Kinesiophobia and Joint Hypermobility Syndrome - Why Fear of Movement Should Matter to Movement Experts

Background and Purpose: Currently there is little known regarding best practices for managing patients with musculoskeletal pain who are diagnosed with joint hypermobility syndrome(s). Kinesiophobia, a complicating comorbidity, is often present in these patients. The aim of this case report is to present an intervention protocol designed to address musculoskeletal pain in patients with joint hypermobility syndrome (JHS) that addresses the systemic nature of the condition and confounding kinesiophobia. Case description: The subject of this case report is a 29-year-old female who sought physical therapy for chronic neck and low back pain. The patient was diagnosed with JHS and a list of complicating comorbidities, including kinesiophobia. Intervention: The tri-phase intervention protocol in this study is specifically designed to address the physical impairments of the patient and provide education and coping strategies for kinesiophobia. Outcomes: Following successful completion of the intervention protocol, the patient demonstrated gross improvements in all areas previously contributing to her neck and low back pain. The patient verbalized understanding of her JHS diagnosis and demonstrated knowledge of how to independently implement kinesiophobia coping strategies and exercise routines with confidence. Discussion: Despite the suspected great prevalence of JHS in the global population, little research exists about the best intervention strategies for patients with JHS who seek treatment for chronic musculoskeletal pain. This patient population is known to have kinesiophobia, but this condition is not widely respected or acknowledged by medical professionals. More research is needed to conclude the best methods of treatment, though key aspects of this intervention style case report can aid in developing unique treatment protocols for each individual patient