"Core" Muscle Endurance, Upper Extremity Muscle Strength, Grip Strength, and Hand-eye Coordination in Generalized Joint Hypermobility

NCT05896722 | Completed

• 1 other identifier: DT-03
• Study Type: observational
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

Every individual with joint hypermobility may not apply to a health institution because they do not have a complaint that will affect their daily life. Although hypermobility is a common clinical entity in the society, this issue has not been fully understood yet. In particular, individuals with GJH are either neglected in physiotherapy and rehabilitation evaluations and practices, or they encounter an incomplete assessment and physiotherapy practices. In this study, in order to better understand the effect of GJH on "core" muscle endurance, upper extremity strength, grip strength and coordination, we will include the individuals identified GJH among the university students (hypermobility severity ≥4/9 according to Beighton diagnostic criteria) as study group and the healthy peers as control group. We believe the results we will obtain at the end of our study will make a contribution to the literature in terms of revealing the role of "core" muscle endurance and upper extremity strength, grip strength and coordination in the evaluation and rehabilitation of individuals with GJH. In addition, it will contribute to the inclusion of individuals with GJH who are professional athletes, dancers or musicians in a more comprehensive evaluation program and the creation of physiotherapy and rehabilitation programs. According to the information we have obtained from the literature, it is a fact that hypermobility can increase the susceptibility to musculoskeletal system diseases. For this reason, early solutions to problems can be provided by evaluating hypermobility in patients who apply to health institutions with various musculoskeletal complaints, raising awareness of patients with hypermobility to prevent injuries caused by hypermobility, and strengthening muscles.

Conditions

Hypermobility, Joint; Muscle Weakness; Coordination Lack

Outcome Measures

Primary Outcomes (2)

• Alternate hand-wall toss test

  To measure hand-eye coordination, it is performed by changing hands by throwing and catching the ball against the wall. The action is repeated for a period of 30 seconds.

  One day

• Core muscle endurance tests

  Trunk flexion, trunk extension, side bridge exercises and prone bridge test developed by McGill will be used to evaluate core muscle endurance.

  One day

Secondary Outcomes (3)

• Upper extremity muscle strength measurement

  One day

• Grip strength measurement

  One day

• Pinch strength measurement

  One day

Study Arms (2)

Study group

27 young adults aged 17-26 who scored 4 or more according to the Beighton scoring

Other: Core muscle endurance; Other: Upper extremity muscle strength; Other: Grip strength; Other: Pinch strength; Other: Alternate hand-wall toss test

Control group

27 young adults aged 17-26 who scored less than 4 points according to the Beighton scoring

Other: Core muscle endurance; Other: Upper extremity muscle strength; Other: Grip strength; Other: Pinch strength; Other: Alternate hand-wall toss test

Interventions

Core muscle endurance OTHER

Trunk flexion, trunk extension, side bridge exercises and prone bridge test developed by McGill will be used to evaluate core muscle endurance.

Control group; Study group

Upper extremity muscle strength OTHER

Isometric muscle strength assessment of the shoulder, elbow and wrist muscles will be performed with a hand-held dynamometer.

Control group; Study group

Grip strength OTHER

Grip strength will be evaluated with a hand dynamometer in the position recommended by the American Association of Hand Therapists.

Control group; Study group

Pinch strength OTHER

Pinch strength will be evaluated with a pinchmeter in three positions.

Control group; Study group

Alternate hand-wall toss test OTHER

To measure hand-eye coordination, it is performed by changing hands by throwing and catching the ball against the wall.

Control group; Study group

Eligibility Criteria

• Age: 17 Years - 26 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Young adults between the ages of 17-26 years with a score of 4 or higher according to the Beighton criteria.

You may qualify if:

• Getting a score of 4 or higher according to the Beighton criteria
• Being between the ages of 17-26

You may not qualify if:

• Presence of benign joint hypermobility syndrome
• Presence of any neurological, rheumatic, musculoskeletal, metabolic and connective tissue disease
• History of fracture in the upper extremity
• History of pain, deformity or surgery associated with the vertebral column and upper extremity
• Presence of cognitive, mental and/or serious psychiatric illness
• Participating in any exercise program or sportive activity in the last six months

Sponsors & Collaborators

• Bezmialem Vakif University: lead

Study Sites (1)

Bezmialem Vakif University

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Joint Instability; Muscle Weakness; Ataxia

Interventions

Hand Strength; Pinch Strength

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Muscular Diseases; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Dyskinesias

Intervention Hierarchy (Ancestors)

Muscle Strength; Physical Examination; Diagnostic Techniques and Procedures; Diagnosis; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Deniz Tuncer, PhD, PT

  Bezmialem Vakif University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: May 8, 2023
• First Posted: June 9, 2023
• Study Start: April 25, 2023
• Primary Completion: September 1, 2023
• Study Completion: September 18, 2023
• Last Updated: September 21, 2023

Record last verified: 2023-09

Locations

TU (1)