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Artikel ; Online: Assessment of gait mechanics and muscle strength in hypermobile Ehlers Danlos Syndrome.

Ball, Lindsey N / Jacobs, Mariana V / McLouth, Christopher J / Clasey, Jody / Francomano, Clair / Sheppard, Mary B / Samaan, Michael A

Clinical biomechanics (Bristol, Avon)

2024  Band 113, Seite(n) 106210

Abstract: Background: Hypermobile Ehlers Danlos Syndrome, a heritable connective tissue disorder, is associated with muscle dysfunction, joint subluxations and pain. The impact of hypermobile Ehlers Danlos Syndrome on musculoskeletal mechanics is understudied. ... ...

Abstract Background: Hypermobile Ehlers Danlos Syndrome, a heritable connective tissue disorder, is associated with muscle dysfunction, joint subluxations and pain. The impact of hypermobile Ehlers Danlos Syndrome on musculoskeletal mechanics is understudied. Therefore, the aim of this study was to assess the effects of hypermobile Ehlers Danlos Syndrome on lower extremity gait mechanics and muscle strength.
Methods: Eleven people with hypermobile Ehlers Danlos Syndrome and 11 asymptomatic controls underwent a 3D gait analysis and isometric hip and knee muscle strength assessment. Joint subluxations were self-reported by the hypermobile Ehlers Danlos syndrome group. Independent t-tests and Mann Whitney U tests were used to analyze joint mechanics, muscle strength, and patient report outcomes (p < 0.05).
Findings: Both groups exhibited similar walking speeds as well as similar hip, knee, and ankle joint kinematics. The hypermobile Ehlers Danlos Syndrome group walked with a lower peak hip extensor moment (hypermobile Ehlers Danlos Syndrome: -0.52 ± 0.28 Nmˑkg
Interpretation: Patients with hypermobile Ehlers Danlos Syndrome ambulated with altered hip extensor moments and exhibit hip extensor weakness. Future work should investigate the underlying mechanisms of hip extensor weakness and corresponding effects on joint health in people with hypermobile Ehlers Danlos Syndrome.
Mesh-Begriff(e) Humans ; Ehlers-Danlos Syndrome ; Gait/physiology ; Joint Dislocations ; Muscle Strength/physiology ; Joint Instability
Sprache Englisch
Erscheinungsdatum 2024-02-18
Erscheinungsland England
Dokumenttyp Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID 632747-3
ISSN 1879-1271 ; 0268-0033
ISSN (online) 1879-1271
ISSN 0268-0033
DOI 10.1016/j.clinbiomech.2024.106210
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