Exercise as it relates to Disease/Exercise and hypermobility syndrome
Hypermobility syndrome also called Ehlers-Danlos Syndrome Type III is a disorder that is quite common yet doesn't have a lot of research. Hypermobility syndrome is strongly inherited and more common in females . People with hypermobility are born with a higher range of motion in their joints caused by a heritable collagen defect.. There are other types of Ehlers-Danlos Syndrome so it is important to rule these out before to avoid the complications of that specific type, these include :
|Type I & II: elastic skin slight hypermobility||Type IV: thin skin, possible organ failure, only the fingers are hypermobile|
|Type V: linked to a single family, unknown facts||Type VI: joint laxity and severe muscle weakness|
|Type VII A & B: congenital hip dislocation & severe joint laxity||Type VIIC: severely fragile skin |
|-Bruising||-Delayed motor development|
|-Excessive joint motion||-Flat feet|
|-Fractures||-Gaining flexibility quicker than the average person|
|-Higher chance of scoliosis||-More prone to joint injuries such as dislocations and sprains|
|-Nerve compression disorders||-Osteoarthritis|
|-Painful joints||-Soft tissue rheumatism  |
Beighton score over 4 is considered Hypermobility
- Touching thumb to wrist (1 point per side)
- Little finger goes beyond 90 degrees (1 point per side)
- Hyperextension of the knee (1 point per side)
- Hyperextension of the elbow (1 point per side)
- Touching the floor with hands flat and legs straight (1 point)
|Short term solutions||Long term solutions|
|-Analgesics such as NSAIDS||-Education|
|-Compression||-Keeping weight at the lower end of a healthy BMI|
Life long commitment to exercise can lower the discomfort associated with hypermobility syndrome. As with all recommendations it is best to live an active life so aim for 30 minutes a day of light to moderate exercise. Exercises should be gentle and pain free. These include:
|-Cycling||-Light strength training||-Pilates|
|-Rowing||-Some forms of dance||-Some forms of yoga|
|-Swimming||-Tai Chi||-Walking  |
|-Core exercises||-Balancing on one leg||-resistance bands 
However there are exercises that should be avoided these include:
- Exercise that includes excessive stretching 
- Sports with high collision risks such as hockey and football 
- It is best to avoid breast stroke as it may cause hip pain 
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- MAJ Michael R. Simpson, DO, MC, USA. (2006). Benign Joint Hypermobility Syndrome: Evaluation, Diagnosis, and Management. The Journal of the American Osteopathic Association. 106 (9), 531-536.
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- Arthritis Research UK (2011). Condition: Joint Hypermobility. UK: Arthritis Research UK. 1 - 24.
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- Ehlers-Danlos National Foundation . What are the types of EDS?. Available: http://www.ednf.org/index.php?option=com_content&task=view&id=1348&Itemid=88888969
- Benign Joint Hypermobility Syndrome: Evaluation, Diagnosis, and Management
- Dr A J Hakim MA FRCP: Clinician’s Guide to JHS
- Joint hypermobility syndrome
- Hypermobility and Sport
- Arthritis UK