{"id":7817,"date":"2019-07-31T14:40:10","date_gmt":"2019-07-31T14:40:10","guid":{"rendered":"https:\/\/fitproblog.mysites.io\/hypermobility-spectrum-disorder\/"},"modified":"2024-12-02T12:23:16","modified_gmt":"2024-12-02T12:23:16","slug":"hypermobility-spectrum-disorder","status":"publish","type":"post","link":"https:\/\/www.fitpro.com\/blog\/hypermobility-spectrum-disorder\/","title":{"rendered":"Hypermobility Spectrum Disorder"},"content":{"rendered":"<h2>Chartered physiotherapist <strong>Anna Higo<\/strong> (physiocure.org.uk) is based in North Leeds. Here, she explains Hypermobility Spectrum Disorder, and discusses how to diagnose the condition and how personal trainers should manage it.<\/h2>\n<p>Physical therapists are playing a central role in the management of individuals with hypermobility-related disorders. The prevalence of such disorders is reported to be between 30% and 55% in the musculoskeletal outpatient setting. A concern is that, despite this high incidence, many clinicians are not familiar with the diagnostic criteria, prevalence or common clinical presentation of affected individuals.<\/p>\n<p>In 2012, Rodney Grahame devised the terminology \u2018joint hypermobility syndrome\u2019, a range of movement that exceeds what is considered to be normal for that joint, taking into consideration the individual\u2019s age, gender and ethnic background. In 2017, a re-classification occurred of joint hypermobility syndrome to aid with a better understanding and appropriate diagnosis of this complex subject, and it therefore became known as Hypermobility Spectrum Disorder (HSD).<\/p>\n<h2>Signs associated with HSD<\/h2>\n<ul>\n<li>Isolated or widespread and recurrent injury to joints, ligaments or tendons<\/li>\n<li>Acute or chronic joint pain and, due to the instability around the joints, there may occur subluxations or dislocations and\/or poor proprioception<\/li>\n<li>Inability to undertake daily activities of living or exercise, schooling or work due to extreme fatigue and disability (this is a sign that many are unaware of and can be extremely debilitating to the individual concerned)<\/li>\n<\/ul>\n<h2>Diagnosis criteria for HSD &#8211; 5-Point Hypermobility Questionnaire<\/h2>\n<p>(devised by Grahame and Hakim)<\/p>\n<p><em>(Must have at least two positive items)<\/em><\/p>\n<ol>\n<li>Can you\/could you ever place your hands on the floor without bending your knees?<\/li>\n<li>Can you\/could you ever bend your thumb to touch your forearm?<\/li>\n<li>As a child, did you amuse your friends by contorting your body into strange shapes or could you do the splits?<\/li>\n<li>As a child or teenager, did you dislocate your shoulder or kneecap on more than one occasion?<\/li>\n<li>Do you consider yourself double-jointed?<\/li>\n<\/ol>\n<h2>Beighton score<\/h2>\n<p>The Beighton score is another test used to diagnose HSD; try it here <a href=\"http:\/\/nhs.uk\/conditions\/joint-hypermobility-syndrome\/\" target=\"_blank\" rel=\"noopener\">nhs.uk\/conditions\/joint-hypermobility-syndrome\/<\/a> ). It has limitations as it does not consider other joints that can be affected such as the shoulders, fingers, neck and feet. It also does not allow for age: joint range of movement decreases with age.<\/p>\n<p><em>(It is important to note that Caucasian is a score of 4+ and black\/Asian is a score of 5+.)<\/em><\/p>\n<h2>Managing HSD in a fitness setting<\/h2>\n<ul>\n<li>Strength, core stability and endurance training are vital<\/li>\n<li>Exercise programmes must be tailored to the individual and should be graduated with the main emphasis on motor control and adequate recovery<\/li>\n<\/ul>\n<h3>About the author<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7576\" src=\"https:\/\/www.fitpro.com\/blog\/wp-content\/uploads\/2021\/11\/Anna-Higo-new2.jpg\" alt=\"\" width=\"163\" height=\"218\" \/><\/p>\n<p><strong>Anna Higo<\/strong>\u00a0is a chartered physiotherapist with a keen interest in the assessment, diagnosis and treatment of shoulder injuries. She is joint partner of Physiocure (<a href=\"http:\/\/www.physiocure.org.uk\" target=\"_blank\" rel=\"noopener\">www.physiocure.org.uk<\/a>) based in North Leeds.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chartered physiotherapist Anna Higo (physiocure.org.uk) is based in North Leeds. Here, she explains Hypermobility Spectrum&#8230;<\/p>\n","protected":false},"author":1,"featured_media":7819,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[40,35],"tags":[1996,530,518,1997,1998,1999,2000,1848,1378,2001],"class_list":{"0":"post-7817","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-news-features","8":"category-personal-training","9":"tag-anna-higo","10":"tag-exercise","11":"tag-fitness","12":"tag-hsd","13":"tag-hyper-mobility","14":"tag-hypermobility","15":"tag-hypermobility-spectrum-disorder","16":"tag-physiotherapist","17":"tag-physiotherapy","18":"tag-rodney-grahame"},"acf":[],"_links":{"self":[{"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/posts\/7817"}],"collection":[{"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/comments?post=7817"}],"version-history":[{"count":2,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/posts\/7817\/revisions"}],"predecessor-version":[{"id":12542,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/posts\/7817\/revisions\/12542"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/media\/7819"}],"wp:attachment":[{"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/media?parent=7817"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/categories?post=7817"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fitpro.com\/blog\/wp-json\/wp\/v2\/tags?post=7817"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}