{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T09:06:43Z","timestamp":1784797603251,"version":"3.55.0"},"reference-count":62,"publisher":"National University of Health Sciences","issue":"1","license":[{"start":{"date-parts":[[2014,3,1]],"date-time":"2014-03-01T00:00:00Z","timestamp":1393632000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Chiropractic Medicine"],"published-print":{"date-parts":[[2014,3]]},"DOI":"10.1016\/j.jcm.2014.01.009","type":"journal-article","created":{"date-parts":[[2014,3,8]],"date-time":"2014-03-08T18:15:55Z","timestamp":1394302555000},"page":"35-42","source":"Crossref","is-referenced-by-count":7,"title":["Multimodal Chiropractic Care of Pain and Disability for a Patient Diagnosed With Benign Joint Hypermobility Syndrome: A Case Report"],"prefix":"10.67400","volume":"13","author":[{"given":"Richard G.","family":"Strunk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark T.","family":"Pfefer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derrick","family":"Dube","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"57152","reference":[{"key":"10.1016\/j.jcm.2014.01.009_bb0005","first-page":"239","article-title":"Joint hypermobility syndrome: inherited disorder of collagen synthesis","volume":"13","author":"Child","year":"1986","journal-title":"J Rheumatol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0010","doi-asserted-by":"crossref","first-page":"2640","DOI":"10.1002\/art.20376","article-title":"The genetic epidemiology of joint hypermobility: a population study of female twins","volume":"50","author":"Hakim","year":"2004","journal-title":"Arthritis Rheum"},{"key":"10.1016\/j.jcm.2014.01.009_bb0015","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1146\/annurev.bi.64.070195.002155","article-title":"Collagens: molecular biology, diseases, and potentials for therapy","volume":"64","author":"Prockop","year":"1995","journal-title":"Annu Rev Biochem"},{"key":"10.1016\/j.jcm.2014.01.009_bb0020","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1136\/ard.32.5.413","article-title":"Articular mobility in an African population","volume":"32","author":"Beighton","year":"1973","journal-title":"Ann Rheum Dis"},{"key":"10.1016\/j.jcm.2014.01.009_bb0025","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5402\/2012\/751768","article-title":"Ehlers-Danlos syndrome, hypermobility type: an underdiagnosed hereditary connective tissue disorder with mucocutaneous, articular, and systemic manifestations","author":"Castori","year":"2012","journal-title":"ISRN Dermatol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0030","doi-asserted-by":"crossref","first-page":"2368","DOI":"10.1002\/ajmg.a.33070","article-title":"The lack of clinical distinction between the hypermobility type of Ehlers-Danlos syndrome and the joint hypermobility syndrome (a.k.a. hypermobility syndrome)","volume":"149A","author":"Tinkle","year":"2009","journal-title":"Am J Med Genet A"},{"key":"10.1016\/j.jcm.2014.01.009_bb0035","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1093\/rheumatology\/33.1.56","article-title":"High prevalence of joint laxity in West Africans","volume":"33","author":"Birrell","year":"1994","journal-title":"Br J Rheumatol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0040","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1111\/j.1651-2227.2004.tb02749.x","article-title":"General joint laxity in 1845 Swedish school children of different ages: age and gender specific distributions","volume":"93","author":"Jansson","year":"2004","journal-title":"Acta Paediatr"},{"key":"10.1016\/j.jcm.2014.01.009_bb0045","first-page":"231","article-title":"A study of joint mobility in a normal population","volume":"28","author":"Seow","year":"1999","journal-title":"Ann Acad Med Singapore"},{"key":"10.1016\/j.jcm.2014.01.009_bb0050","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1093\/rheumatology\/26.1.9","article-title":"Joint mobility with particular reference to racial variation and inherited connective tissue disorders","volume":"26","author":"Wordsworth","year":"1987","journal-title":"Br J Rheumatol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0055","first-page":"263","article-title":"Joint hypermobility syndrome is highly prevalent in general rheumatology clinics, its occurrence and clinical presentation being gender, age and race related","volume":"65","author":"Grahame","year":"2006","journal-title":"Ann Rheum"},{"key":"10.1016\/j.jcm.2014.01.009_bb0060","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1002\/art.1780230914","article-title":"The benign hypermobile joint