Fizyoterapi ve Rehabilitasyon Öğrencilerinde Eklem Hipermobilitesi Varlığı ve Üst Ekstremite Eklem Pozisyon Hissindeki Farklılığın Karşılaştırılması
Yıl 2024,
Cilt: 1 Sayı: 1, 11 - 16, 31.12.2024
Özlem Nur Tok Yaman
,
Ayşe Ünal
,
Ayça Aracı
Öz
Amaç: Bu çalışmanın amacı, fizyoterapi ve rehabilitasyon öğrencilerinde hipermobilite sıklığını belirlemek ve hipermobiliteye sahip bireyler ile hipermobilitesi olmayan bireyler arasında üst ekstremite eklem pozisyon hissi açısından fark olup olmadığını incelemekti.
Yöntem: Çalışmaya, fizyoterapi ve rehabilitasyon bölümünde öğrenim gören ve dahil edilme ile hariç tutma kriterlerini karşılayan 111 öğrenci katıldı. Katılımcıların hipermobilite durumları Beighton Skalası ile değerlendirildi. Eklem pozisyon hissi değerlendirmeleri omuz, dirsek ve el bileği üzerinde gerçekleştirildi.
Sonuç: Çalışmada, katılımcıların %41,4’ünde hipermobilite tespit edildi. Hipermobiliteye sahip bireyler ile hipermobilitesi olmayan bireyler arasında omuz, dirsek ve el bileği eklem pozisyon hissi açısından anlamlı bir fark bulunmadı (p>0,05).
Tartışma: Bulgular, hipermobilitenin omuz, dirsek ve el bileği gibi eklemlerde proprioseptif algıyı etkilemediğini gösterdi. Bu sonuç, hipermobilitenin bu spesifik eklemlerde belirgin bir etkisinin olmadığını ortaya koydu.
Etik Beyan
Çalışmanın etik kurul onayı Alanya Alaaddin Keykubat Üniversitesi Girişimsel Olmayan Etik Kurulunda 14.04.2024 tarihli 05/20 sayılı kurul kararı ile alınmıştır.
Kaynakça
- Ak, C., & Takinacı, Z. D. (2019). Benign eklem hipermobilite sendromu olan ve olmayan lisans fizyoterapi öğrencilerinde alt ekstremite kas gücü ve denge skorlarının karşılaştırılması. Sağlık Profesyonelleri Araştırma Dergisi, 1(1), 13–17.
- Balke, M., Liem, D., Dedy, N., Thorwesten, L., & Poetzl, W. (2011). The laserpointer assisted angle reproduction test for evaluation of proprioceptive shoulder function in patients with instability. Archives of Orthopaedic and Trauma Surgery, 131(8), 1077–1084. doi: 10.1007/s00402-011-1285-6.
- Behrman, R. E., Kliegman, R. M., & Jenson, H. B. (2003). Nelson textbook of pediatrics (17th ed., pp. 2206–2207). Saunders.
- Beighton, P., Solomon, L., & Soskolne, C. (1973). Articular mobility in an African population. Annals of the Rheumatic Diseases, 32(5), 413–418. doi: 10.1136/ard.32.5.413.
- Bulbena, A., Agulló, A., Pailhez, G., Martín-Santos, R., Porta, M., & Guitart, J. (2004). Is joint hypermobility related to anxiety in a nonclinical population also? Psychosomatics, 45(5), 432–437. doi: 10.1176/appi.psy.45.5.432.
- Çelenay, Ş. T., & Özer, D. (2017). Benign eklem hipermobilite sendromu olan ve olmayan kadınlarda gövde kas enduransı ve denge skorlarının karşılaştırılması. Fizyoterapi Rehabilitasyon, 28(2), 47–53. doi: 10.21653/tfrd.336344.
- Engelbert, R. H., Bank, R. A., Sakkers, R. J., Helders, P. J., Beemer, F. A., & Uiterwaal, C. S. (2003). Pediatric generalized joint hypermobility with and without musculoskeletal complaints: A localized or systemic disorder? Pediatrics, 111(3), 248–254. doi: 10.1542/peds.111.3.e248.
