Genel Eklem Hipermobilitesi Olan Genç Erişkinlerde Postüral Alışkanlıkların ve Farkındalığın Değerlendirilmesi

Yıl 2025, Cilt: 13 Sayı: 3, 186 - 192, 03.09.2025

Ramazan Yıldız , Ayşe Yıldız

https://doi.org/10.30720/ered.1543835

Öz

Amaç: Bu çalışmanın amacı Genel Eklem Hipermobilitesi (GEH) olan kişilerde postüral alışkanlık ve farkındalığın değerlendirilmesiydi. Gereç ve Yöntem: Çalışmaya 86 katılımcı (GEH olan 44 katılımcı ve GEH olmayan 42 katılımcı) dahil edildi. GEH, Beighton skoruyla belirlenirken, postüral farkındalık Postüral Alışkanlık ve Farkındalık Ölçeği (PAFÖ) ile değerlendirildi. Sonuçlar: PAFÖ'nün üç alt ölçeği olan, postüral alışkanlıklar ve farkındalık, pozisyonel farkındalık ve ergonomik farkındalık puanları GEH olan bireylerde daha düşüktü (p<0,05). Postürü bozan faktörlerin farkındalığı alt testindeki puanlar GEH grubu lehine daha yüksekti (p<0,05). Tartışma: Postüral alışkanlık ve farkındalık sonuçları, eklem hipermobilitesi olan 18-25 yaş arası genç bireylerde GEH olanlara göre anlamlı derecede farklıydı. Genel eklem hipermobilitesi olan bireylerde postüral egzersizler ve postür eğitimi, postüral farkındalığın geliştirilmesinde faydalı olabilir.

Anahtar Kelimeler

Farkındalık , Eklem hipermobilitesi , Postür

Evaluation of Postural Habits and Awareness in Young Adults with Generalized Joint Hypermobility

Öz

Purpose: The aim of this study was to evaluate postural habits and awareness in individuals with generalized joint hypermobility (GJH). Material and Methods: 86 participants (44 participants with GJH and 42 participants without GJH) were included in the study. Generalized joint hypermobility was determined with the Beighton score, while postural awareness was evaluated with the Postural Habits and Awareness Scale (PHAS). Results: In the three subscales of PHAS, postural habits and awareness, positional awareness, and ergonomic awareness scores were lower in individuals with GJH (p<0.05). The GJH group had higher scores in the awareness of factors disrupting posture subtest (p<0.05). Discussion: Postural habits and awareness results were significantly different in young individuals aged 18-25 with joint hypermobility compared to those without GJH. Postural exercises and posture re-education of individuals with generalized joint hypermobility may be beneficial in the development of postural awareness.