syndrome","volume":"23","author":"Jessee","year":"1980","journal-title":"Arthritis Rheum"},{"key":"10.1016\/j.jcm.2014.01.009_bb0065","first-page":"1777","article-title":"The revised (Brighton 1998) criteria for the diagnosis of benign joint hypermobility syndrome (BJHS)","volume":"27","author":"Grahame","year":"2000","journal-title":"J Rheumatol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0070","first-page":"1003","article-title":"Hypermobility among Egyptian children: prevalence and features","volume":"25","author":"El-Garf","year":"1998","journal-title":"J Rheumatol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0075","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1093\/rheumatology\/24.4.326","article-title":"Joint mobility among university students in Iraq","volume":"24","author":"Al-Rawi","year":"1985","journal-title":"Br J Rheumatol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0080","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1056\/NEJM199310073291504","article-title":"Benefits and disadvantages of joint hypermobility among musicians","volume":"329","author":"Larsson","year":"1993","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcm.2014.01.009_bb0085","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1016\/S0022-3476(05)83051-3","article-title":"Articular symptoms in hypermobile schoolchildren: a prospective study","volume":"119","author":"Gedalia","year":"1991","journal-title":"J Pediatr"},{"key":"10.1016\/j.jcm.2014.01.009_bb0090","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1007\/s00296-003-0434-9","article-title":"The prevalence of joint hypermobility among high school students","volume":"25","author":"Seckin","year":"2005","journal-title":"Rheumatol Int"},{"key":"10.1016\/j.jcm.2014.01.009_bb0095","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1093\/rheumatology\/32.2.120","article-title":"Joint hyperlaxity and musculoligamentous lesions: study of a population of homogeneous age, sex and physical exertion","volume":"32","author":"Acasuso Diaz","year":"1993","journal-title":"Br J Rheumatol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0100","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1002\/art.21557","article-title":"Clinical study of hereditary disorders of connective tissues in a Chilean population: joint hypermobility syndrome and vascular Ehlers-Danlos syndrome","volume":"54","author":"Bravo","year":"2006","journal-title":"Arthritis Rheum"},{"key":"10.1016\/j.jcm.2014.01.009_bb0105","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1016\/j.pain.2004.03.021","article-title":"Prognosis of non-specific musculoskeletal pain in preadolescents: a prospective 4-year follow-up study till adolescence","volume":"110","author":"El-Metwally","year":"2004","journal-title":"Pain"},{"key":"10.1016\/j.jcm.2014.01.009_bb0110","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1136\/ard.52.7.494","article-title":"Joint hypermobility and fibromyalgia in schoolchildren","volume":"52","author":"Gedalia","year":"1993","journal-title":"Ann Rheum Dis"},{"key":"10.1016\/j.jcm.2014.01.009_bb0115","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1007\/s10067-006-0304-4","article-title":"The frequency of hypermobility and its relationship with clinical findings of fibromyalgia patients","volume":"26","author":"Sendur","year":"2007","journal-title":"Clin Rheumatol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0120","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1002\/art.37836","article-title":"Joint hypermobility is a risk factor for musculoskeletal pain during adolescence: findings of a prospective cohort study","volume":"65","author":"Tobias","year":"2013","journal-title":"Arthritis Rheum"},{"key":"10.1016\/j.jcm.2014.01.009_bb0125","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1007\/s00296-008-0566-z","article-title":"Evaluation of knee proprioception and effects of proprioception exercise in patients with benign joint hypermobility syndrome","volume":"28","author":"Sahin","year":"2008","journal-title":"Rheumatol Int"},{"key":"10.1016\/j.jcm.2014.01.009_bb0130","doi-asserted-by":"crossref","first-page":"3323","DOI":"10.1002\/art.20582","article-title":"Amelioration of symptoms by enhancement of proprioception in patients with joint hypermobility syndrome","volume":"50","author":"Ferrell","year":"2004","journal-title":"Arthritis Rheum"},{"key":"10.1016\/j.jcm.2014.01.009_bb0135","first-page":"46","article-title":"Improving pain by the stabilization of hyperlax joints","volume":"9","author":"Barton","year":"1996","journal-title":"J Orthop