1993-2013, University of Washington, Seattle Tofts Louise J. The differential diagnosis of children with joint hypermobility: an evaluation of the literature. https://edswellness.org/approaches-to-strength-training-with-hypermobility-with-adam-foster-from-the-uk-aka-the-fibro-guy/ (Level of Proof: 2C).
Rosemary Keer (retired), previously Lead Hypermobility Physio therapist, The Hypermobility Unit, Health Center of St John & St Elizabeth & Dr Jane Simmonds, Hypermobility Lead, The Wellington Medical Facility, London and Senior Citizen Mentor Fellow, UCL Great Ormond Street Institute of Kid Health There have been really couple of treatment intervention research studies carried out to date.
Similarly, Kerr et al reported a great response to a progressive six-week exercise programme in a retrospective study of 39 children with joint hypermobility syndrome (JHS). Additionally, Ferrell et al reported substantial improvements in proprioception and discomfort with an eight-week program of closed chain and proprioception workouts for individuals with hypermobile Ehlers-Danlos syndrome (h, EDS)/ JHS aged between 16 and 49 years.
Because of the ubiquitous nature of collagen, h, EDS will provide with a variety of different signs and symptoms. For that reason existing best practice management of h, EDS is essentially an individualised problem-solving approach. A multidisciplinary method to rehab is advised, consisting of physical therapists, podiatric doctors, physiotherapists, osteopaths, sports therapists, nurses and psychologists depending on the individual's needs.
Principles of management consist of: Dealing with the treatable, for instance acute soft tissue lesions and injuries. Eliminating discomfort where possible through making use of soft tissue work, mild mobilisations, electrotherapy and assistance of joints and tissues. Education and behaviour modification to enable people to handle the condition with minimal reliance on medical input or medication.
g. occupational health, school teachers, school nurses, occupational therapists and so on. Improving the endurance and strength capability of the postural support and joint-stabilising muscles. Improving balance and coordination. Improving stamina and general fitness. Re-educating posture and gait to avoid or remedy problems in biomechanics. Helping with a return to typical activities and working and promoting an active way of life.
It is necessary for both private patients and the family of victims to comprehend that the discomfort they are experiencing is because of the hypermobility and associated musculoskeletal insufficiencies and not to any other pathology such as an inammatory arthritic condition. It is then simpler to comprehend why a rehab programme is the treatment of option.