the adult population has been reported to range from 10% to 30% (Scheper et al., 2014; Collinge & Simmonds, 2009).”
From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Scheper et al., 2014
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- Authors
- Scheper, M. C., de Vries, J. E., Juul-Kristensen, B., Nollet, F., & Engelbert, R. H.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Corresponding author
- Scheper, Mark C
- Venue
- BMC Musculoskeletal Disorders
- Published
- 2014-07-21
- Volume
- 15
- Issue
- 1
- Pages
- 243-243
- ISSN
- 1471-2474 (ISSN-L)
- PMC
- PMC4108235
- OpenAlex
- W2162240522
- Cited by
- 65
- References
- 46
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 3 · 2023: 7 · 2022: 8 · 2021: 7 · 2020: 3 · 2019: 6 · 2018: 5 · 2017: 6 · 2016: 6 · 2015: 2
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Musculoskeletal Disorders (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Keywords
- generalized joint hypermobility, functional status, walking capacity, Beighton score, musculoskeletal symptoms, pain, fatigue, muscle strength, physical fitness, female students, dance students
- MeSH terms
- Adolescent, Cross-Sectional Studies, Dancing, Exercise Test, Fatigue, Female, Health Status, Humans, Joint Instability, Joints, Netherlands, Pain Measurement, Physical Fitness, Multivariate Analysis, Exercise Tolerance, Muscle, Skeletal, Muscle Strength, Young Adult, Musculoskeletal Pain
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