Hypermobility Syndrome and Proprioception In Patients With Knee Ligament Injury

The aim of this prospective controlled study was to determine the effect of hypermobility on proprioception and knee ligament injuries in a young patient population. 20 cases diagnosed as knee ligament injury (patient group) and 17 healthy individuals (control group) were included in this controlled study. Beighton scores (BS) were obtained from each patient. Cybex NORM dynamometer (770 Norm, Lumex Inc. Ronkonkoma, NY USA) were used for proprioception testing. Measurements were recorded for three times in both flexion and extension of the knees and mean values were noted. The frequency of hypermobility was higher in the patient group than the control group with a statistically significance (p0.05). The increase in average absolute angle error values for extension to flexion and for flexion to extension was higher in patients with hypermobility for both groups but this difference was not statistically significant (p>0.05) Hypermobility and knee ligament injury are conditions which contributes to proprioception deficits; hypermobility can more likely lead to knee ligament injuries. Further studies with randomized controlled design are needed.

PDF

___

Sharma L. Proprioceptive impairment in knee osteoarthritis. Rheum Dis Clin North Am 1999; 25: 299-314.

Hakim A, Grahame R. Joint hypermobility. Best Pract Res Clin Rheumatol 2003; 17: 989-1004.

Barrack RL, Skinner HB, Buckley SL. Proprioception in the anterior cruciate deficient knee. Am J Sports Med 1989; 17: 1-6.

Mallik AK, Ferrell WR, McDonald AG, Sturrock RD. Impaired proprioceptive acuity at the proximal interphalangeal joint in patients with the hypermobility syndrome. Br J Rheumatol 1994; 33: 631-637.

Jerosch J, Prymka M. Proprioception and joint stability. Knee Surg Sports Traumatol Arthrosc 1996; 4: 171-179.

Smith TO, Jerman E, Easton V, et al. Do people with benign joint hypermobility syndrome (BJHS) have reduced joint proprioception? A systematic review and meta-analysis. Rheumatol Int 2013; 33: 2709-2716

Fatoye F, Palmer S, Macmillan F, Rowe P, van der Linden M. Proprioception and muscle torque deficits in children with hypermobility syndrome. Rheumatology (Oxford) 2009; 48: 152-157.

Simmonds JV, Keer RJ. Hypermobility and the hypermobility syndrome. Man Ther 2007; 12: 298-309.

Grahame R, Bird HA, Child A. The revised (Brighton 1998) criteria for the diagnosis of benign joint hypermobility syndrome (BJHS). J Rheumatol 2000; 27: 1777-1779.

Castori M, Tinkle B, Levy H, et al. A framework for the classification of joint hypermobility and related conditions. Am J Med Genet 2017; 175: 148-157.

Hall GM, Ferrel WR, Sturrock RD. The effect of the hypermobility syndrome on knee joint proprioception. Br J Rheumatol 1995; 34: 121- 125.

Sahin N, Baskent A, Cakmak A, et al. Evaluation of knee proprioception and effects of proprioception exercise in patients with benign joint hypermobility syndrome. Rheumatol Int 2008; 28: 995-1000.

Scher DL, Owens BD, Sturdivant RX, Wolf JM. Incidence of joint hypermobility syndrome in a military population: impact of gender and race. Clin Orthop Relat Res 2010; 468: 1790-1795.

Jindal P, Narayan A, Ganesan S, MacDermid JC. Muscle strength differences in healthy young adults with and without generalized joint hypermobility: a cross-sectional study. BMC Sports Sci Med Rehabil 2016; 25: 8:12.