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Joint protection and physical rehabilitation of the adult with hypermobility syndrome

Keer, Rosemarya,b,c; Simmonds, Janeb,c,d

Current Opinion in Rheumatology: March 2011 - Volume 23 - Issue 2 - p 131–136
doi: 10.1097/BOR.0b013e328342d3af
Rehabilitation medicine in rheumatic diseases: Edited by Ken O'Rourke

Purpose of review: Hypermobility and hypermobility syndrome are common conditions with universal interest. However, despite significant advances in our knowledge of the presentation and implications of lax tissues there is still much to learn about the best way to manage the symptoms. This review discusses our current knowledge on the management of joint problems associated with hypermobility syndrome.

Recent findings: Relieving joint pain and preventing its recurrence are primary aims of treatment and exercise to improve joint stability and control is a major component of physical rehabilitation. Research has identified that posture, proprioception, strength and motor control are important components in achieving this aim along with education, physical activity and fitness.

Summary: It is not yet known what form the optimal physical rehabilitation programme should take, but the components discussed here are based on sound scientific principles which it is hoped will further knowledge, stimulate interest and promote further research.

aCentral London Physiotherapy Clinic, UK

bHypermobility Unit, Hospital of St John and St Elizabeth, London, UK

cHypermobility Syndrome Association (HMSA), Plymouth, UK

dUniversity of Hertfordshire, Hatfield, Herts, UK

Correspondence to Rosemary Keer, Chartered Physiotherapist, Director, Central London Physiotherapy Clinic, London, UK Tel: +44 2074865238, +44 7850014821; e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.