The Effect of Joint Hypermobility Syndrome on DOMS and Recovery Time

# Background Previous research has reported that people with Joint Hypermobility Syndrome (JHS) and Ehlers-Danlos Syndrome (EDS) generally experience a high rate of muscular injury and pain. However, there is limited research comparing the recovery times and length of Delayed Onset Muscle Soreness...

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Main Authors: Nicole F Ostuni, Charles A Marinello, Taras Luzhnyy, Alexa Pawlikowski, Connor Vlasaty, Georgios Thomatos, Peter C Douris
Format: Article
Language:English
Published: North American Sports Medicine Institute 2024-02-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.91644
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author Nicole F Ostuni
Charles A Marinello
Taras Luzhnyy
Alexa Pawlikowski
Connor Vlasaty
Georgios Thomatos
Peter C Douris
author_facet Nicole F Ostuni
Charles A Marinello
Taras Luzhnyy
Alexa Pawlikowski
Connor Vlasaty
Georgios Thomatos
Peter C Douris
author_sort Nicole F Ostuni
collection DOAJ
description # Background Previous research has reported that people with Joint Hypermobility Syndrome (JHS) and Ehlers-Danlos Syndrome (EDS) generally experience a high rate of muscular injury and pain. However, there is limited research comparing the recovery times and length of Delayed Onset Muscle Soreness (DOMS) in individuals with JHS to non-hypermobile individuals in response to exercise. # Hypotheses/Purpose The purpose of this study was to investigate JHS and its effects on DOMS and its recovery time. # Study Design Quasi-experimental, observational comparison # Methods Two groups including a hypermobile group (score >4 on Beighton Scale) and a non-hypermobile group all took part in five-second long standing eccentric bicep curls based using their one- repetition maximum (1-RM) of their dominant arm to failure in order to induce DOMS. Visual analog pain scale (VAS), McGill pain scale, resting arm angle, girth, and the pressure pain threshold, all domains of DOMS, were measured over a five-day period. Results were analyzed using ANOVA with time as the repeated factor. # Results Both groups experienced DOMS following the eccentric exercise. However, VAS reporting was significantly greater in the hypermobile group compared to the non-hypermobile group and there was a significant difference over time. However, other variables did not reveal any other significant findings between groups. # Conclusion Individuals with JHS may experience greater DOMS and require more time to recover between treatment sessions. Therapists need to be aware that patients with hypermobility may experience higher pain levels related to exercise, and they need to adjust treatment parameters appropriately. # Level of Evidence 2b
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spelling doaj-art-9554688d67da4158b3e9b4b4570e71a82025-02-11T20:28:17ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962024-02-01192The Effect of Joint Hypermobility Syndrome on DOMS and Recovery TimeNicole F OstuniCharles A MarinelloTaras LuzhnyyAlexa PawlikowskiConnor VlasatyGeorgios ThomatosPeter C Douris# Background Previous research has reported that people with Joint Hypermobility Syndrome (JHS) and Ehlers-Danlos Syndrome (EDS) generally experience a high rate of muscular injury and pain. However, there is limited research comparing the recovery times and length of Delayed Onset Muscle Soreness (DOMS) in individuals with JHS to non-hypermobile individuals in response to exercise. # Hypotheses/Purpose The purpose of this study was to investigate JHS and its effects on DOMS and its recovery time. # Study Design Quasi-experimental, observational comparison # Methods Two groups including a hypermobile group (score >4 on Beighton Scale) and a non-hypermobile group all took part in five-second long standing eccentric bicep curls based using their one- repetition maximum (1-RM) of their dominant arm to failure in order to induce DOMS. Visual analog pain scale (VAS), McGill pain scale, resting arm angle, girth, and the pressure pain threshold, all domains of DOMS, were measured over a five-day period. Results were analyzed using ANOVA with time as the repeated factor. # Results Both groups experienced DOMS following the eccentric exercise. However, VAS reporting was significantly greater in the hypermobile group compared to the non-hypermobile group and there was a significant difference over time. However, other variables did not reveal any other significant findings between groups. # Conclusion Individuals with JHS may experience greater DOMS and require more time to recover between treatment sessions. Therapists need to be aware that patients with hypermobility may experience higher pain levels related to exercise, and they need to adjust treatment parameters appropriately. # Level of Evidence 2bhttps://doi.org/10.26603/001c.91644
spellingShingle Nicole F Ostuni
Charles A Marinello
Taras Luzhnyy
Alexa Pawlikowski
Connor Vlasaty
Georgios Thomatos
Peter C Douris
The Effect of Joint Hypermobility Syndrome on DOMS and Recovery Time
International Journal of Sports Physical Therapy
title The Effect of Joint Hypermobility Syndrome on DOMS and Recovery Time
title_full The Effect of Joint Hypermobility Syndrome on DOMS and Recovery Time
title_fullStr The Effect of Joint Hypermobility Syndrome on DOMS and Recovery Time
title_full_unstemmed The Effect of Joint Hypermobility Syndrome on DOMS and Recovery Time
title_short The Effect of Joint Hypermobility Syndrome on DOMS and Recovery Time
title_sort effect of joint hypermobility syndrome on doms and recovery time
url https://doi.org/10.26603/001c.91644
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