Anahtar Kelimeler

Awareness , Joint hypermobility , Posture

Kaynakça

• Akkaya, K. U., Burak, M., Erturan, S., Yildiz, R., Yildiz, A., & Elbasan, B. (2022). An investigation of body awareness, fatigue, physical fitness, and musculoskeletal problems in young adults with hypermobility spectrum disorder. Musculoskeletal Science and Practice, 62, 102642. https://doi.org/10.1016/j.msksp.2022.102642
• Akkaya, K. U., Burak, M., Yildiz, R., Yildiz, A., & Elbasan, B. (2023). Examination of foot sensations in children with generalized joint hypermobility. Early Human Development, 180, 105755. https://doi.org/10.1016/j.earlhumdev.2023.105755
• Bayar, B., Güp, A. A., Özen Oruk, D., İpek Dongaz, Ö., Doğu, E., & Bayar, K. (2023). Development of the Postural Habits and Awareness Scale: a reliability and validity study. International Journal of Occupational Safety and Ergonomics, 29(2), 815–820. https://doi.org/10.1080/10803548.2022.2082694
• Booshanam, D. S., Cherian, B., Joseph, C. P. A., Mathew, J., & Thomas, R. (2011). Evaluation of posture and pain in persons with benign joint hypermobility syndrome. Rheumatology International, 31, 1561-1565. https://doi.org/ 10.1007/s00296-010-1514-2
• Castori, M., & Hakim, A. (2017). Contemporary approach to joint hypermobility and related disorders. Current Opinion in Pediatrics, 29(6), 640-649. https://doi.org/ 10.1097/MOP.0000000000000541
• Clinch, J., Deere, K., Sayers, A., Palmer, S., Riddoch, C., Tobias, J. H., & Clark, E. M. (2011). Epidemiology of generalized joint laxity (hypermobility) in fourteen‐year‐old children from the UK: a population‐based evaluation. Arthritis & Rheumatism, 63(9), 2819-2827. https://doi.org/10.1002/art.30435
• Cramer, H., Mehling, W. E., Saha, F. J., Dobos, G., & Lauche, R. (2018). Postural awareness and its relation to pain: validation of an innovative instrument measuring awareness of body posture in patients with chronic pain. BMC Musculoskeletal Disorders, 19, 1-10. https://doi.org/10.1186/s12891-018-2031-9
• Fatoye, F., Palmer, S., Macmillan, F., Rowe, P., & van der Linden, M. (2009). Proprioception and muscle torque deficits in children with hypermobility syndrome. Rheumatology, 48(2), 152-157. https://doi.org/ 10.1093/rheumatology/ken435
• Fitzcharles, M. (2000). Is hypermobility a factor in fibromyalgia? The Journal of Rheumatology, 27(7), 1587-1589.
• Fonseka, L., Massy-Westropp, N., Milanese, S., & Burlakoti, A. (2021). Thumb proprioception in hypermobile and non-hypermobile adults: an observational study. The Allied Health Scholar, 2(2). https://doi.org/ 10.21913/TAHS.v2i2.1606
• Hakim, A., & Grahame, R. (2003). Joint hypermobility. Best Practice & Research Clinical Rheumatology, 17(6), 989-1004. https://doi.org/ 10.1016/j.berh.2003.08.001
• Hall, M., Ferrell, W., Sturrock, R., Hamblen, D., & Baxendale, R. (1995). The effect of the hypermobility syndrome on knee joint proprioception. Rheumatology, 34(2), 121-125. https://doi.org/ 10.1093/rheumatology/34.2.121
• Ituen, O. A., Duysens, J., Ferguson, G., & Smits-Engelsman, B. (2024). The strength of balance: strength and dynamic balance in children with and without hypermobility. PloS One, 19(6), e0302218. https://doi.org/ 10.1371/journal.pone.0302218
• Ivanenko, Y., & Gurfinkel, V. S. (2018). Human postural control. Frontiers in Neuroscience, 12, 171. https://doi.org/ 10.3389/fnins.2018.00171
• Jessee, E. F., Owen JR, D. S., & Sagar, K. B. (1980). The benign hypermobile joint syndrome. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology, 23(9), 1053-1056. https://doi.org/ 10.1002/art.1780230914
• Jindal, P., Narayan, A., Ganesan, S., & MacDermid, J. C. (2016). Muscle strength differences in healthy young adults with and without generalized joint hypermobility: a cross-sectional study. BMC Sports Science, Medicine and Rehabilitation, 8, 1-9. https://doi.org/10.1186/s13102-016-0037-x
• Junge, T., Jespersen, E., Wedderkopp, N., & Juul-Kristensen, B. (2013). Inter-tester reproducibility and inter-method agreement of two variations of the Beighton test for determining generalised joint hypermobility in primary school children. BMC Pediatrics, 13, 1-8. https://doi.org/ 10.1186/1471-2431-13-214
