Guest guest Posted November 8, 2001 Report Share Posted November 8, 2001 Someone anonymously responded thus: <<It is likely that pelvic stabilization exercises using gym ball or rocker board activities will be indicated in this case. The ability to co-contract the muscles of the multifidi and the transversus abdominis will stabilize the pelvis and strengthen the necessary muscles to control movement on the level of the central nervous system. >> Note: No references stated to support this comment. --------------------- Isamu Konishi <alfa2001@...> Would you kindly provide me with information on hypermobility syndrome? I'm a physical therapist by profession. I have been looking for guidelines for treatment for the syndrome, which one of my patients suffers from. The patient, who is a 27-year-old care worker, was referred to me by his orthopedic doctor for therapeutic exercises a few months ago. The doctor diagnosed his illness, which had caused a moderate low back pain, as L4/5 disc degeneration. I carried out several tests of the lumbosacral-lower limb scan examination and there were such objective findings as: - moderate loss of lumbar movement toward extension, - painful limitation of hip external rotation in weight-bearing legs and - hyperextended knees (greater than 10 degrees). He received regular outpatient treatment and the pain gradually decreased. By chance, however, I found that he could perform the following maneuvers. - passive apposition of thumbs to the flexor aspect of the forearm - hyperextension of elbows (greater than 10 degrees) Furthermore, he used to be able to perform: - flexion of trunk with knees extended so palms rest on the floor. The diagnosis of hypermobility can be made in this case. Hypermobility per se is a state, not a disease. However, it may lead to generalized arthralgia or localized symptoms. The term " hypermobility syndrome " is defined as a combination of hypermobility with arthralgia, low back pain, frequent dislocation or sprains. For the sake of prevention against such arthralgia or symptoms, I would like to suggest that home exercises to be done. Are there any guidelines for treatment? Any specific exercises? Any information on this matter will be appreciated. Thank you in advance. Isamu Konishi Niigata, Japan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2001 Report Share Posted November 8, 2001 I am sorry, not intended anonymously. I am Pringle, DC, MS. A chiropractor wiht masters degree in motor behavior. The literature on pelvic stabilization is best found in Janda's work, a physiatrist Czech and two Australian PTs, I do not recall their names, I am in my office but will provide them to you. I can be reached at rkpringle@.... [Previous letters on this list have provided references which point out that much of Janda's work is based upon hypothesis and opinion, not definitive research. The work done by the Aussies and others on pelvic stabilisation refers solely to static postural activities and has not yet been extended to include dynamic sporting actions. Some chiropractors have been especially critical of Janda's work and feel that it has been far too readily accepted on the basis of minimal evidence (see our archives). However, it will be interesting to see that list, so please do ahead and send them to us. Mel Siff] Pringle .... Gobi Desert...? -----Original Message----- From: supertraining@... Someone anonymously responded thus: <<It is likely that pelvic stabilization exercises using gym ball or rocker board activities will be indicated in this case. The ability to co-contract the muscles of the multifidi and the transversus abdominis will stabilize the pelvis and strengthen the necessary muscles to control movement on the level of the central nervous system. >> Note: No references stated to support this comment. --------------------- Isamu Konishi <alfa2001@...> Would you kindly provide me with information on hypermobility syndrome? I'm a physical therapist by profession. I have been looking for guidelines for treatment for the syndrome, which one of my patients suffers from. The patient, who is a 27-year-old care worker, was referred to me by his orthopedic doctor for therapeutic exercises a few months ago. The doctor diagnosed his illness, which had caused a moderate low back pain, as L4/5 disc degeneration. I carried out several tests of the lumbosacral-lower limb scan examination and there were such objective findings as: - moderate loss of lumbar movement toward extension, - painful limitation of hip external rotation in weight-bearing legs and - hyperextended knees (greater than 10 degrees). He received regular outpatient treatment and the pain gradually decreased. By chance, however, I found that he could perform the following maneuvers. - passive apposition of thumbs to the flexor aspect of the forearm - hyperextension of elbows (greater than 10 