SavedAdd your journal

Journals / Ergoterapi ve Rehabilitasyon Dergisi / 2025 / Cilt: 13 Sayı: 3

Evaluation of Postural Habits and Awareness in Young Adults with Generalized Joint Hypermobility

Genel Eklem Hipermobilitesi Olan Genç Erişkinlerde Postüral Alışkanlıkların ve Farkındalığın Değerlendirilmesi

Ramazan Yıldız(ERZURUM TEKNİK ÜNİVERSİTESİ)0000-0002-8007-7854
Ayşe Yıldız(ERZURUM TECHNICAL UNIVERSITY)0000-0002-1101-1069
Pages
186–192
Publication Date
2025-09-03
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Postural exercises and posture re-education of individuals with generalized joint hypermobility may be beneficial in the development of postural awareness.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: The aim of this study was to evaluate postural habits and awareness in individuals with generalized joint hypermobility (GJH).
📊
Key Findings & Data:Material and Methods: 86 participants (44 participants with GJH and 42 participants without GJH) were included in the study.
💡
Conclusion & Impact:Postural exercises and posture re-education of individuals with generalized joint hypermobility may be beneficial in the development of postural awareness.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Farkındalık · Eklem hipermobilitesi · Postür

Abstract

Purpose: The aim of this study was to evaluate postural habits and awareness in individuals with generalized joint hypermobility (GJH). Material and Methods: 86 participants (44 participants with GJH and 42 participants without GJH) were included in the study. Generalized joint hypermobility was determined with the Beighton score, while postural awareness was evaluated with the Postural Habits and Awareness Scale (PHAS). Results: In the three subscales of PHAS, postural habits and awareness, positional awareness, and ergonomic awareness scores were lower in individuals with GJH (p<0.05). The GJH group had higher scores in the awareness of factors disrupting posture subtest (p<0.05). Discussion: Postural habits and awareness results were significantly different in young individuals aged 18-25 with joint hypermobility compared to those without GJH. Postural exercises and posture re-education of individuals with generalized joint hypermobility may be beneficial in the development of postural awareness.

Özet

Amaç: Bu çalışmanın amacı Genel Eklem Hipermobilitesi (GEH) olan kişilerde postüral alışkanlık ve farkındalığın değerlendirilmesiydi. Gereç ve Yöntem: Çalışmaya 86 katılımcı (GEH olan 44 katılımcı ve GEH olmayan 42 katılımcı) dahil edildi. GEH, Beighton skoruyla belirlenirken, postüral farkındalık Postüral Alışkanlık ve Farkındalık Ölçeği (PAFÖ) ile değerlendirildi. Sonuçlar: PAFÖ'nün üç alt ölçeği olan, postüral alışkanlıklar ve farkındalık, pozisyonel farkındalık ve ergonomik farkındalık puanları GEH olan bireylerde daha düşüktü (p<0,05). Postürü bozan faktörlerin farkındalığı alt testindeki puanlar GEH grubu lehine daha yüksekti (p<0,05). Tartışma: Postüral alışkanlık ve farkındalık sonuçları, eklem hipermobilitesi olan 18-25 yaş arası genç bireylerde GEH olanlara göre anlamlı derecede farklıydı. Genel eklem hipermobilitesi olan bireylerde postüral egzersizler ve postür eğitimi, postüral farkındalığın geliştirilmesinde faydalı olabilir.

🔖

Cite This Article

Yıldız, R., Yıldız, A. (2025). Evaluation of Postural Habits and Awareness in Young Adults with Generalized Joint Hypermobility. Ergoterapi ve Rehabilitasyon Dergisi, Cilt: 13 Sayı: 3, 186–192. https://doi.org/10.30720/ered.1543835

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (32)

