Are chronic musculoskeletal pain and generalized joint hypermobility disabling contributors to physical functioning?

2021 ◽  
Vol 57 (5) ◽  
Author(s):  
Thijs VAN MEULENBROEK ◽  
Ivan P. HUIJNEN ◽  
Raoul H. ENGELBERT ◽  
Jeanine A. VERBUNT
Keyword(s):  
Musculoskeletal Pain ◽  
Physical Functioning ◽  
Joint Hypermobility ◽  
Chronic Musculoskeletal Pain ◽  
Generalized Joint Hypermobility

scholarly journals Exploring the underlying mechanism of pain-related disability in hypermobile adolescents with chronic musculoskeletal pain

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Thijs van Meulenbroek ◽  
Ivan P.J. Huijnen ◽  
Laura E. Simons ◽  
Arnoud E.A. Conijn ◽  
Raoul H.H. Engelbert ◽  
...  
Keyword(s):  
Musculoskeletal Pain ◽  
Scientific Evidence ◽  
Relevant Literature ◽  
Significant Proportion ◽  
Underlying Mechanism ◽  
Joint Hypermobility ◽  
Chronic Musculoskeletal Pain ◽  
Ehlers Danlos Syndrome ◽  
Generalized Joint Hypermobility ◽  
The Impact

AbstractObjectivesA significant proportion of adolescents with chronic musculoskeletal pain (CMP) experience difficulties in physical functioning, mood and social functioning, contributing to diminished quality of life. Generalized joint hypermobility (GJH) is a risk factor for developing CMP with a striking 35-48% of patients with CMP reporting GJH. In case GJH occurs with one or more musculoskeletal manifestations such as chronic pain, trauma, disturbed proprioception and joint instability, it is referred to as generalized hypermobility spectrum disorder (G-HSD). Similar characteristics have been reported in children and adolescents with the hypermobile Ehlers-Danlos Syndrome (hEDS). In the management of CMP, a biopsychosocial approach is recommended as several studies have confirmed the impact of psychosocial factors in the development and maintenance of CMP. The fear-avoidance model (FAM) is a cognitive-behavioural framework that describes the role of pain-related fear as a determinant of CMP-related disability.ContentPubmed was used to identify existing relevant literature focussing on chronic musculoskeletal pain, generalized joint hypermobility, pain-related fear and disability. Relevant articles were cross-referenced to identify articles possibly missed during the primary screening. In this paper the current state of scientific evidence is presented for each individual component of the FAM in hypermobile adolescents with and without CMP. Based on this overview, the FAM is proposed explaining a possible underlying mechanism in the relations between GJH, pain-related fear and disability.Summary and outlookIt is assumed that GJH seems to make you more vulnerable for injury and experiencing more frequent musculoskeletal pain. But in addition, a vulnerability for heightened pain-related fear is proposed as an underlying mechanism explaining the relationship between GJH and disability. Further scientific confirmation of this applied FAM is warranted to further unravel the underlying mechanism.In explaining disability in individuals with G-HSD/hEDS, it is important to focus on both the physical components related to joint hypermobility, in tandem with the psychological components such as pain-related fear, catastrophizing thoughts and generalized anxiety.

scholarly journals Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e7625 ◽  
Author(s):  
Peter R. Reuter ◽  
Kaylee R. Fichthorn
Keyword(s):  
Chronic Pain ◽  
Musculoskeletal Pain ◽  
Gulf Coast ◽  
Joint Hypermobility ◽  
Musculoskeletal Injuries ◽  
Chronic Musculoskeletal Pain ◽  
Beighton Score ◽  
Aged Population ◽  
Generalized Joint Hypermobility ◽  
Florida Gulf Coast