degrees) Furthermore, he used to be able to perform: - flexion of trunk with knees extended so palms rest on the floor. The diagnosis of hypermobility can be made in this case. Hypermobility per se is a state, not a disease. However, it may lead to generalized arthralgia or localized symptoms. The term " hypermobility syndrome " is defined as a combination of hypermobility with arthralgia, low back pain, frequent dislocation or sprains. For the sake of prevention against such arthralgia or symptoms, I would like to suggest that home exercises to be done. Are there any guidelines for treatment? Any specific exercises? Any information on this matter will be appreciated. Thank you in advance. Isamu Konishi Niigata, Japan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2001 Report Share Posted November 8, 2001 Someone anonymously responded thus: <<It is likely that pelvic stabilization exercises using gym ball or rocker board activities will be indicated in this case. The ability to co-contract the muscles of the multifidi and the transversus abdominis will stabilize the pelvis and strengthen the necessary muscles to control movement on the level of the central nervous system. >> Oy Vay! It's amazing how many gullible people still believe that all you have to do is set foot on some sort of unstable surface to magically produce " optimal " recruitment of the transverse abdominis and multifidus!! Burkhardt Strength and Conditioning Coach UC Irvine Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2001 Report Share Posted November 8, 2001 , I don't find it amazing at all. When was the last time you saw an infomercial for barbells and squat racks? Jeff Fahrenbruch MPT CSCS Phx. Az Burkhardt wrote: > Someone anonymously responded thus: > > <<It is likely that pelvic stabilization exercises using gym ball or rocker > board activities will be indicated in this case. The ability to co-contract > the muscles of the multifidi and the transversus abdominis will stabilize > the pelvis and strengthen the necessary muscles to control movement on the > level of the central nervous system. >> > > Oy Vay! It's amazing how many gullible people still believe that all you > have to do is set foot on some sort of unstable surface to magically produce > " optimal " recruitment of the transverse abdominis and multifidus!! > > Burkhardt > Strength and Conditioning Coach > UC Irvine > > > Modify or cancel your subscription here: > > mygroups > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 14, 2004 Report Share Posted May 14, 2004 Hypermobility Syndrome (Joint Hypermobility Syndrome) Medical Author: C. Shiel Jr., MD, FACP, FACR http://www.medicinenet.com/Hypermobility_Syndrome/article.htm What is the joint hypermobility syndrome? The joint hypermobility syndrome is a condition that features joints that easily move beyond the normal range expected for a particular joint. The joint hypermobility syndrome is considered a benign condition. It is estimated that 10-15% of normal children have hypermobile joints, i.e. joints that can move beyond the normal range of motion. There is definitely a tendency of the condition to run in families (familial). Joint hypermobility is also a feature of a rare, but more significant medical condition called Ehlers-Danlos syndrome that is characterized by weakness of the connective tissues of the body. This condition is inherited in certain genes passed on by parents to their children. What are the symptoms and signs of joint hypermobility? Because the joints are capable of excessive motion in persons with the joint hypermobility syndrome, they are susceptible to injury. Symptoms of the joint hypermobility syndrome include pains in the knees, fingers, hips, and elbows. There is a higher incidence of dislocation and sprains of involved joints. Scoliosis (curvature of the spine) is seen more frequently associated with hypermobile joints. Joint hypermobility tends to decrease with aging as we become naturally less flexible. Signs of the syndrome are the ability to place the palms of the hands on the floor with the knees fully extended, hyperextension of the knee or elbow beyond 10 degrees, and the ability to touch the thumb to the forearm. How is hypermobility syndrome treated? Often joint hypermobility causes no symptoms and requires no treatment. Many individuals with the joint hypermobility syndrome improve in adulthood. Treatments are customized for each individual based on their particular manifestations. Joint pains can be relieved by medications for pain or inflammation. Proper physical fitness exercise can strengthen muscles and stability, but the nature of the exercise should be designed to avoid injury to joints. © 1996-2004 MedicineNet, Inc. All rights reserved. Copyright and Legal Disclaimer. Quote Link to comment Share on other sites More sharing options...
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