Musculoskeletal complaints, physical activity and health-related quality of life among patients with the Ehlers-Danlos syndrome hypermobility type.


Abstract

PURPOSE:
To investigate the musculoskeletal complaints, physical activity (PA) and health-related quality of life (HRQoL) in patients with the Ehlers-Danlos syndrome hypermobility type (EDS-HT).

METHODS:
Thirty-two female EDS-HT patients as defined by the Villefranche criteria and 32 gender- and age-matched healthy control subjects participated in the study.

Data about musculoskeletal complaints were collected from a specific form developed for the study.

Daily PA and HRQoL were evaluated by the Baecke questionnaire and the RAND 36-Item Health Survey (distributed by RAND), respectively.

RESULTS:
A significant presence of joint pain, joint dislocations, muscle cramps, tendinitis, fatigue and headache were revealed in the EDS-HT patient group.

Joint pain was reported as the most frequent and most severe symptom.

The habitual PA level was diminished in the patient group. Specifically, EDS-HT subjects had significantly lower sport participation, but a comparable leisure time excluding sports compared to the healthy control subjects.

All eight HRQoL dimensions of the RAND-36 and both physical and emotional summary scores were significantly impaired in EDS-HT.

CONCLUSIONS:
EDS-HT is characterised by various severe musculoskeletal complaints and has a detrimental effect on the habitual level of PA and HRQoL, in both physical and psychosocial dimension.

An appropriate treatment and management in healthcare is needed.


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Publication date

2010-06-14


Journal

Disability and rehabilitation
Disabil Rehabil (0963-8288)

Journal topics


Language

Eng.


Copyright

Disability and rehabilitation

Department of Rehabilitation Sciences and Physiotherapy, Artevelde University College, Ghent University, and Centre of Medical Genetics, Ghent University Hospital, Ghent, Belgium. lies.rombaut [at] ugent.be


Release reference

Disabil Rehabil. 2010 ;32(16):1339-45



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