• Juul-Kristensen, B., Johansen, K., Hendriksen, P., Melcher, P., Sandfeld, J., & Jensen, B. R. (2016). Girls with generalized joint hypermobility display changed muscle activity and postural sway during static balance tasks. Scandinavian Journal of Rheumatology, 45(1), 57-65. https://doi.org/ 10.3109/03009742.2015.1041154
• Juul‐Kristensen, B., Schmedling, K., Rombaut, L., Lund, H., & Engelbert, R. H. (2017). Measurement properties of clinical assessment methods for classifying generalized joint hypermobility—a systematic review. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 75(1), 116-147. https://doi.org/10.1002/ajmg.c.31540
• Keer, R., & Simmonds, J. (2011). Joint protection and physical rehabilitation of the adult with hypermobility syndrome. Current Opinion in Rheumatology, 23(2), 131-136. https://doi.org/ 10.1097/BOR.0b013e328342d3af
• Kumar, B., & Lenert, P. (2017). Joint hypermobility syndrome: recognizing a commonly overlooked cause of chronic pain. The American Journal of Medicine, 130(6), 640-647. https://doi.org/ 10.1016/j.amjmed.2017.02.013
• Malfait F., Francomano C., Byers P., Belmont J., Berglund B., Black J., Bloom L., Bowen J. M., Brady A. F., Burrows N. P., Castori M., Cohen H., Colombi M., Demirdas S., De Backer J., De Paepe A., Fournel-Gigleux S., Frank M., Ghali N., Giunta C., Grahame R., Hakim A., Jeunemaitre X., Johnson D., Juul-Kristensen B., Kapferer-Seebacher I., Kazkaz H., Kosho T., Lavallee M. E., Levy H., Mendoza-Londono R., Pepin M., Pope F. M., Reinstein E., Robert L., Rohrbach M., Sanders L., Sobey G. J., Van Damme T., Vandersteen A., van Mourik C., Voermans N., Wheeldon N., Zschocke J., Tinkle B. (2017). The 2017 international classification of the Ehlers–Danlos syndromes. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 175(1), 8-26. https://doi.org/10.1002/ajmg.c.31552
• Mallik, A., Ferrell, W., McDonald, A., & Sturrock, R. (1994). Impaired proprioceptive acuity at the proximal interphalangeal joint en patients with the hypermobility syndrome. British Journal of Rheumatology, 33(7):631–637. https://doi.org/ 10.1093/rheumatology/33.7.631
• Nijs, J., Aerts, A., & De Meirleir, K. (2006). Generalized joint hypermobility is more common in chronic fatigue syndrome than in healthy control subjects. Journal of Manipulative and Physiological Therapeutics, 29(1), 32-39. https://doi.org/ 10.1016/j.jmpt.2005.11.004
• Remvig, L., Jensen, D. V., & Ward, R. C. (2007). Epidemiology of general joint hypermobility and basis for the proposed criteria for benign joint hypermobility syndrome: review of the literature. The Journal of Rheumatology, 34(4), 804-809.
• Riemann, B. L., & Lephart, S. M. (2002). The sensorimotor system, part II: the role of proprioception in motor control and functional joint stability. Journal of Athletic Training, 37(1), 80-84.
• Scheper, M. C., de Vries, J. E., Juul-Kristensen, B., Nollet, F., & Engelbert, R. H. (2014). The functional consequences of generalized joint hypermobility: a cross-sectional study. BMC Musculoskeletal Disorders, 15, 1-9. https://doi.org/ 10.1186/1471-2474-15-243
• Simmonds, J. V., & Keer, R. J. (2007). Hypermobility and the hypermobility syndrome. Manual Therapy, 12(4), 298-309. https://doi.org/ 0.1016/j.math.2007.05.001
• Sohrbeck-Nøhr, O., Kristensen, J. H., Boyle, E., Remvig, L., & Juul-Kristensen, B. (2014). Generalized joint hypermobility in childhood is a possible risk for the development of joint pain in adolescence: a cohort study. BMC Pediatrics, 14, 1-9. https://doi.org/ 10.1186/s12887-014-0302-7
• Verma, C., Walankar, P., & Patkar, D. (2018). Influence of generalized joint hypermobility on knee joint proprioception in asymptomatic healthy women. International Journal of Physical Education, Sports and Health, 5(3), 151-153.
• Winter, D. A., Patla, A. E., & Frank, J. S. (1990). Assessment of balance control in humans. Medical Progress through Technology, 16(1-2), 31-51.
• Wolf, J. M., Cameron, K. L., & Owens, B. D. (2011). Impact of joint laxity and hypermobility on the musculoskeletal system. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 19(8), 463-471. https://doi.org/ 10.5435/00124635-201108000-00002