- Engelbert, R. H., Kooijmans, F. T., van Riet, A. M., Feitsma, T. M., Uiterwaal, C. S., & Helders, P. J. (2005). The relationship between generalized joint hypermobility and motor development. Pediatric Physical Therapy, 17(4), 258–263. doi: 10.1097/01.pep.0000186505.32548.84.
- Engelbert, R. H., van Bergen, M., Henneken, T., Helders, P. J., & Takken, T. (2006). Exercise tolerance in children and adolescents with musculoskeletal pain in joint hypermobility and joint hypomobility syndrome. Pediatrics, 118(3), 690–696. doi: 10.1542/peds.2005-2219.
- 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. doi: 10.1093/rheumatology/ken435.
- Fatoye, F., Palmer, S., Macmillan, F., Rowe, P., & van der Linden, M. (2011). Pain intensity and quality of life perception in children with hypermobility syndrome. Rheumatology International, 32(5), 1277–1284. doi: 10.1007/s00296-010-1729-2.
- 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). doi: 10.21913/TAHS.v2i2.1606.
- Grahame, R. (2000). Pain, distress and joint hyperlaxity. Joint Bone Spine, 67(3), 157–163.
- Grahame, R. (2003). Hypermobility and hypermobility syndrome. In Hypermobility syndrome (pp. 1–14). Butterworth-Heinemann.
- Grahame, R., Bird, H. A., & Child, A. (2000). The revised (Brighton 1998) criteria for the diagnosis of benign joint hypermobility syndrome (BJHS). The Journal of Rheumatology, 27(7), 1777–1779.
- Haggerty, A. L., Simon, J. E., Grooms, D. R., & Russell, J. A. (2021). Effect of load, angle, and contraction type on clinically assessed knee joint position sense. Journal of Sport Rehabilitation, 30(8), 1166–1171. doi: 10.1123/jsr.2020-0552.
- Hall, M., Ferrell, W., Sturrock, R., & Hamblen, D. (1995). The effect of the hypermobility syndrome on knee joint proprioception. British Journal of Rheumatology, 34(2), 121–125. doi: 10.1093/rheumatology/34.2.121.
- Jessee, E. F., Owen, D. S., & Sagar, K. B. (1980). The benign hypermobile joint syndrome. Arthritis & Rheumatology, 23(9), 1053–1056. doi: 10.1002/art.1780230914.
- Larsson, L. G., Baum, J., Mudholkar, G. S., & Kollia, G. D. (1993). Benefits and disadvantages of joint hypermobility among musicians. New England Journal of Medicine, 329(15), 1079–1082. doi: 10.1056/NEJM199310073291504.
- Lönn, J. (2001). Assessment of movement and position sense: Methods, theories and applications (Master's thesis). Umeå University.
- Magermans, D. J., Chadwick, E. K., Veeger, H. E., & Van Der Helm, F. C. (2005). Requirements for upper extremity motions during activities of daily living. Clinical Biomechanics, 20(6), 591–599. doi: 10.1016/j.clinbiomech.2005.02.006.
- Malfait, F., Hakim, A. J., De Paepe, A., & Grahame, R. (2006). The genetic basis of the joint hypermobility syndromes. Rheumatology, 45(5), 502–507. doi: 10.1093/rheumatology/kei268.
- Mallik, A. K., Ferrell, W. R., McDonald, A. G., & Sturrock, R. D. (1994). Impaired proprioceptive acuity at the proximal interphalangeal joint in patients with the hypermobility syndrome. British Journal of Rheumatology, 33(7), 631–637. doi: 10.1093/rheumatology/33.7.631.
- Morrey, B. F., Askew, L. J., & Chao, E. Y. (1981). A biomechanical study of normal functional elbow motion. Journal of Bone and Joint Surgery. American Volume, 63(6), 872–877.
- Neumann, D. A. (2013). Kinesiology of the musculoskeletal system: Foundations for rehabilitation. Elsevier Health Sciences.
- Rowe, D. W., & Shapiro, J. R. (1993). Heritable disorders of structural proteins. In W. N. Kelley (Ed.), Textbook of rheumatology (pp. 1567–1592). Saunders Company.
