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良性关节过度活动综合征的临床管理:病例系列

Clinical management of benign joint hypermobility syndrome: a case series.

作者信息

Boudreau Patricia Adele, Steiman Igor, Mior Silvano

机构信息

Private practice.

Department of Clinical Education, Canadian Memorial Chiropractic College.

出版信息

J Can Chiropr Assoc. 2020 Apr;64(1):43-54.

Abstract

BACKGROUND

Benign Joint Hypermobility Syndrome (BJHS) is a relatively prevalent condition of the spectrum of heritable connective tissue disorders, with musculoskeletal, visceral and psychological manifestations. The conservative management of the musculoskeletal symptomatology must be modified for optimal effectiveness and minimal sequelae.

PURPOSE

To provide an overview of the presentation, assessment, chiropractic management, and outcomes of patients with BJHS.

STUDY DESIGN

Case series.

DISCUSSION

Recognizing joint hypermobility as a significant contributing factor in patients presenting with musculoskeletal complaints is often challenging. The lack of awareness of BJHS may delay the diagnosis as well as effective management. Manual therapy should be used judiciously; active exercise is an essential element of care. We provide an overview of the presentations, assessment, chiropractic management, and outcomes of three patients with BJHS. Future clinical trials are necessary to determine effective clinical management strategies for patients with BJHS.

摘要

背景

良性关节过度活动综合征(BJHS)是遗传性结缔组织疾病谱中一种相对常见的病症,具有肌肉骨骼、内脏和心理表现。必须对肌肉骨骼症状的保守治疗进行调整,以实现最佳疗效并减少后遗症。

目的

概述BJHS患者的临床表现、评估、整脊治疗及治疗结果。

研究设计

病例系列。

讨论

认识到关节过度活动是出现肌肉骨骼症状患者的一个重要促成因素往往具有挑战性。对BJHS缺乏认识可能会延迟诊断以及有效的治疗。手法治疗应谨慎使用;主动运动是护理的重要组成部分。我们概述了3例BJHS患者的临床表现、评估、整脊治疗及治疗结果。未来有必要进行临床试验,以确定BJHS患者有效的临床管理策略。

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