Background/Purpose: Traction injuries at tendon or ligament attachment sites, joint instability, low back, back and neck pain can be seen in patients with benign joint hypermobility syndrome (BJHS). The most important complaint of such patients is pain. Due to pain, impairment in the quality of sleep and life and fatigue resulting in effects on psychological condition. In this study, we aimed to evaluate pain, fatigue, quality of sleep, depression level and quality of life in patients with BJHS and compare these parameters with those of healthy controls.

Methods: 26 patients who had diagnosed with BJHS according to Brighton diagnostic criteria and 40 healthy controls were included in the study. In all patients and healthy controls, pain severity evaluation was performed using visual analog scale (VAS), fatigue severity was performed using Checklist Individual Strength Scale (CIS), quality of sleep was performed using Pittsburg Sleep Quality Index (PSQI), depression level was evaluated using Beck Depression Scale (BDS), and quality of life was evaluated using Short Form-36 (SF-36).

Results: Mean age was 31.4±7.6 years in the patient group, and 31.3±6.9 years in the control group. There were no statistically significant differences between the two groups with respect to age, gender, body mass index and marital status (p>0.05). In the patient group, VAS score during movement was 6.6±0.9. Total CIS scores were 4.3±1.09 in the patient group and 3.2±1.2 in the control group (p=0.001), global PSQI scores were 7.8±3.1 in the patient group and 4.9±2.9 in the control group (p<0.001), BDS scores were 17.6±8.8 in the patient group and 6.8±5.8 in the control group (p<0.001), SF-36 physical component scale scores were 52.7±14.6 in the patient group and 56.09±9.07 in the control group (p>0.05), and SF-36 mental component scale scores were 42.01±15.04 in the patient group and 54.3±10 in the control group (p<0.001).

Conclusion:

This study shows that the levels of pain, fatigue and depression are increased and the quality of sleep and quality of life are adversely affected in patients with BJHS. Therefore, patients with BJHS should be evaluated in terms of pain, fatigue, depression, quality of sleep and quality of life during their diagnostic procedures and follow-up, and multi-faceted treatment programs should be planned.

ACR Meeting Abstracts - https://acrabstracts.org/abstract/evaluation-of-the-quality-of-life-and-sleep-in-patients-with-benign-joint-hypermobility-syndrome/