- Sardelli, M., Tashjian, R. Z., & MacWilliams, B. A. (2011). Functional elbow range of motion for contemporary tasks. Journal of Bone and Joint Surgery. American Volume, 93(5), 471–477. doi: 10.2106/JBJS.I.01633.
- Schubert-Hjalmarsson, E., Ohman, A., Kyllerman, M., & Beckung, E. (2012). Pain, balance, activity, and participation in children with hypermobility syndrome. Pediatric Physical Therapy, 24(4), 339–344. doi: 10.1097/PEP.0b013e318268e0ef.
- Seçkin, U., Sonel, B., Yılmaz, O., Yağcı, I., Bodur, H., & Arasil, T. (2005). The prevalence of joint hypermobility among high school students. Rheumatology International, 25(4), 260–263. doi: 10.1007/s00296-003-0434-9.
- Selmani, M. (2017). Hipermobilite sendromunda postural kontrol mekanizmalarının araştırılması, Yayınlanmamış Yüksek Lisans Tezi, Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü.
- Sharma, L. (1999). Proprioceptive impairment in knee osteoarthritis. Rheumatic Disease Clinics of North America, 25(2), 299–314. doi: 10.1016/s0889-857x(05)70069-7.
- Stillman, B. C., Tully, E. A., & McMeeken, J. M. (2002). Knee joint mobility and position sense in healthy young adults. Physiotherapy, 88(9), 553–560. doi: 10.1016/S0031-9406(05)60138-1.
- Sümbüloğlu, K., & Sümbüloğlu, V. (2004). Biyoistatistik (7th ed.). Hatiboğlu Yayınevi.
- Şahin, N., Baskent, A., Çakmak, A., Salli, A., Uğurlu, H., & Berker, E. (2008). Evaluation of knee proprioception and effects of proprioception exercise in patients with benign joint hypermobility syndrome. Rheumatology International, 28(10), 995–1000. doi: 10.1007/s00296-008-0566-z.
- Şimşek, E. (2017). Fibromiyalji sendromlu kadın hastalarda hipermobilite ve yaşam kalitesi, Yayınlanmamış Uzmanlık Tezi, Yıldırım Beyazıt Üniversitesi.
- Wahezi, D. M., Ilovite, N., & Adam, H. M. (2009). Joint problems and hypermobility. Pediatrics in Review, 30(5), 187–189. doi: 10.1542/pir.30-5-187.
The Prevalence of Joint Hypermobility in Physiotherapy and Rehabilitation Students and Comparison of Differences in Upper Extremity Joint Position Sense
Yıl 2024,
Cilt: 1 Sayı: 1, 11 - 16, 31.12.2024
Özlem Nur Tok Yaman
,
Ayşe Ünal
,
Ayça Aracı
Öz
Purpose: The aim of this study was to determine the prevalence of hypermobility among physiotherapy and rehabilitation students and to investigate whether there was a difference in upper extremity joint position sense between individuals with and without hypermobility.
Methods: A total of 111 students from the physiotherapy and rehabilitation department who met the inclusion and exclusion criteria participated in the study. Hypermobility was assessed using the Beighton Score. Joint position sense evaluations were performed on the shoulder, elbow, and wrist joints.
Results: Hypermobility was detected in 41.4% of the participants. No significant difference was found in joint position sense of the shoulder, elbow, and wrist joints between individuals with and without hypermobility (p>0.05).
Conclusion: The findings indicated that hypermobility did not affect proprioceptive perception in the shoulder, elbow, and wrist joints. This result suggested that hypermobility does not have a significant impact on these specific joint regions.
Kaynakça
- Ak, C., & Takinacı, Z. D. (2019). Benign eklem hipermobilite sendromu olan ve olmayan lisans fizyoterapi öğrencilerinde alt ekstremite kas gücü ve denge skorlarının karşılaştırılması. Sağlık Profesyonelleri Araştırma Dergisi, 1(1), 13–17.
