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THU0532 To assess whether there is an association between hypermobility and sports injury
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  1. J.A. Nathan,
  2. K. Davies
  1. Rheumatology, Brighton and Sussex University Hospitals, Brighton, UK

Abstract

Background Joint Hypermobility (JH) is an extremely heritable condition in which joints have a range of motion beyond normal limits. This is frequently seen in healthy individuals.1 It is important to differentiate this from Joint Hypermobility Syndrome (JHS).2 (JH is diagnosed as a Beighton score of four or more).3

Objectives The objective of this project was to determine whether there is an association between hypermobility and sports injury.

Methods A quantitative observational approach using a cross sectional survey was adopted. A pilot study and initial focus group was arranged, involving 10 university students. Individuals were identified as hypermobile or not using the Beighton score. All participants were asked to complete two questionnaires; the first asking demographic information; the second questionnaire was injury specific. Fisher’s exact test was used for statistical analysis.

Results A total of 114 individuals participated in the study. 62 were women and 52 men. 26% of participants were found to be hypermobile. There was no significant association between hypermobility and sports injury (p=0.6596). There was a significant increase in joint and ligament sprain amongst the non-hypermobile (NH) group covering all sports studied (p=0.0269). Results showed that joint dislocation was found exclusively amongst hypermobile individuals. Duration of injury in hypermobile individuals was higher then NH. The use of oral painkillers or anti-inflammatories in the semi professional group was greater then the general population.

Table 1 Prevalence of hypermobility in each sport


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Conclusions Hypermobility is relatively common amongst individuals and there is a lot of anecdotal evidence associating it with increased rates of injuries. This project finds that NH individuals are more likely to sustain a ligament or joint sprain in sports. This is thought to be due to increased joint laxity and flexibility preventing injury.

References [1] Simmonds JV, Keer RJ. Hypermobility and the hypermobility syndrome. Man Ther2007;12(4):298–309.

[2] Baeza-Velasco C, Gély-Nargeot MC, Pailhez G, Vilarrasa AB. Joint hypermobility and sport: a review of advantages and disadvantages. Curr Sports Med Rep2013;12(5):291–5.

[3] Donaldson PR. Does generalized joint hypermobility predict joint injury in sport? A review. Clin J Sport Med2012;22(1):77–8.

Disclosure of Interest None declared

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