VETCOSED study: efficacy of compressive garments for patients with hypermobile Ehlers–Danlos syndrome on shoulder stability and muscles strength. Issue 13 (19th June 2022)

• Record Type: Journal Article
• Authors: Chaléat-Valayer, Emmanuelle; Denis, Angélique; Zelmar, Amélie; Pujol, Anne; Bernadou, Amandine; Bard-Pondarré, Rachel; Touzet, Sandrine
• Is Part Of: Disability and rehabilitation. Volume 44:Issue 13(2022)
• Page Start: 3165
• Page End: 3172
• Publication Date: 2022-06-19
• Subjects: Ehlers–Danlos syndrome -- hypermobile -- shoulder instability -- compressive garment -- isokinetic assessment; People with disabilities -- Periodicals; Rehabilitation -- Periodicals; 617.03
• DOI: 10.1080/09638288.2020.1860142
• Languages: English
• ISSNs: 0963-8288

Abstract

Abstract: Purpose: to assess the effect of wearing a compressive short-sleeve jacket on shoulder stability and rotator muscles in adult patients with a hypermobile subtype of Ehlers–Danlos syndrome. Materials and methods: a quasi-experimental study with "Pre/Post" design (4 weeks with versus 4 weeks without), open, conducted on a national cohort. Shoulder rotators were assessed with an isokinetic device at 180°/s and 90°/s; frequency of shoulder stability defects, pain (Visual Analogical Scale), and satisfaction (Quebec User Evaluation of Satisfaction with Assistive Technology) were reported. Results: 36 patients (35 women), mean age 37.9 years, wore jackets for a meanly 7.8 h/day. >70% were satisfied with the effect on arthralgia, instability, or function. QUEST results were high ( m = 4.1, SD = 0.7). After jacket wear, the power of external rotators at 180°/s was significantly increased (+1.29 W, CI95%: 0.31; 2.28; p = 0.0318). At 90°/s, no significant difference was found, either on power or strength. The on-off effect highlights a significant difference in external and internal rotators power, whatever the speed. The occurrence of subluxation ( p = 0.0140) and dislocations ( p = 0.0163) decreased. Pain decreased from 3.5/10 to 2.5/10, without significance ( p = 0.0964). Conclusion: compressive CICATREX SED ® jackets are well supported by patients, impact the power of external rotators at high speed (180°/s), and improve joint stability. IMPLICATIONS FOR REHABILITATION: Compressive garments made to measure are beneficial to patients with hypermobile Ehlers–Danlos syndrome. Compressive CICATREX SED ® jackets clearly improve shoulder stability and help to promote muscle power in shoulder external rotators during high-speed movements. One month of jacket wearing seems to bring no lasting effect on shoulder-rotator power, so the jacket needs to be kept on for the benefits to be maintained.