Joint hypermobility syndrome: what are the main outcome measures reported for determining change within studies on this condition? A literature review.
Item
- Title
- Joint hypermobility syndrome: what are the main outcome measures reported for determining change within studies on this condition? A literature review.
- Author(s)
- Winters, E
- Abstract
- Background: Joint hypermobility syndrome (JHS) is a connective tissue disorder that is defined as increased to excessive movement found within synovial joints. The main characteristic of JHS is musculoskeletal (MSK) signs and symptoms, predominantly involving arthralgia and myalgia. The Beighton Score and Brighton Criteria are the main method of diagnosis, yet confusion remains in healthcare professionals to the diagnosis and management of JHS. Objective: To review and identify the outcome measures reported in studies to determine change within JHS. Design: Structured Literature review Methods: A systematic search was conducted on the ScienceDirect, Google Scholar, Wiley Online and PubMed databases to identify and obtain relevant studies. Titles and abstracts were screened, those that met with the inclusion/exclusion criteria were selected for critical appraisal using the Strength of Recommendation Taxonomy (SORT), the Critical Appraisal Skills Programme (GASP) and the authors own criteria. Results: A total of 159 studies were identified, with 10 studies meeting both inclusion and exclusion criteria for selection for review. Overall quality of the studies was moderate with a mode score of 28, the mode score of the formulated criteria was 4C. The most common outcome measure reported across the reviewed studies was variations of pain rating, followed by quality of life assessment, both of which were reported to have the most significant statistical improvement following intervention. Discussion: A general lack of consistency exists to outcome measures reported, with the exception of evaluating a patient's reported pain. The mean number of outcome measures used is 2.9 and the mode number of outcome measures is 4. The majority of studies used the Brighton Score and/or the Brighton Criteria as part of the diagnostic process for inclusion; however they generally were not built into the outcome measures. Conclusion: Whist multiple outcome measures were employed, the Brighton Score and Brighton Criteria generally did not form part of these. Pain rating scales were the most reported upon, along with variations of quality of life assessment. As such existing protocol for diagnosis and tracking of this condition require review.
- presented at
- European School of Osteopathy
- Date Accepted
- 2016
- Date Submitted
- 2.12.2016 17:29:04
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15975
- Inst-Identifier
- 1229
- Keywords
- Joint hypermobility syndrome, Outcome measures, Physical therapy.
- Recommended
- 0
- Item sets
- Thesis
Winters, E, “Joint hypermobility syndrome: what are the main outcome measures reported for determining change within studies on this condition? A literature review.”, Osteopathic Research Web, accessed May 4, 2025, https://www.osteopathicresearch.com/s/orw/item/506