  1. Akkaya, K. U., Burak, M., Erturan, S., Yildiz, R., Yildiz, A., & Elbasan, B. (2022). An investigation of body awareness, fatigue, physical fitness, and musculoskeletal problems in young adults with hypermobility spectrum disorder. Musculoskeletal Science and Practice, 62, 102642. https://doi.org/10.1016/j.msksp.2022.102642
  2. Akkaya, K. U., Burak, M., Yildiz, R., Yildiz, A., & Elbasan, B. (2023). Examination of foot sensations in children with generalized joint hypermobility. Early Human Development, 180, 105755. https://doi.org/10.1016/j.earlhumdev.2023.105755
  3. Bayar, B., Güp, A. A., Özen Oruk, D., İpek Dongaz, Ö., Doğu, E., & Bayar, K. (2023). Development of the Postural Habits and Awareness Scale: a reliability and validity study. International Journal of Occupational Safety and Ergonomics, 29(2), 815–820. https://doi.org/10.1080/10803548.2022.2082694
  4. Booshanam, D. S., Cherian, B., Joseph, C. P. A., Mathew, J., & Thomas, R. (2011). Evaluation of posture and pain in persons with benign joint hypermobility syndrome. Rheumatology International, 31, 1561-1565. https://doi.org/ 10.1007/s00296-010-1514-2
  5. Castori, M., & Hakim, A. (2017). Contemporary approach to joint hypermobility and related disorders. Current Opinion in Pediatrics, 29(6), 640-649. https://doi.org/ 10.1097/MOP.0000000000000541
  6. Clinch, J., Deere, K., Sayers, A., Palmer, S., Riddoch, C., Tobias, J. H., & Clark, E. M. (2011). Epidemiology of generalized joint laxity (hypermobility) in fourteen‐year‐old children from the UK: a population‐based evaluation. Arthritis & Rheumatism, 63(9), 2819-2827. https://doi.org/10.1002/art.30435
  7. Cramer, H., Mehling, W. E., Saha, F. J., Dobos, G., & Lauche, R. (2018). Postural awareness and its relation to pain: validation of an innovative instrument measuring awareness of body posture in patients with chronic pain. BMC Musculoskeletal Disorders, 19, 1-10. https://doi.org/10.1186/s12891-018-2031-9
  8. Fatoye, F., Palmer, S., Macmillan, F., Rowe, P., & van der Linden, M. (2009). Proprioception and muscle torque deficits in children with hypermobility syndrome. Rheumatology, 48(2), 152-157. https://doi.org/ 10.1093/rheumatology/ken435
  9. Fitzcharles, M. (2000). Is hypermobility a factor in fibromyalgia? The Journal of Rheumatology, 27(7), 1587-1589.
  10. Fonseka, L., Massy-Westropp, N., Milanese, S., & Burlakoti, A. (2021). Thumb proprioception in hypermobile and non-hypermobile adults: an observational study. The Allied Health Scholar, 2(2). https://doi.org/ 10.21913/TAHS.v2i2.1606
  11. Hakim, A., & Grahame, R. (2003). Joint hypermobility. Best Practice & Research Clinical Rheumatology, 17(6), 989-1004. https://doi.org/ 10.1016/j.berh.2003.08.001
  12. Hall, M., Ferrell, W., Sturrock, R., Hamblen, D., & Baxendale, R. (1995). The effect of the hypermobility syndrome on knee joint proprioception. Rheumatology, 34(2), 121-125. https://doi.org/ 10.1093/rheumatology/34.2.121
  13. Ituen, O. A., Duysens, J., Ferguson, G., & Smits-Engelsman, B. (2024). The strength of balance: strength and dynamic balance in children with and without hypermobility. PloS One, 19(6), e0302218. https://doi.org/ 10.1371/journal.pone.0302218
  14. Ivanenko, Y., & Gurfinkel, V. S. (2018). Human postural control. Frontiers in Neuroscience, 12, 171. https://doi.org/ 10.3389/fnins.2018.00171
  15. Jessee, E. F., Owen JR, D. S., & Sagar, K. B. (1980). The benign hypermobile joint syndrome. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology, 23(9), 1053-1056. https://doi.org/ 10.1002/art.1780230914
  16. Jindal, P., Narayan, A., Ganesan, S., & MacDermid, J. C. (2016). Muscle strength differences in healthy young adults with and without generalized joint hypermobility: a cross-sectional study. BMC Sports Science, Medicine and Rehabilitation, 8, 1-9. https://doi.org/10.1186/s13102-016-0037-x
  17. Junge, T., Jespersen, E., Wedderkopp, N., & Juul-Kristensen, B. (2013). Inter-tester reproducibility and inter-method agreement of two variations of the Beighton test for determining generalised joint hypermobility in primary school children. BMC Pediatrics, 13, 1-8. https://doi.org/ 10.1186/1471-2431-13-214
