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Joint Hypermobility and Lower Extremity Performance in Patients With Gastroparesis Symptoms: 2781

The American journal of gastroenterology, 2018-10, Vol.113 (Supplement), p.S1544-S1545 [Peer Reviewed Journal]

Copyright Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins Oct 2018 ;ISSN: 0002-9270 ;EISSN: 1572-0241 ;DOI: 10.14309/00000434-201810001-02780

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  • Title:
    Joint Hypermobility and Lower Extremity Performance in Patients With Gastroparesis Symptoms: 2781
  • Author: Winston, Jared ; Hassan, Hamza ; Stocker, Abigail ; Kedar, Archana ; Abell, Thomas ; Lorenz, Doug
  • Subjects: Questionnaires
  • Is Part Of: The American journal of gastroenterology, 2018-10, Vol.113 (Supplement), p.S1544-S1545
  • Description: Introduction: Prior literature has reported a high prevalence of non-inflammatory connective tissue disorders in patients (pts) with functional gastrointestinal (GI) disorders. Evidence is lacking on the effects on overall functional mobility (FM) due to chronic joint laxity in symptomatic pts. We aimed to evaluate the prevalence of Joint Hypermobility (JHM) and lower extremity (LE) performance in pts with gastroparesis (Gp) symptoms (Sx) presenting to a routine tertiary clinic. We hypothesized an association between JHM and FM in these pts. Methods: We evaluated 40 new and established patients with Gp Sx presenting to motility clinic. Mean age 40 years. 38 (95%) were female. 27 (68%) had idiopathic etiology, 10 (25%) had diabetes, and 1 each had cyclic vomiting, dumping syndrome, and achalasia. Pts completed a JHM Questionnaire, a physical exam (Beighton Score [BS]) and a series of timed maneuvers involving balance, walk speed and chair stands ([CS] rising from a chair without using arms) testing LE strength and mobility (short physical performance battery or SPPB). A positive screen was >2 "no" answers on the JHM questionnaire or a BS>3. GI Sx were evaluated by a standardized pt reported outcome score (BMC GI 2016: 16(1):107). Pts also rated their overall health as good/very good, fair or poor/very poor on a self-related (SRH) questionnaire. Associations among GI Sx, SRH, JHM and FM were evaluated with Spearman correlation coefficients. Groups defined by BS (>3 vs. <3) were compared with the Wilcoxon rank sum test. Significance defined as p<0.05. Results: The 17 pts (43%) with JHM questionnaire score >2 included the 8 pts with BS>3. Pts reporting worse upper GI Sx (but not lower) were associated with longer times to complete 5 and 10 CS (0.49/0.45) and worse SRH (0.32). GI Sx were not different between those with BS>3 and those .68). Pts with BS>3 had higher mean Look Ahead SPPB (1.95 vs. 1.66, p = .05), longer mean one leg stand (28.7 vs. 20.2, p = .04) and shorter time to do 10 Chair stands (18.8 vs. 28.9, p = .01). See Tables 1, 2 and 3. Conclusion: Balance and Chair stand performance appeared to correlate positively with joint hypermobility. Chair Stand ability worsened with increasing Upper GI symptoms. Poorer self-related health is related to slower gait and slower chair stands. Both joint hypermobility and upper GI symptoms appear to be related to LE performance but not each other. Further work is needed to study this relationship.
  • Publisher: New York: Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
  • Language: English
  • Identifier: ISSN: 0002-9270
    EISSN: 1572-0241
    DOI: 10.14309/00000434-201810001-02780
  • Source: ProQuest Central
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