Joint Hypermobility Syndrome Musculoskeletal Diseases Hypermobility syndrome
Conditions
Interventions
Intervention:
A comprehensive physiotherapy intervention developed as part of the study (6 appointments across 4 months).
Comparator:
Condition-specific advice booklets, discussed with the physiot
Sponsors
North Bristol NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. More than 18 years old 2. Able to give informed consent 3. Able to understand and communicate in English 4. Fulfil the Brighton criteria for JHS (Grahame et al 2000)
Exclusion criteria
Exclusion criteria: 1. Failure to meet the inclusion criteria 2. Other known musculoskeletal pathology causing pain, particularly osteoarthritis and inflammatory musculoskeletal disease such as rheumatoid arthritis 3. Other serious pathology including malignancy 4. Conditions affecting ability to exercise e.g. uncontrolled cardiovascular disease 5. Recent physiotherapy for JHS (within the last year) 6. Pre-existing psychological distress or psychiatric conditions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Stage 1: To develop a comprehensive physiotherapy intervention for adults with JHS following focus groups with patients and clinicians. Stage 2: To pilot implementation of the intervention in practice in two hospitals. Stage 3: To determine: 1. The number of potential eligible patients with JHS 2. The feasibility of recruitment and retention 3. Acceptability of the research design and physiotherapy intervention to patients in terms of quality of life 4. Acceptability and feasibility of the physiotherapy intervention to physiotherapists in terms of training and implementation 5. An estimate of the value of information (VOI) from a subsequent RCT | — |
Secondary
| Measure | Time frame |
|---|---|
| Stage 3: To pilot outcome measures planned for a definitive RCT. These include: 1. Physical function, pain, global status, fatigue, and self report joint count (Multidimensional Health Assessment Questionnaire) 2. Pain at rest and on movement (visual analogue scales) 3. A new condition-specific physical function questionnaire being developed by the research team 4. Health-related quality of life preference score (EQ-5D) 5. Exercise self-efficacy (exercise self-efficacy scale) 6. Illness perceptions (illness perception questionnaire) 7. Resource use questionnaires 8. Adverse events (e.g. dislocations or other injury) | — |
Countries
United Kingdom
Outcome results
None listed