- Balke, M., Liem, D., Dedy, N., Thorwesten, L., & Poetzl, W. (2011). The laserpointer assisted angle reproduction test for evaluation of proprioceptive shoulder function in patients with instability. Archives of Orthopaedic and Trauma Surgery, 131(8), 1077–1084. doi: 10.1007/s00402-011-1285-6.
- Behrman, R. E., Kliegman, R. M., & Jenson, H. B. (2003). Nelson textbook of pediatrics (17th ed., pp. 2206–2207). Saunders.
- Beighton, P., Solomon, L., & Soskolne, C. (1973). Articular mobility in an African population. Annals of the Rheumatic Diseases, 32(5), 413–418. doi: 10.1136/ard.32.5.413.
- Bulbena, A., Agulló, A., Pailhez, G., Martín-Santos, R., Porta, M., & Guitart, J. (2004). Is joint hypermobility related to anxiety in a nonclinical population also? Psychosomatics, 45(5), 432–437. doi: 10.1176/appi.psy.45.5.432.
- Çelenay, Ş. T., & Özer, D. (2017). Benign eklem hipermobilite sendromu olan ve olmayan kadınlarda gövde kas enduransı ve denge skorlarının karşılaştırılması. Fizyoterapi Rehabilitasyon, 28(2), 47–53. doi: 10.21653/tfrd.336344.
- Engelbert, R. H., Bank, R. A., Sakkers, R. J., Helders, P. J., Beemer, F. A., & Uiterwaal, C. S. (2003). Pediatric generalized joint hypermobility with and without musculoskeletal complaints: A localized or systemic disorder? Pediatrics, 111(3), 248–254. doi: 10.1542/peds.111.3.e248.
- Engelbert, R. H., Kooijmans, F. T., van Riet, A. M., Feitsma, T. M., Uiterwaal, C. S., & Helders, P. J. (2005). The relationship between generalized joint hypermobility and motor development. Pediatric Physical Therapy, 17(4), 258–263. doi: 10.1097/01.pep.0000186505.32548.84.
- Engelbert, R. H., van Bergen, M., Henneken, T., Helders, P. J., & Takken, T. (2006). Exercise tolerance in children and adolescents with musculoskeletal pain in joint hypermobility and joint hypomobility syndrome. Pediatrics, 118(3), 690–696. doi: 10.1542/peds.2005-2219.
- 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. doi: 10.1093/rheumatology/ken435.
- Fatoye, F., Palmer, S., Macmillan, F., Rowe, P., & van der Linden, M. (2011). Pain intensity and quality of life perception in children with hypermobility syndrome. Rheumatology International, 32(5), 1277–1284. doi: 10.1007/s00296-010-1729-2.
- 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). doi: 10.21913/TAHS.v2i2.1606.
- Grahame, R. (2000). Pain, distress and joint hyperlaxity. Joint Bone Spine, 67(3), 157–163.
- Grahame, R. (2003). Hypermobility and hypermobility syndrome. In Hypermobility syndrome (pp. 1–14). Butterworth-Heinemann.
- Grahame, R., Bird, H. A., & Child, A. (2000). The revised (Brighton 1998) criteria for the diagnosis of benign joint hypermobility syndrome (BJHS). The Journal of Rheumatology, 27(7), 1777–1779.
- Haggerty, A. L., Simon, J. E., Grooms, D. R., & Russell, J. A. (2021). Effect of load, angle, and contraction type on clinically assessed knee joint position sense. Journal of Sport Rehabilitation, 30(8), 1166–1171. doi: 10.1123/jsr.2020-0552.
- Hall, M., Ferrell, W., Sturrock, R., & Hamblen, D. (1995). The effect of the hypermobility syndrome on knee joint proprioception. British Journal of Rheumatology, 34(2), 121–125. doi: 10.1093/rheumatology/34.2.121.
- Jessee, E. F., Owen, D. S., & Sagar, K. B. (1980). The benign hypermobile joint syndrome. Arthritis & Rheumatology, 23(9), 1053–1056. doi: 10.1002/art.1780230914.
