Hypermobility Syndrome (HMS)

[wtermate]

<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:ApplyBreakingRules/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:UseFELayout/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman";} </style> <![endif]--> Is it indicated to perform the exercises in water with Hypermobility Syndrome (HMS)?


Patient has HMS. The patient attends the water exercises.

The most of the positions in which the patient performs movement causes dislocating joints e.g. when the head of femur (caput femoris), ribs and the head of humerus (caput humeri) come out.
This patient attended for 1to1 sessions in water. Patient has weaknesses in muscle, ligaments, tendons and cartilage, etc. and joint pain as well. Joints are dislocating during quite simple movements.
This particular patient with severe forms of the hypermobility syndrome may be in frequent or constant pain that is worsened by movements, especially those involving physical effort such as lifting, moving around etc.
In my opinion this particular patient shouldn’t be refer to hydrotherapy. In my opinion water causes additional looseness of ligaments, joints may become lax, a little bit unstable, so I think in this case, there is no need to perform exercises in water.
Of course water has an beneficial effects.
Performing the exercises in water can help in different disorders but not in case of people with unstable joints.
Intensive training in water in normal situation causes strengthening the muscular system and stabilization of joints, but in case of HMS, in the case mentioned above can cause dislocating joints.

Looking at myself as a swimmer, the intensive training expanded in a great way my musculature and protected the joints but it had to be enriched by training in the gym in combination with stretching exercises, and in my opinion that way can make sense.

From the physiotherapist’s point of view, who has to stay long in warm water, that has an influence on joints, which are less stable ‘a little bit shaky’. I’m fit and healthy person I still have to exercise regularly, for my musculoskeletal system (my joints would be protected) – ready to stay in warmwater in order to lead the exercises with patients so this is a preparation for not too intense (passive) effort.


Could you give me an advice and your opinion?

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[abishek.pt]

hi.
i think water is benificial for the patient, if he/she is is a younger one. the more stress on the ligament in a safe way, the more will be the benefit .