Physiotherapy Intervention for Joint Hypermobility in Three Cases with Heritable Connective Tissue Disorders

ABSTRACT

Background: In joint hypermobility syndromes, chronic pain is the most disabling symptom.

Findings: In our three caricatural cases [Marfan syndrome, Ehlers–Danlos syndrome, and osteogenesis imperfecta], we emphasized that it was important to avoid stretching and to train within a controlled range of motion. Submaximal eccentric exercises within a safe range of motion were incorporated to increase the active control of the joint positioning. Each treatment had to be adapted to the individual patient and had to include specific home exercises.

Conclusion: In each case, physiotherapy gave good results in relation to pain, quality of life, and stability of rehabilitated joints.

KEYWORDS. :

• Joint hypermobility syndrome
• pain
• Marfan syndrome
• Ehlers–Danlos syndrome
• osteogenesis imperfecta