Physiotherapy and occupational therapy in the hypermobile adult

Joint hypermobility syndrome (JHS) is underrecognized, poorly understood and, sadly, often poorly managed (Beighton 1999). The syndrome does not necessarily cause problems and for many individuals it can be an asset, amply illustrated in the world of music, dance and sport. For others it can be a liability, producing significant problems which are often ignored by the medical profession (Phipps 2003, HMSA 2006). Early recognition and appropriate management can decrease suffering, reduce the need for unnecessary tests and invasive procedures, help to avoid surgery, reduce chronic pain and fear (Cherpel & Marks 1999) and prevent the destructive spiral into depression and physical deconditioning. It is the aim of this chapter to discuss the presentation of the syndrome to aid recognition and diagnosis by primary care practitioners and to explore assessment and management strategies to decrease suffering and disability, increase function and enable the hypermobile individual to effectively self-manage the condition.