Rheumatol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0140","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/S0161-4754(03)00095-2","article-title":"Chiropractic management of Ehlers-Danlos syndrome: a report of two cases","volume":"26","author":"Colloca","year":"2003","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jcm.2014.01.009_bb0145","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.math.2007.11.001","article-title":"Hypermobility and the hypermobility syndrome, part 2: assessment and management of hypermobility syndrome: illustrated via case studies","volume":"13","author":"Simmonds","year":"2008","journal-title":"Man Ther"},{"key":"10.1016\/j.jcm.2014.01.009_bb0150","doi-asserted-by":"crossref","unstructured":"Celletti C, Castori M, Galli M, et al. Evaluation of balance and improvement of proprioception by repetitive muscle vibration in a 15-year-old girl with joint hypermobility syndrome. Arthritis Care Res (Hoboken);63:775\u20139.","DOI":"10.1002\/acr.20434"},{"key":"10.1016\/j.jcm.2014.01.009_bb0155","unstructured":"Ashton S, Hakim AJ. Undiagnosed, joint hypermobility syndrome patients have poorer outcome than peers following chronic back pain rehabilitation. Proceedings of the Soft tissue and regional musculoskeletal disease and fibromyalgia Conference; 2005 April 21 p.109."},{"key":"10.1016\/j.jcm.2014.01.009_bb0160","first-page":"915","article-title":"Joint hypermobility syndrome: which intervention?","volume":"12","author":"Miller","year":"2011","journal-title":"J Clin Chiropr Pediatr"},{"key":"10.1016\/j.jcm.2014.01.009_bb0165","first-page":"6","article-title":"Chiropractic management of Ehlers-Danlos Syndrome: a case report","volume":"47","author":"Morley","year":"2010","journal-title":"J Am Chiropr Assoc"},{"key":"10.1016\/j.jcm.2014.01.009_bb0170","doi-asserted-by":"crossref","first-page":"2055","DOI":"10.1002\/ajmg.a.35483","article-title":"Management of pain and fatigue in the joint hypermobility syndrome (a.k.a. Ehlers-Danlos syndrome, hypermobility type): principles and proposal for a multidisciplinary approach","volume":"158A","author":"Castori","year":"2012","journal-title":"Am J Med Genet A"},{"key":"10.1016\/j.jcm.2014.01.009_bb0175","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/0304-3959(86)90228-9","article-title":"The measurement of clinical pain intensity: a comparison of six methods","volume":"27","author":"Jensen","year":"1986","journal-title":"Pain"},{"key":"10.1016\/j.jcm.2014.01.009_bb0180","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1111\/j.1553-2712.2003.tb01355.x","article-title":"Validation of a verbally administered numerical rating scale of acute pain for use in the emergency department","volume":"10","author":"Bijur","year":"2003","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.jcm.2014.01.009_bb0185","first-page":"409","article-title":"The Neck Disability Index: a study of reliability and validity","volume":"14","author":"Vernon","year":"1991","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jcm.2014.01.009_bb0190","first-page":"75","article-title":"Psychometric properties of the neck disability index","volume":"21","author":"Hains","year":"1998","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jcm.2014.01.009_bb0195","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1212\/WNL.44.5.837","article-title":"The Henry Ford Hospital Headache Disability Inventory (HDI)","volume":"44","author":"Jacobson","year":"1994","journal-title":"Neurology"},{"key":"10.1016\/j.jcm.2014.01.009_bb0200","first-page":"4","article-title":"Functional outcomes of low back pain: comparison of four treatment groups in a randomized controlled trial","volume":"15","author":"Hsieh","year":"1992","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jcm.2014.01.009_bb0205","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s00586-002-0464-0","article-title":"The clinical importance of changes in outcome scores after treatment for chronic low back pain","volume":"12","author":"Hagg","year":"2003","journal-title":"Eur Spine J"},{"key":"10.1016\/j.jcm.2014.01.009_bb0210","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1136\/jech.40.1.12","article-title":"Comparison of chiropractic and outpatient management of low back pain: a feasibility study","volume":"40","author":"Meade","year":"1986","journal-title":"J Epidemiol Commun Health"},{"key":"10.1016\/j.jcm.2014.01.009_bb0215","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/0304-3959(94)90007-8","article-title":"Low back pain rating scale: validation of a tool for assessment of low back