Abstract：
UNASSIGNED: Physical therapy (PT) plays a central role in treating individuals with Generalized Hypermobility Spectrum Disorder (G-HSD) and Hypermobile Ehlers-Danlos Syndrome (hEDS). However, there is limited research describing these individuals\' PT management. This review aims to systematically map the evidence on PT interventions to treat this patient population.
UNASSIGNED: A systematic literature search of PubMed, CINAHL, and Embase from January 2000 to April 2023 was performed. After the screening process, studies were appraised and classified based on the type of PT interventions used. Five reviewers independently assessed the articles.
UNASSIGNED: The search produced 757 articles. Twenty-eight met the inclusion criteria. The studies included 630 participants, mostly female, with a mean age of 26.2 (ranging from 2 to 69). The PT interventions used were therapeutic exercise, patient instruction, motor function training, adaptive equipment, manual therapy, and functional training.
UNASSIGNED: The evidence indicates that therapeutic exercise and motor function training are efficacious methods to treat individuals with G-HSD and hEDS. There is also weak evidence for using adaptive equipment, patient instruction, manual therapy, and functional training. Recent studies emphasize multidisciplinary care and understanding of the psychological impact of G-HSD/hEDS. Additional research is needed to determine the effectiveness and dosage of PT interventions.
The lack of guidelines and consensus on physical therapy (PT) interventions to treat and restore function in people with Generalized Hypermobility Spectrum Disorder (G-HSD) and hypermobile Ehlers-Danlos Syndrome (hEDS) challenges clinicians.This review supports therapeutic exercise and motor function training to improve function, well-being, and quality of life in people with G-HSD and hEDS.There is weak evidence for using adaptive equipment, patient instruction, manual therapy, and functional training.We have gathered existing evidence, appraised the quality, and drawn conclusions on this population’s most supported PT interventions.
UNASSIGNED: A systematic literature search of PubMed, CINAHL, and Embase from January 2000 to April 2023 was performed. After the screening process, studies were appraised and classified based on the type of PT interventions used. Five reviewers independently assessed the articles.
UNASSIGNED: The search produced 757 articles. Twenty-eight met the inclusion criteria. The studies included 630 participants, mostly female, with a mean age of 26.2 (ranging from 2 to 69). The PT interventions used were therapeutic exercise, patient instruction, motor function training, adaptive equipment, manual therapy, and functional training.
UNASSIGNED: The evidence indicates that therapeutic exercise and motor function training are efficacious methods to treat individuals with G-HSD and hEDS. There is also weak evidence for using adaptive equipment, patient instruction, manual therapy, and functional training. Recent studies emphasize multidisciplinary care and understanding of the psychological impact of G-HSD/hEDS. Additional research is needed to determine the effectiveness and dosage of PT interventions.
The lack of guidelines and consensus on physical therapy (PT) interventions to treat and restore function in people with Generalized Hypermobility Spectrum Disorder (G-HSD) and hypermobile Ehlers-Danlos Syndrome (hEDS) challenges clinicians.This review supports therapeutic exercise and motor function training to improve function, well-being, and quality of life in people with G-HSD and hEDS.There is weak evidence for using adaptive equipment, patient instruction, manual therapy, and functional training.We have gathered existing evidence, appraised the quality, and drawn conclusions on this population’s most supported PT interventions.
摘要：
■物理治疗（PT）在治疗患有广泛性高移动性频谱障碍（G-HSD）和高移动性Ehlers-Danlos综合征（hEDS）的个体中起着核心作用。然而,描述这些人的PT管理的研究有限。这篇综述旨在系统地绘制PT干预治疗该患者人群的证据。
■PubMed的系统文献检索，CINAHL,从2000年1月到2023年4月进行了Embase。筛选过程之后,根据所使用的PT干预类型对研究进行了评估和分类.五名审稿人独立评估了这些文章。
■搜索产生了757篇文章。28人符合纳入标准。研究包括630名参与者，主要是女性，平均年龄为26.2岁（2至69岁）。使用的PT干预措施是治疗性锻炼，患者指导,运动功能训练,自适应设备,手动治疗,和功能训练。
■证据表明，治疗性运动和运动功能训练是治疗患有G-HSD和hEDS的个体的有效方法。使用自适应设备的证据也很薄弱，患者指导,手动治疗,和功能训练。最近的研究强调多学科护理和对G-HSD/hEDS心理影响的理解。需要进一步的研究来确定PT干预的有效性和剂量。对康复的意义缺乏关于物理治疗（PT）干预措施的指南和共识，以治疗和恢复患有广泛性高移动性频谱障碍（G-HSD）和高移动性Ehlers-Danlos综合征（hEDS）的人的功能，对临床医生提出了挑战。这篇综述支持治疗性锻炼和运动功能训练以改善功能，幸福,G-HSD和hEDS患者的生活质量。使用自适应设备的证据薄弱，患者指导,手动治疗,和功能训练。我们已经收集了现有的证据,评估质量，并得出了该人群最受支持的PT干预措施的结论。
■PubMed的系统文献检索，CINAHL,从2000年1月到2023年4月进行了Embase。筛选过程之后,根据所使用的PT干预类型对研究进行了评估和分类.五名审稿人独立评估了这些文章。
■搜索产生了757篇文章。28人符合纳入标准。研究包括630名参与者，主要是女性，平均年龄为26.2岁（2至69岁）。使用的PT干预措施是治疗性锻炼，患者指导,运动功能训练,自适应设备,手动治疗,和功能训练。
■证据表明，治疗性运动和运动功能训练是治疗患有G-HSD和hEDS的个体的有效方法。使用自适应设备的证据也很薄弱，患者指导,手动治疗,和功能训练。最近的研究强调多学科护理和对G-HSD/hEDS心理影响的理解。需要进一步的研究来确定PT干预的有效性和剂量。对康复的意义缺乏关于物理治疗（PT）干预措施的指南和共识，以治疗和恢复患有广泛性高移动性频谱障碍（G-HSD）和高移动性Ehlers-Danlos综合征（hEDS）的人的功能，对临床医生提出了挑战。这篇综述支持治疗性锻炼和运动功能训练以改善功能，幸福,G-HSD和hEDS患者的生活质量。使用自适应设备的证据薄弱，患者指导,手动治疗,和功能训练。我们已经收集了现有的证据,评估质量，并得出了该人群最受支持的PT干预措施的结论。
