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The effects of a comprehensive physiotherapy intervention for adults with joint hypermobility

Not Applicable
Completed
Conditions
Joint Hypermobility Syndrome
Musculoskeletal Diseases
Hypermobility syndrome
Registration Number
ISRCTN29874209
Lead Sponsor
orth Bristol NHS Trust (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
102
Inclusion Criteria

1. More than 18 years old
2. Able to give informed consent
3. Able to understand and communicate in English
4. Fulfil the Brighton criteria for JHS (Grahame et al 2000)

Exclusion Criteria

1. Failure to meet the inclusion criteria
2. Other known musculoskeletal pathology causing pain, particularly osteoarthritis and inflammatory musculoskeletal disease such as rheumatoid arthritis
3. Other serious pathology including malignancy
4. Conditions affecting ability to exercise e.g. uncontrolled cardiovascular disease
5. Recent physiotherapy for JHS (within the last year)
6. Pre-existing psychological distress or psychiatric conditions.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Stage 1: To develop a comprehensive physiotherapy intervention for adults with JHS following focus groups with patients and clinicians.<br>Stage 2: To pilot implementation of the intervention in practice in two hospitals.<br>Stage 3: To determine: <br>1. The number of potential eligible patients with JHS<br>2. The feasibility of recruitment and retention<br>3. Acceptability of the research design and physiotherapy intervention to patients in terms of quality of life<br>4. Acceptability and feasibility of the physiotherapy intervention to physiotherapists in terms of training and implementation <br>5. An estimate of the value of information (VOI) from a subsequent RCT
Secondary Outcome Measures
NameTimeMethod
Stage 3: To pilot outcome measures planned for a definitive RCT. These include:<br>1. Physical function, pain, global status, fatigue, and self report joint count (Multidimensional Health Assessment Questionnaire)<br>2. Pain at rest and on movement (visual analogue scales)<br>3. A new condition-specific physical function questionnaire being developed by the research team<br>4. Health-related quality of life preference score (EQ-5D)<br>5. Exercise self-efficacy (exercise self-efficacy scale)<br>6. Illness perceptions (illness perception questionnaire)<br>7. Resource use questionnaires<br>8. Adverse events (e.g. dislocations or other injury)
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