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Physiotherapy and occupational therapy interventions for people with benign joint hypermobility syndrome

This study assessed the literature to determine the efficacy and
effectiveness of physiotherapy and occupational therapy interventions in the
treatment of people with benign joint hypermobility syndrome (BJHS). METHODS:
Published literature databases including: AMED, CINAHL, MEDLINE, EMBASE, PubMed
and the Cochrane Library, in addition to unpublished databases and trial
registries were searched to October 2012. All clinical trials comparing the
clinical outcomes of Occupational Therapy and Physiotherapy interventions
compared to non-treatment or control intervention for people with BJHS were
included. RESULTS: Of the 126 search results, 3 clinical studies satisfied the
eligibility criteria. The data provides limited support for the use of wrist/hand
splints for school children. While there is some support for exercise-based
intervention, there is insufficient research to determine the optimal mode,
frequency, dosage or type of exercise which should be delivered. CONCLUSIONS:
The current evidence-base surrounding Occupational Therapy and Physiotherapy in the
management of BJHS is limited in size and quality. There is insufficient research
exploring the clinical outcomes of a number of interventions including sensory
integration, positioning and posture management and education. Longer term,
rigorous multi-centre randomised controlled trials are warranted to begin to
assess the clinical and cost-effectiveness of interventions for children and
adults with BJHS. Implications for Rehabilitation There is an evidence-base to
support clinician's use of proprioceptive-based exercises in adults, and either
tailored or generalised physiotherapy regimes for children with BJHS. Clinicians
should be cautious when considering the prescription of hand/wrist splints for
school age children with BJHS, based on the current research. Until further
multi-centre trials are conducted assessing the clinical and cost-effectiveness
of interventions for children and adult with BJHS, clinical decision-making
should be based on theoretical rather than evidence-based grounds for this population.
- Hyperlaxité des articulations

Langue : ANGLAIS

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