Exploring the Knowledge, Assessment and Management of Hypermobility Spectrum Disorders (HSD) in Adults among Osteopaths in UK. A National Survey

Item

Title
Exploring the Knowledge, Assessment and Management of Hypermobility Spectrum Disorders (HSD) in Adults among Osteopaths in UK. A National Survey
Author(s)
Herrera Quintela, L
Abstract
Background: HSD, previously called Joint hypermobility Syndrome (JHS), and the hypermobility type EDS (hEDS) are the most common, yet least recognised Joint Hypermobility Related Conditions (JHRC). Previous research has shown lack of knowledge, assessment and management of JHS among physiotherapists in UK. In 2017, a new International Classification of the EDS (ICEDS) implemented diagnostic and management tools. Nevertheless, There aren’t any studies targeting osteopaths nor analysing healthcare professional’s awareness of the ICEDS. Objective: This study intended explore the knowledge, and confidence in the assessment and management of joint hypermobility (JH) and HSD and the awareness of the ICEDS among osteopaths in UK. Design: A cross-sectional quantitative electronic survey updated from the HHQ questionnaire by Deane J. (2008). Method: The online questionnaire was updated and then distributed via email inviting to participate all UK osteopaths registered with GOsC. It assessed the frequencies and attitudes of participants towards JH, HSD and hEDS and the awareness towards the ICEDS. Results were analysed using advanced linear fit models to determine associations between, on one hand awareness of the ICEDS, undergraduate and postgraduate training and years of experience, and on the other hand, knowledge of JH/HSD and confidence on its assessment and management. Results: 178 questionnaires were analysed (response rate 6.59%). Awareness of ICEDS was generally low, and significantly associated with knowledge and confidence. Knowledge of JH was good, but knowledge of HSD and its assessment was poor. Confidence in the assessment and management of JH were high whereas confidence in assessing HSD was low. Postgraduate training significantly improves knowledge of HSD and confidence in assessment of HSD. Discussion: Response, nonresponse and self-reported confidence biases may have impacted validity of results. Nevertheless, the reported lack of knowledge and confidence in assessing and managing HSD is consistent with previous studies targeting physiotherapists. This study reports enough evidence to justify the development of undergraduate and postgraduate training and highlights the need for further research to identify the role of the osteopathic profession towards JHRC. Conclusion: UK trained osteopaths lack in knowledge and confidence relating HSD/hEDS, suggesting the need of implementing training in an undergraduate and postgraduate level and setting the bases for further research.
Date Accepted
2020
Date Submitted
28.10.2020 18:08:19
Type
osteo_thesis
Language
English
Submitted by:
62
Pub-Identifier
16665
Inst-Identifier
1229
Keywords
JHS, HSD, hEDS, Osteopathy, EDS, 2017 International classification EDS
Recommended
0
Item sets
Thesis

Herrera Quintela, L, “Exploring the Knowledge, Assessment and Management of Hypermobility Spectrum Disorders (HSD) in Adults among Osteopaths in UK. A National Survey”, Osteopathic Research Web, accessed May 2, 2025, https://www.osteopathic-research.com/s/orw/item/190