Study of the Comparative Efficacy of Strengthening Exercise between Extensor Group of Muscles and Both Flexor and Extensor Groups of Muscles in Patient presenting with Symptoms in Affected Joints of Benign Joint Hypermobility Syndrome
Citation Information :
Das P, Ahmed T. Study of the Comparative Efficacy of Strengthening Exercise between Extensor Group of Muscles and Both Flexor and Extensor Groups of Muscles in Patient presenting with Symptoms in Affected Joints of Benign Joint Hypermobility Syndrome. Indian J Phy Med Rehab 2018; 29 (1):7-12.
In the management of benign joint hypermobility syndrome (BJHS), there is no clear-cut idea regarding the types of exercises which will be appropriate to incorporate in the management protocol of this unique condition. According to some the extensor muscles group should be strengthened and some other opined to strengthen both the extensor and flexor groups of muscles. We presume that strengthening of both the extensor and flexor will be more beneficial because it will provide balance between two opposing groups of muscle and hence, give more stability to the joint and the isometric strengthening exercise would be the exercise of choice. In our study for therapeutic exercise, the 61 patients were grouped into two randomly. Group I (30 patients) were instructed to perform only isometric strengthening exercise for only extensor group of muscles. Group II (31 patients) were advised to do isometric strengthening exercise for both the extensors and flexors group of muscles. After 6 weeks of therapy we found group II is showing a superior result.
Biering-Sørensen F. Physical measurements as risk indicators for low back trouble over a one year period. Spine 1984 Mar;9(2):106-119.
Beighton PH, Solomon L, Soskolne CL. Articular mobility in African population. Ann Rheum Dis 1973 Sep;32(5):413-418.
Lewkonia RM. The biology and clinical consequences of articular hypermobility. J Rheumatol 1993 Feb;20(2):220-222.
Bulbena A, Duró JC, Porta M, Faus S, Vallescar R, Martín- Santos R. Clinical assessment of hypermobility of joints: assembling criteria. J Rheumatol 1992 Jan;19(1):115-122.
Carter C, Wilkinson J. Persistent joint laxity and congenital dislocation of the hip. J Bone Joint Surg Br 1964 Feb;46:40-45.
Bird HA. British society for rheumatology meeting report— special interest group for joint hypermobility. Ann Rheumatol 1993 Jan;32(1):81.
Grahame R, Bird HA. Joint hypermobility. Br J Rheumatol 1992;31:205-208.
Graham R. The Brighton Score—the new diagnostic criteria for Hyper Mobility Syndrome. J Rheumatol 2000;27:1777-1779.
Bird HA, Barton L. Joint hyperlaxity and its long-term effects on joints. J Roy Soc Health 1993;113:323-329.
Meenan RF, Gertman PM, Mason JH. Measuring health status in arthritis: the arthritis impact measurement scales. Arthritis Rheum 1980 Feb;23(2):146-152.
Grahame R, Bird H. British consultant rheumatologists’ perceptions about the hypermobility syndrome: a national survey. Rheumatology 2001 May;40(5):559-562.
Cordery JC. Joint protection: a responsibility of the occupational therapist. Am J Occup Ther 1965 Sep-Oct;19(5):285-294.
Larsson LG, Mudholkar GS, Baum J, Srivastava DK. Benefits and liabilities of hypermobility in the back pain disorders of industrial workers. J Intern Med 1995 Nov;238(5):461-467.
