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The influence of joint hypermobility on functional movement control in an elite netball population: A preliminary cohort study.

Identifieur interne : 000865 ( Main/Corpus ); précédent : 000864; suivant : 000866

The influence of joint hypermobility on functional movement control in an elite netball population: A preliminary cohort study.

Auteurs : Kessie Soper ; Jane V. Simmonds ; Hanadi Kaz Kaz ; Nelly Ninis

Source :

RBID : pubmed:25443229

English descriptors

Abstract

OBJECTIVES

To ascertain the prevalence of General Joint Hypermobility (GJH) and Joint Hypermobility Syndrome (JHS) in elite level netballers. To investigate whether GJH influences functional movement control and explore whether symptoms of dysautonomia are reported in this population.

DESIGN

Observational within-subject cross-sectional design.

SETTING

Field based study.

PARTICIPANTS

27 elite level netballers (14-26 years).

MAIN OUTCOME MEASURES

GJH and JHS were assessed using the Beighton scale, 5 point questionnaire and the Brighton Criteria. Functional movement control was measured using posturography on a force platform and the Star Excursion Balance Test (SEBT).

RESULTS

The prevalence of GJH was 63% (n = 17) (Beighton score ≥4/9) and JHS was 15% (n = 4). Symptoms of dysautonomia were minimally prevalent. A trend was observed in which participants with GJH demonstrated increased postural instability on the functional tests. Following Bonferroni adjustment, this was statistically significant only when comparing posturographic data between the distinctly hypermobile participants and the rest of the group for path area (p = 0.002) and velocity (p = 0.002) on the left side.

CONCLUSIONS

A high prevalence of GJH was observed. A trend towards impairment of functional movement control was observed in the netballers with GJH. This observation did not reach statistical significance except for posturographic path area and velocity.


DOI: 10.1016/j.ptsp.2014.07.002
PubMed: 25443229

Links to Exploration step

pubmed:25443229

Le document en format XML

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<nlm:affiliation>University of Hertfordshire, Hatfield, Hertfordshire, AL10 9AB, UK; Bodybalance Physiotherapy and Sports Injuries Clinic, University of Hertfordshire, De Havilland Campus, Hatfield, Hertfordshire, AL10 9EU, UK. Electronic address: kessie.physio@gmail.com.</nlm:affiliation>
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<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Joint Instability (epidemiology)</term>
<term>Joint Instability (physiopathology)</term>
<term>Male (MeSH)</term>
<term>Postural Balance (physiology)</term>
<term>Prevalence (MeSH)</term>
<term>Range of Motion, Articular (physiology)</term>
<term>Sports (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
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<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
</p>
<p>To ascertain the prevalence of General Joint Hypermobility (GJH) and Joint Hypermobility Syndrome (JHS) in elite level netballers. To investigate whether GJH influences functional movement control and explore whether symptoms of dysautonomia are reported in this population.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Observational within-subject cross-sectional design.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>Field based study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PARTICIPANTS</b>
</p>
<p>27 elite level netballers (14-26 years).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MAIN OUTCOME MEASURES</b>
</p>
<p>GJH and JHS were assessed using the Beighton scale, 5 point questionnaire and the Brighton Criteria. Functional movement control was measured using posturography on a force platform and the Star Excursion Balance Test (SEBT).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The prevalence of GJH was 63% (n = 17) (Beighton score ≥4/9) and JHS was 15% (n = 4). Symptoms of dysautonomia were minimally prevalent. A trend was observed in which participants with GJH demonstrated increased postural instability on the functional tests. Following Bonferroni adjustment, this was statistically significant only when comparing posturographic data between the distinctly hypermobile participants and the rest of the group for path area (p = 0.002) and velocity (p = 0.002) on the left side.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>A high prevalence of GJH was observed. A trend towards impairment of functional movement control was observed in the netballers with GJH. This observation did not reach statistical significance except for posturographic path area and velocity.</p>
</div>
</front>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To ascertain the prevalence of General Joint Hypermobility (GJH) and Joint Hypermobility Syndrome (JHS) in elite level netballers. To investigate whether GJH influences functional movement control and explore whether symptoms of dysautonomia are reported in this population.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Observational within-subject cross-sectional design.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Field based study.</AbstractText>
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