Prolonged standing behaviour in people with joint hypermobility syndrome

Abstract Background Joint Hypermobility Syndrome (JHS) is a rare Heritable Disorder of Connective tissue characterised by generalised joint laxity and chronic widespread pain. Joint Hypermobility Syndrome has a large impact on patients’ day to day activities, and many complain of symptoms when stand...

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Main Authors: Alexander Vernon Bates, Alison H. McGregor, Caroline M. Alexander
Format: Article
Language:English
Published: BMC 2021-12-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-021-04744-1
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author Alexander Vernon Bates
Alison H. McGregor
Caroline M. Alexander
author_facet Alexander Vernon Bates
Alison H. McGregor
Caroline M. Alexander
author_sort Alexander Vernon Bates
collection DOAJ
description Abstract Background Joint Hypermobility Syndrome (JHS) is a rare Heritable Disorder of Connective tissue characterised by generalised joint laxity and chronic widespread pain. Joint Hypermobility Syndrome has a large impact on patients’ day to day activities, and many complain of symptoms when standing for prolonged periods. This study investigates whether people with JHS exhibit the same behaviours to deal with the effects of prolonged standing as people with equal hypermobility and no pain, and people with normal flexibility and no pain. Methods Twenty three people with JHS, 22 people with Generalised Joint Hypermobility (GJH), and 22 people with normal flexibility (NF) were asked to stand for a maximum of 15 min across two force-plates. Fidgets were counted and quantified using a cumulative sum algorithm and sway parameters of the quiet standing periods between fidgets were calculated. Results Average standing time for participants with JHS was 7.35 min and none stood for the full 15 min. All participants with GJH and NF completed 15 min of standing. There were no differences in fidgeting behaviour between any groups. There was a difference in anteroposterior sway (p = .029) during the quiet standing periods. Conclusion There is no evidence to suggest people with JHS exhibit different fidgeting behaviour. Increased anteroposterior-sway may suggest a muscle weakness and strengthening muscles around the ankle may reduce postural sway and potentially improve the ability to stand for prolonged periods.
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spelling doaj.art-a8907d7bdaa14794a3cb9ae67bcd8b7f2022-12-21T19:08:13ZengBMCBMC Musculoskeletal Disorders1471-24742021-12-012211810.1186/s12891-021-04744-1Prolonged standing behaviour in people with joint hypermobility syndromeAlexander Vernon Bates0Alison H. McGregor1Caroline M. Alexander2Department of Surgery and Cancer, Imperial College LondonDepartment of Surgery and Cancer, Imperial College LondonDepartment of Surgery and Cancer, Imperial College LondonAbstract Background Joint Hypermobility Syndrome (JHS) is a rare Heritable Disorder of Connective tissue characterised by generalised joint laxity and chronic widespread pain. Joint Hypermobility Syndrome has a large impact on patients’ day to day activities, and many complain of symptoms when standing for prolonged periods. This study investigates whether people with JHS exhibit the same behaviours to deal with the effects of prolonged standing as people with equal hypermobility and no pain, and people with normal flexibility and no pain. Methods Twenty three people with JHS, 22 people with Generalised Joint Hypermobility (GJH), and 22 people with normal flexibility (NF) were asked to stand for a maximum of 15 min across two force-plates. Fidgets were counted and quantified using a cumulative sum algorithm and sway parameters of the quiet standing periods between fidgets were calculated. Results Average standing time for participants with JHS was 7.35 min and none stood for the full 15 min. All participants with GJH and NF completed 15 min of standing. There were no differences in fidgeting behaviour between any groups. There was a difference in anteroposterior sway (p = .029) during the quiet standing periods. Conclusion There is no evidence to suggest people with JHS exhibit different fidgeting behaviour. Increased anteroposterior-sway may suggest a muscle weakness and strengthening muscles around the ankle may reduce postural sway and potentially improve the ability to stand for prolonged periods.https://doi.org/10.1186/s12891-021-04744-1Joint hypermobility syndromeHypermobile Ehlers Danlos syndromeProlonged standingJoint laxity
spellingShingle Alexander Vernon Bates
Alison H. McGregor
Caroline M. Alexander
Prolonged standing behaviour in people with joint hypermobility syndrome
BMC Musculoskeletal Disorders
Joint hypermobility syndrome
Hypermobile Ehlers Danlos syndrome
Prolonged standing
Joint laxity
title Prolonged standing behaviour in people with joint hypermobility syndrome
title_full Prolonged standing behaviour in people with joint hypermobility syndrome
title_fullStr Prolonged standing behaviour in people with joint hypermobility syndrome
title_full_unstemmed Prolonged standing behaviour in people with joint hypermobility syndrome
title_short Prolonged standing behaviour in people with joint hypermobility syndrome
title_sort prolonged standing behaviour in people with joint hypermobility syndrome
topic Joint hypermobility syndrome
Hypermobile Ehlers Danlos syndrome
Prolonged standing
Joint laxity
url https://doi.org/10.1186/s12891-021-04744-1
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