Imperial College London
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Prof Caroline Alexander

Faculty of Medicine, Department of Surgery & Cancer

Professor of Practice (Musculoskeletal Physiotherapy)
 
 
 
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Contact

 

caroline.alexander

 
 
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Location

 

Department of PhysiotherapyCharing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Alexander:2019:10.1016/j.apmr.2018.11.021,
author = {Alexander, C and To, M},
doi = {10.1016/j.apmr.2018.11.021},
journal = {Archives of Physical Medicine and Rehabilitation},
pages = {1243--1250},
title = {Are people with joint hypermobility syndrome slow to strengthen?},
url = {http://dx.doi.org/10.1016/j.apmr.2018.11.021},
volume = {100},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - ObjectivesTo investigate whether the rate of change of muscle strength in people with joint hypermobility syndrome (JHS) who have anterior knee pain (AKP) differs when compared to 2 control groups who have AKP and to evaluate the relationship between strength and pain as well as the effect of strength upon activity and knee function.DesignA cohort study, with 3 groups: JHS with AKP, generalized joint hypermobility with AKP (GJH), and normal flexibility with AKP (control group [CG]). Follow-up appointments were performed every 2 weeks for 16 weeks.SettingThe physiotherapy outpatient department within a London (United Kingdom) hospital.ParticipantsA total of 102 people, aged between 18 and 55 years, were recruited between July 2014 and March 2016; 47 JHS, 29 GJH, and 26 CG (N=102). After 16 weeks, 31, 20, and 21 participants completed the study, respectively. Participants were recruited from support groups, a London hospital group and university, local sports centers, and clubs.InterventionsIndividualized leg exercises for 16 weeks.Main Outcome MeasureMuscle torque generated from the lower limb, every 2 weeks for 16 weeks.ResultsThere was no difference in the rate of change of concentric muscle strength between the JHS group and the CG or GJH group (P>.88 and P>.97). There was no difference in the rate of change of eccentric muscle strength between the JHS group and the CG or GJH group (P>.60 and P>.94). However, people with JHS were significantly weaker than the other 2 groups, taking 3 to 4 months to reach the baseline strength of the GJH group.ConclusionPeople with JHS can strengthen at the same rate as other people in pain.
AU  - Alexander,C
AU  - To,M
DO  - 10.1016/j.apmr.2018.11.021
EP  - 1250
PY  - 2019///
SN  - 0003-9993
SP  - 1243
TI  - Are people with joint hypermobility syndrome slow to strengthen?
T2  - Archives of Physical Medicine and Rehabilitation
UR  - http://dx.doi.org/10.1016/j.apmr.2018.11.021
UR  - https://www.sciencedirect.com/science/article/pii/S0003999318315600?via%3Dihub
UR  - http://hdl.handle.net/10044/1/66458
VL  - 100
ER  -
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