Online Program

Benign joint hypermobility syndrome (BJHS): A public health clinical brief

Monday, November 4, 2013 : 3:20 p.m. - 3:30 p.m.

Michael Ramcharan, DC, MPH, EdD, Department of Clinical Sciences, Texas Chiropractic College, Clinical Sciences Department, Pasadena, TX
Lyndsay Andrews, R.T. (R) (CT), Cleveland Chiropractic College, Overland Park, KS
Objectives: Healthy People 2020 list musculoskeletal disorders among the most common causes of disability in the United States. Benign Joint Hypermobility Syndrome (BJHS) is an underdiagnosed disorder in which many of the associated clinical symptoms can be reduced or treated if recognized early. Chiropractic physicians and manual therapists should recognize that BJHS may be a relative contraindication to high-velocity, low amplitude manipulation. The purpose of this presentation is to provide a narrative overview of BJHS and review the Beighton score. Methods: A search for the terms benign joint hypermobility syndrome, Brighton criteria, Beighton hypermobility score and chiropractic on PubMed yielded 77 reports including history, clinical presentation, diagnosis, treatment, and prognosis. We surveyed 22 articles that focused on evaluation and diagnostic criteria for BJHS. Results: BJHS is diagnosed by patient history and using Brighton criteria, which consists of the presence of 2 major criteria; 1 major criterion plus 2 minor criteria; or 4 minor criteria. The Beighton hypermobility score can also be used in assessing for hypermobility of peripheral joints and the spine. One point is awarded for the ability to perform each of 4 maneuvers (bilaterally) and 1 point for having an unusually flexible spine with a total of 9 possible points, with a score of 4 or more, in adults indicating joint hypermobility. Conclusion: With an increasing public health concern of musculoskeletal disorders, BJHS should be properly diagnosed. Chiropractic physicians should be aware of this clinical presentation to improve clinical outcomes in accordance with Healthy People 2020 goals.

Learning Areas:

Clinical medicine applied in public health
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Public health or related education

Learning Objectives:
Describe the incidence rate of Benign Joint Hypermobility Syndrome. Differentiate Benign Joint Hypermobility Syndrome to other musculoskeletal syndromes. Formulate a procedure in screening for Benign Joint Hypermobility Syndrome. Discuss the clinical implications to clinical practice for Chiropractic Physicians.

Keyword(s): Chiropractic, Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have completed research on several studies related to benign joint hypermobility syndrome.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.