Shoulder hypermobility disorder. XIII Diseases of the musculoskeletal system and connective tissue
Conditions
Interventions
Intervention 1: Intervention group: high-threshold strengthening exercises with pain neuroscience training. Three familiarization sessions (two weeks) with training approaches to deal with pain and ho
Sponsors
kharazmi University
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Men and women aged 18 - 65 Generalized HSD (G-HSD) defined with Beighton score cut-off = 5 for women up to the age of 50 years and = 4 for those above 50 years and all men, if the Beighton score was 1 point below the age and sex-specific cut-off AND the five-part questionnaire (5PQ) was positive (= at least two positive items). Present with one or more secondary symptomatic musculoskeletal manifestations, defined as either musculoskeletal pain in minimum one shoulder for at least three months and/or recurrent joint dislocations or joint instability without a reported history of trauma defined as either a) minimum three atraumatic dislocations in same shoulder, b) minimum two atraumatic dislocations in two different joints (minimum one in the shoulder) occurring at different times, or c) medical confirmation of joint instability in minimum two joints (minimum one in the shoulder) not related to trauma.
Exclusion criteria
Exclusion criteria: Clinically suspected referred pain from the cervical spine Systemic inflammatory rheumatic diseases Connective tissue diseases (e.g. Marfans, Stickler's or Loeys Dietz syndromes, Ehlers-Danlos Syndromes except hypermobile type) Neurological diseases Pregnancy or childbirth within the past year or planning to get pregnant during the study period Shoulder surgery within the past year Steroid injection in the affected shoulder within three months Inability to speak Unable to comply with protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adding pain neuroscience education to high-load strengthening exercises - clinical and functional variables (pain, strength, range of motion, fear of movement, shoulder function) in shoulder hyper mobility spectrum disorder. Timepoint: It is measured before the start and after 16 weeks. Method of measurement: Western Ontario Questionnaire to assess the individual's self-report of joint laxity and instability - Hand-held dynamometer to measure muscle strength - Numerical pain rating scale to assess pain intensity - Goniometer to measure range of motion - Fear of movement questionnaire to assess fear of movement. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactPardis Garouee
kharazmi University
Outcome results
None listed