title: Evaluation of posture and pain in persons with benign joint hypermobility syndrome.
abstract: The objective of the present study is to compare and quantify the postural differences and joint pain distribution between subjects with benign joint hypermobility syndrome (BJHS) and the normal population. This observational, non-randomized, and controlled study was conducted at Rheumatology and Physical Medicine and Rehabilitation Medicine Departments of a tertiary care teaching hospital. Subjects comprise 35 persons with diagnosis of BJHS, and the control group was matched for age and sex. Reedco's Posture score (RPS) and visual analogue scale (VAS) were the outcome measures. The subjects were assessed for pain in ten major joints and rated on a VAS. A standard posture assessment was conducted using the Reedco's Posture score. The same procedure was executed for an age- and sex-matched control group. Mean RPS for the BJHS group was 55.29 ± 8.15 and for the normal group it was 67 ± 11.94. The most common postural deviances in subjects with BJHS were identified in the following areas of head, hip (Sagittal plane), upper back, trunk, and lower back (Coronal plane). Intensity of pain was found to be more in BJHS persons than that of the normal persons, and the knee joints were the most affected. The present study compared and quantified the postural abnormalities and the pain in BJHS persons. The need for postural re-education and specific assessment and training for the most affected joints are discussed. There is a significant difference in posture between subjects with BJHS and the normal population. BJHS persons need special attention to their posture re-education during physiotherapy sessions to reduce long-term detrimental effects on the musculoskeletal system.
authors.affiliation: Physiotherapy, Department of Physical Medicine & Rehabilitation, Christian Medical College, Vellore, India.
authors.forename: Divya S
authors.initials: DS
authors.lastname: Booshanam
authors.forename: Binu
authors.initials: B
authors.lastname: Cherian
authors.forename: Charles Premkumar A R
authors.initials: CP
authors.lastname: Joseph
authors.forename: John
authors.initials: J
authors.lastname: Mathew
authors.forename: Raji
authors.initials: R
authors.lastname: Thomas
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology* / Q000628:therapy; D007718:Knee Injuries / Q000628:therapy; D007719:Knee Joint / Q000503:physiopathology; D008297:Male; D010146:Pain / Q000503:physiopathology*; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D004856:Postural Balance / Q000502:physiology*; D055815:Young Adult