PHYSICAL THERAPY FOR HYPERMOBILITY OF JOINTS IN YOUNG PEOPLE

Abstract

The article is devoted to joint hypermobility in young people and the rehabilitation program based on therapeutic exercises. Aim: to study the prevalence and manifestations of joint hypermobility, to determine the features of therapeutic exercises for joint hypermobility in young people of different rehabilitation periods. Materials and Methods: objective methods of assessment according to the ICF were used: a questionnaire created on the basis of the Beighton 5PQ criteria, SF-36 quality of life assessment, a questionnaire on pathologies, a questionnaire on motor activity; determined the active range of movements (goniometry), muscle strength (MMT), assessment of pain (VAS). Result. Among the 45 young people studied, 40% were found to have three or more positive Beighton criteria. They were offered a physical therapy program. The program consisted of morning therapeutic exercises, kinesiotherapy, hardening, and psycho-emotional relief. Particular attention was paid to orthopedic treatment to prevent spinal curvature, foot arch disorders and joint instability. The program provided for an individual approach to each student with hypermobility of joints, taking into account the degree of hypermobility of joints, the presence of concomitant symptoms, the rehabilitation period and the dynamics of recovery. The goals of the physical therapy program were achieved: the strength of the joint stabilizer muscles, which had hypermobility, increased; pain intensity decreased; quality of life and its subjective assessments improved. The results indicate that performing strength, balance, and balance exercises improves joint stability and reduces pain. Conclusions. The implemented physical therapy program for students with joint hypermobility includes special therapeutic exercises aimed at strengthening muscle tone, improving proprioception, restoring control over joint movements and preventing re-injury.