- Larsson, L. G., Baum, J., Mudholkar, G. S., & Kollia, G. D. (1993). Benefits and disadvantages of joint hypermobility among musicians. New England Journal of Medicine, 329(15), 1079–1082. doi: 10.1056/NEJM199310073291504.
- Lönn, J. (2001). Assessment of movement and position sense: Methods, theories and applications (Master's thesis). Umeå University.
- Magermans, D. J., Chadwick, E. K., Veeger, H. E., & Van Der Helm, F. C. (2005). Requirements for upper extremity motions during activities of daily living. Clinical Biomechanics, 20(6), 591–599. doi: 10.1016/j.clinbiomech.2005.02.006.
- Malfait, F., Hakim, A. J., De Paepe, A., & Grahame, R. (2006). The genetic basis of the joint hypermobility syndromes. Rheumatology, 45(5), 502–507. doi: 10.1093/rheumatology/kei268.
- Mallik, A. K., Ferrell, W. R., McDonald, A. G., & Sturrock, R. D. (1994). Impaired proprioceptive acuity at the proximal interphalangeal joint in patients with the hypermobility syndrome. British Journal of Rheumatology, 33(7), 631–637. doi: 10.1093/rheumatology/33.7.631.
- Morrey, B. F., Askew, L. J., & Chao, E. Y. (1981). A biomechanical study of normal functional elbow motion. Journal of Bone and Joint Surgery. American Volume, 63(6), 872–877.
- Neumann, D. A. (2013). Kinesiology of the musculoskeletal system: Foundations for rehabilitation. Elsevier Health Sciences.
- Rowe, D. W., & Shapiro, J. R. (1993). Heritable disorders of structural proteins. In W. N. Kelley (Ed.), Textbook of rheumatology (pp. 1567–1592). Saunders Company.
- Sardelli, M., Tashjian, R. Z., & MacWilliams, B. A. (2011). Functional elbow range of motion for contemporary tasks. Journal of Bone and Joint Surgery. American Volume, 93(5), 471–477. doi: 10.2106/JBJS.I.01633.
- Schubert-Hjalmarsson, E., Ohman, A., Kyllerman, M., & Beckung, E. (2012). Pain, balance, activity, and participation in children with hypermobility syndrome. Pediatric Physical Therapy, 24(4), 339–344. doi: 10.1097/PEP.0b013e318268e0ef.
- Seçkin, U., Sonel, B., Yılmaz, O., Yağcı, I., Bodur, H., & Arasil, T. (2005). The prevalence of joint hypermobility among high school students. Rheumatology International, 25(4), 260–263. doi: 10.1007/s00296-003-0434-9.
- Selmani, M. (2017). Hipermobilite sendromunda postural kontrol mekanizmalarının araştırılması, Yayınlanmamış Yüksek Lisans Tezi, Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü.
- Sharma, L. (1999). Proprioceptive impairment in knee osteoarthritis. Rheumatic Disease Clinics of North America, 25(2), 299–314. doi: 10.1016/s0889-857x(05)70069-7.
- Stillman, B. C., Tully, E. A., & McMeeken, J. M. (2002). Knee joint mobility and position sense in healthy young adults. Physiotherapy, 88(9), 553–560. doi: 10.1016/S0031-9406(05)60138-1.
- Sümbüloğlu, K., & Sümbüloğlu, V. (2004). Biyoistatistik (7th ed.). Hatiboğlu Yayınevi.
- Şahin, N., Baskent, A., Çakmak, A., Salli, A., Uğurlu, H., & Berker, E. (2008). Evaluation of knee proprioception and effects of proprioception exercise in patients with benign joint hypermobility syndrome. Rheumatology International, 28(10), 995–1000. doi: 10.1007/s00296-008-0566-z.
- Şimşek, E. (2017). Fibromiyalji sendromlu kadın hastalarda hipermobilite ve yaşam kalitesi, Yayınlanmamış Uzmanlık Tezi, Yıldırım Beyazıt Üniversitesi.
- Wahezi, D. M., Ilovite, N., & Adam, H. M. (2009). Joint problems and hypermobility. Pediatrics in Review, 30(5), 187–189. doi: 10.1542/pir.30-5-187.