  18. Juul-Kristensen, B., Johansen, K., Hendriksen, P., Melcher, P., Sandfeld, J., & Jensen, B. R. (2016). Girls with generalized joint hypermobility display changed muscle activity and postural sway during static balance tasks. Scandinavian Journal of Rheumatology, 45(1), 57-65. https://doi.org/ 10.3109/03009742.2015.1041154
  19. Juul‐Kristensen, B., Schmedling, K., Rombaut, L., Lund, H., & Engelbert, R. H. (2017). Measurement properties of clinical assessment methods for classifying generalized joint hypermobility—a systematic review. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 75(1), 116-147. https://doi.org/10.1002/ajmg.c.31540
  20. Keer, R., & Simmonds, J. (2011). Joint protection and physical rehabilitation of the adult with hypermobility syndrome. Current Opinion in Rheumatology, 23(2), 131-136. https://doi.org/ 10.1097/BOR.0b013e328342d3af
  21. Kumar, B., & Lenert, P. (2017). Joint hypermobility syndrome: recognizing a commonly overlooked cause of chronic pain. The American Journal of Medicine, 130(6), 640-647. https://doi.org/ 10.1016/j.amjmed.2017.02.013
  22. Malfait F., Francomano C., Byers P., Belmont J., Berglund B., Black J., Bloom L., Bowen J. M., Brady A. F., Burrows N. P., Castori M., Cohen H., Colombi M., Demirdas S., De Backer J., De Paepe A., Fournel-Gigleux S., Frank M., Ghali N., Giunta C., Grahame R., Hakim A., Jeunemaitre X., Johnson D., Juul-Kristensen B., Kapferer-Seebacher I., Kazkaz H., Kosho T., Lavallee M. E., Levy H., Mendoza-Londono R., Pepin M., Pope F. M., Reinstein E., Robert L., Rohrbach M., Sanders L., Sobey G. J., Van Damme T., Vandersteen A., van Mourik C., Voermans N., Wheeldon N., Zschocke J., Tinkle B. (2017). The 2017 international classification of the Ehlers–Danlos syndromes. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 175(1), 8-26. https://doi.org/10.1002/ajmg.c.31552
  23. Mallik, A., Ferrell, W., McDonald, A., & Sturrock, R. (1994). Impaired proprioceptive acuity at the proximal interphalangeal joint en patients with the hypermobility syndrome. British Journal of Rheumatology, 33(7):631–637. https://doi.org/ 10.1093/rheumatology/33.7.631
  24. Nijs, J., Aerts, A., & De Meirleir, K. (2006). Generalized joint hypermobility is more common in chronic fatigue syndrome than in healthy control subjects. Journal of Manipulative and Physiological Therapeutics, 29(1), 32-39. https://doi.org/ 10.1016/j.jmpt.2005.11.004
  25. Remvig, L., Jensen, D. V., & Ward, R. C. (2007). Epidemiology of general joint hypermobility and basis for the proposed criteria for benign joint hypermobility syndrome: review of the literature. The Journal of Rheumatology, 34(4), 804-809.
  26. Riemann, B. L., & Lephart, S. M. (2002). The sensorimotor system, part II: the role of proprioception in motor control and functional joint stability. Journal of Athletic Training, 37(1), 80-84.
  27. Scheper, M. C., de Vries, J. E., Juul-Kristensen, B., Nollet, F., & Engelbert, R. H. (2014). The functional consequences of generalized joint hypermobility: a cross-sectional study. BMC Musculoskeletal Disorders, 15, 1-9. https://doi.org/ 10.1186/1471-2474-15-243
  28. Simmonds, J. V., & Keer, R. J. (2007). Hypermobility and the hypermobility syndrome. Manual Therapy, 12(4), 298-309. https://doi.org/ 0.1016/j.math.2007.05.001
  29. Sohrbeck-Nøhr, O., Kristensen, J. H., Boyle, E., Remvig, L., & Juul-Kristensen, B. (2014). Generalized joint hypermobility in childhood is a possible risk for the development of joint pain in adolescence: a cohort study. BMC Pediatrics, 14, 1-9. https://doi.org/ 10.1186/s12887-014-0302-7
  30. Verma, C., Walankar, P., & Patkar, D. (2018). Influence of generalized joint hypermobility on knee joint proprioception in asymptomatic healthy women. International Journal of Physical Education, Sports and Health, 5(3), 151-153.
  31. Winter, D. A., Patla, A. E., & Frank, J. S. (1990). Assessment of balance control in humans. Medical Progress through Technology, 16(1-2), 31-51.
  32. Wolf, J. M., Cameron, K. L., & Owens, B. D. (2011). Impact of joint laxity and hypermobility on the musculoskeletal system. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 19(8), 463-471. https://doi.org/ 10.5435/00124635-201108000-00002