Skip to main content

Research Repository

Advanced Search

Diagnosis, Management and Assessment of Adults with Joint Hypermobility Syndrome: A UK-Wide Survey of Physiotherapy Practice

Palmer, Shea; Cramp, Fiona; Lewis, Rachel; Muhammad, Shahid; Clark, Emma

Diagnosis, Management and Assessment of Adults with Joint Hypermobility Syndrome: A UK-Wide Survey of Physiotherapy Practice Thumbnail


Authors

Profile Image

Shea Palmer Shea.Palmer@uwe.ac.uk
Occasional Associate Lecturer - CHSS - HSW

Fiona Cramp Fiona.Cramp@uwe.ac.uk
Professor in Long Term Conditions

Rachel Lewis

Shahid Muhammad

Emma Clark



Abstract

© 2015 John Wiley & Sons, Ltd. Joint hypermobility syndrome (JHS) is a heritable disorder associated with excessive joint range of motion and pain in the absence of inflammatory joint disease. It is a relatively common cause of musculoskeletal pain but is generally understood to be under-recognized and poorly managed in clinical practice. The present study therefore aimed to identify how JHS is diagnosed, managed and assessed in routine physiotherapy practice. A survey tool was developed from similar physiotherapy surveys of musculoskeletal practice, a review of the literature, and consultation with researchers and clinicians. Paper copies of the final survey were sent to 201 randomly selected secondary care organizations across the UK and an electronic version was advertised through physiotherapy professional networks. A total of 66 responses (80% women) were received from physiotherapists, with a wide range of clinical experience. Only 32% of respondents reported that they had received formal training in JHS management. The Brighton diagnostic criteria for JHS were not often used (only 31% of respondents). The stated aims of physiotherapy and the specific interventions employed seem well matched, with a focus on advice, education, exercise and self-management. Although pain relief was not reported as a high priority in terms of treatment aims, pain was most often assessed as an outcome, suggesting a mismatch between what clinicians aim to achieve and what they measure. The results suggest that reported management strategies are broadly appropriate to long-term musculoskeletal conditions but additional training specific to JHS may be required, particularly in diagnosis and assessment.

Citation

Palmer, S., Cramp, F., Lewis, R., Muhammad, S., & Clark, E. (2015). Diagnosis, Management and Assessment of Adults with Joint Hypermobility Syndrome: A UK-Wide Survey of Physiotherapy Practice. Musculoskeletal Care, 13(2), 101-111. https://doi.org/10.1002/msc.1091

Journal Article Type Article
Publication Date Jan 1, 2015
Deposit Date Oct 29, 2014
Publicly Available Date Mar 18, 2016
Journal Musculoskeletal Care
Print ISSN 1478-2189
Electronic ISSN 1557-0681
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 13
Issue 2
Pages 101-111
DOI https://doi.org/10.1002/msc.1091
Keywords joint hypermobility, physiotherapy, survey
Public URL https://uwe-repository.worktribe.com/output/833771
Publisher URL http://dx.doi.org/10.1002/msc.1091
Additional Information Additional Information : First published online 18 March 2015. This is the accepted version of the following article: Palmer, S., Cramp, F. A., Lewis, R., Muhammad, S. and Clark, E. (2015) Diagnosis, management and assessment of adults with joint hypermobility syndrome: A UK-wide survey of physiotherapy practice. Musculoskeletal Care, 13 (2). pp. 101-111. ISSN 1478-2189, which has been published in final form at http://dx.doi.org/10.1002/msc.1091

Files


Palmer et al_Musculoskeletal Care_ACCEPTED.docx (58 Kb)
Document





You might also like



Downloadable Citations