The objective of this study was to investigate the prevalence of generalized joint hypermobility (GJH) in a university-aged population, whether young adults (aged 18–25 years) with GJH are prone to sustain more musculoskeletal injuries, and are more likely to suffer from chronic musculoskeletal pain. The study used an interactive survey to gather data; GJH was assessed using a cut-off Beighton score of ≥5 in accordance with the 2017 International Classification of EDS criteria. The analyzed sample consisted of 482 female and 172 male participants from Florida Gulf Coast University (USA). The prevalence of GJH in a university-aged population can be estimated at 12.5%. Women did not have higher rates of GJH than men. However, female participants showed significantly higher rates of hypermobility of the spine as well as the right knee and elbow joints. The Beighton scores did not differ by ethnicity/race. Female participants had a lower rate of self-reported injuries than male participants, although this difference was not significant. There was no difference in the proportion of all participants classified within different categories (0; 1–4; 5–9) of Beighton scores and whether or not they reported having been injured. Male and female participants reported chronic pain of joints and neck or back at the same rates across the Beighton score categories. Female participants, however, reported higher pain intensity for chronic neck and back pain. This study increases knowledge about a correlation between GJH, musculoskeletal injuries, and chronic pain of joints, neck, and back in a university-aged population.

Intramuscular and Periosteal Acupuncture in Patients Suffering from Chronic Musculoskeletal Pain – a Controlled Trial

2008 ◽  
Vol 26 (4) ◽  
pp. 214-223 ◽  
Author(s):  
Ylva Hansson ◽  
Christer Carlsson ◽  
Elisabeth Olsson
Keyword(s):  
Pain Relief ◽  
Musculoskeletal Pain ◽  
Physical Functioning ◽  
Controlled Trial ◽  
Acupuncture Group ◽  
Chronic Musculoskeletal Pain ◽  
Control Group ◽  
Information Control ◽  
Pain Diary ◽  
Disability Rating

Background Periosteal acupuncture has shown promising results in clinical practice. The aim was to compare three patient groups: one with intramuscular acupuncture, one with periosteal acupuncture, and a third information control group, with respect to clinically relevant pain relief, physical functioning and intake of analgesics in patients with chronic musculoskeletal pain in the neck or low back or both. We reported the psychological changes in these patients in a previous issue of this journal. Methods 144 consecutive patients with nociceptive pain for >3 months, aged 18–70 years were alternately allocated to: intramuscular acupuncture (n=59); periosteal acupuncture (n=55); or control group with information only (n=30). All patients were encouraged to stay active. Acupuncture was administered with eight treatments during five weeks, and two optional additional treatments after one month. Pain was estimated with a daily VAS in a pain diary and with an average weekly pain score. Clinically relevant pain relief was defined as at least a 30% decrease from the initial value. Physical functioning was evaluated with Disability Rating Index. All estimations were performed prior to treatment, one week after, and one, three and six months after treatment. Results There were no differences between the effects of the two acupuncture methods. There were differences between each of the two acupuncture groups compared with the control group on all test occasions up to one month after treatment with respect to the pain diary and one week after treatment with respect to pain last week (P<0.05). Pain relief as measured by a pain diary was obtained in 29 patients in the intramuscular acupuncture group, 25 in the periosteal acupuncture group, and 5 patients in the control group. Six months after treatment, 46% of the intramuscular acupuncture patients and 45% of the periosteal acupuncture patients had obtained pain relief in terms of the pain diary. The corresponding figure for pain last week was 29% in each group. Conclusion Periosteal pecking was no more effective than standard intramuscular acupuncture, but both were more effective than information only.

scholarly journals Prognostic Factors for Physical Functioning After Multidisciplinary Rehabilitation in Patients With Chronic Musculoskeletal Pain

2019 ◽  
Vol 35 (2) ◽  
pp. 148-173 ◽  
Author(s):  
Elena Tseli ◽  
Katja Boersma ◽  
Britt-Marie Stålnacke ◽  
Paul Enthoven ◽  
Björn Gerdle ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Musculoskeletal Pain ◽  
Physical Functioning ◽  
Chronic Musculoskeletal Pain ◽  
Multidisciplinary Rehabilitation
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