Hypermobility

Question 1

Differential Diagnosis

Answer 1

Ehlers Danlos Syndrome - connective tissue disorders
Hypermobility Spectrum Disorders - hypermobility issue with no other explanation
requires rheumatologist referral

Question 2

Assessment

Answer 2

Beighton Score 
girls >4/9
boys >6/9 
hyperextend elbows 
bend thumbs to wrist 
hyperextend 5th digit 
hyperextend knees in standing 
touch floor with flat hands and straight knees

Question 3

Symptoms

Answer 3

muscle weakness
overstretch soft tissues 
biomechanical dysfunction 
poor balance and proprioception 
GI issues 
bladder issues

Question 4

Impact Hypermobility

Answer 4

fatigue 
motor skill and coordination difficulties 
micro/macro joint trauma 
pain 
musc allignment issues 
low bone density 
deconditioning

Question 5

Intervention and Management

Answer 5

Exercise - strength of muscles affecting the joint
Address proprioception
Address psychosocial factors
Pain education