Introduction

Hypermobile joints display a range of movement that is considered excessive, taking into consideration the age, gender and ethnic background of the individual. Joint hypermobility may present in a single joint, a few joints or in multiple joints and may be congenital or acquired with training, disease or injury. Hypermobile joints may be asymptomatic or may be associated with pain, fatigue, multisystemic complaints and significant disability. Furthermore, joint hypermobility may be a sign of an underlying hereditary disorder of connective tissue.

Purpose

This masterclass aims to provides a state-of-the-art review of the aetiology, epidemiology, clinical presentation, assessment and management of joint hypermobility and hypermobility related disorders using an evidence based and biopsychosocial approach. The new framework for classifying the spectrum of joint hypermobility disorders along with new diagnostic criteria for the hypermobile Ehlers Danlos syndrome, published by an international consortium of clinical experts and researchers in 2017 is integrated into the paper.

Implications for practice

People with joint hypermobility related disorders present to healthcare professionals with a wide range of symptoms which extend beyond the musculoskeletal system. Early recognition and treatment are key to effective management. A biopsychosocial and patient empowerment approach to functional restoration is recommended.

中文翻译：

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大师班：过度活动和过度活动相关疾病

介绍

考虑到个人的年龄、性别和种族背景，超活动关节显示出一系列被认为过度的运动。关节过度活动可能出现在单个关节、几个关节或多个关节中，可能是先天性的，也可能是训练、疾病或受伤后获得的。过度活动关节可能无症状，或可能伴有疼痛、疲劳、多系统不适和严重残疾。此外，关节过度活动可能是结缔组织潜在遗传性疾病的征兆。

目的

该大师班旨在使用基于证据的生物心理社会方法对关节过度活动和过度活动相关疾病的病因学、流行病学、临床表现、评估和管理进行最先进的审查。由国际临床专家和研究人员联盟于 2017 年发布的用于对关节过度活动障碍进行分类的新框架以及过度活动 Ehlers Danlos 综合征的新诊断标准被整合到论文中。

对实践的影响

患有关节过度活动相关疾病的人会向医疗保健专业人员提出广泛的症状，这些症状超出了肌肉骨骼系统。早期识别和治疗是有效管理的关键。建议采用生物心理社会和患者赋权方法进行功能恢复。