pain","volume":"57","author":"Manniche","year":"1994","journal-title":"Pain"},{"key":"10.1016\/j.jcm.2014.01.009_bb0220","doi-asserted-by":"crossref","first-page":"3115","DOI":"10.1097\/00007632-200012150-00006","article-title":"The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire","volume":"25","author":"Roland","year":"2000","journal-title":"Spine"},{"key":"10.1016\/j.jcm.2014.01.009_bb0225","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1093\/ptj\/81.2.776","article-title":"A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale","volume":"81","author":"Fritz","year":"2001","journal-title":"Phys Ther"},{"key":"10.1016\/j.jcm.2014.01.009_bb0230","series-title":"Assessment and treatment of muscle imbalance: the Janda approach","author":"Page","year":"2010"},{"key":"10.1016\/j.jcm.2014.01.009_bb0235","series-title":"Chiropractic technique: principles and procedures. 2nd edition","author":"Peterson","year":"2002"},{"key":"10.1016\/j.jcm.2014.01.009_bb0240","series-title":"Activator method. 2nd ed","author":"The","year":"2009"},{"key":"10.1016\/j.jcm.2014.01.009_bb0245","series-title":"Guidelines for chiropractic quality assurance and practice parameters","year":"1993"},{"key":"10.1016\/j.jcm.2014.01.009_bb0250","series-title":"Functional soft-tissue examination and treatment by manual methods","author":"Hammer","year":"2007"},{"key":"10.1016\/j.jcm.2014.01.009_bb0255","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/S0304-3959(01)00349-9","article-title":"Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale","volume":"94","author":"Farrar","year":"2001","journal-title":"Pain"},{"key":"10.1016\/j.jcm.2014.01.009_bb0260","first-page":"561","article-title":"Criteria for clinically important changes in outcomes: development, scoring and evaluation of rheumatoid arthritis patient and trial profiles. OMERACT Committee","volume":"20","author":"Goldsmith","year":"1993","journal-title":"J Rheumatol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0265","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1007\/BF00451723","article-title":"Measuring change over time: a comparison of results from a global single item of health status and the multi-dimensional SF-36 health status survey questionnaire in patients presenting with menorrhagia","volume":"3","author":"Jenkinson","year":"1994","journal-title":"Qual Life Res"},{"key":"10.1016\/j.jcm.2014.01.009_bb0270","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/0895-4356(94)90036-1","article-title":"Determining a minimal important change in a disease-specific Quality of Life Questionnaire","volume":"47","author":"Juniper","year":"1994","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.jcm.2014.01.009_bb0275","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1111\/j.1468-2982.2006.01108.x","article-title":"Clinical features, classification and prognosis of migraine and tension-type headache in children and adolescents: a long-term follow-up study","volume":"26","author":"Kienbacher","year":"2006","journal-title":"Cephalalgia"},{"key":"10.1016\/j.jcm.2014.01.009_bb0280","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1212\/01.wnl.0000172918.74999.8a","article-title":"Prognosis of migraine and tension-type headache: a population-based follow-up study","volume":"65","author":"Lyngberg","year":"2005","journal-title":"Neurology"},{"key":"10.1016\/j.jcm.2014.01.009_bb0285","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.pain.2004.09.004","article-title":"The annual incidence and course of neck pain in the general population: a population-based cohort study","volume":"112","author":"Cote","year":"2004","journal-title":"Pain"},{"key":"10.1016\/j.jcm.2014.01.009_bb0290","doi-asserted-by":"crossref","first-page":"2833","DOI":"10.1097\/00007632-199612150-00004","article-title":"The course of back pain in primary care","volume":"21","author":"Von Korff","year":"1996","journal-title":"Spine"},{"key":"10.1016\/j.jcm.2014.01.009_bb0295","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/0005-7967(91)90127-O","article-title":"The evolution of chronic back pain problems: a longitudinal study","volume":"29","author":"Philips","year":"1991","journal-title":"Behav Res Ther"},{"key":"10.1016\/j.jcm.2014.01.009_bb0300","doi-asserted-by":"crossref","first-page":"E459","DOI":"10.1097\/01.brs.0000174279.44855.02","article-title":"Predictors of outcome in neck and shoulder symptoms: a cohort study in general practice","volume":"30","author":"Bot","year":"2005","journal-title":"Spine"},{"key":"10.1016\/j.jcm.2014.01.009_bb0305","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1093\/rheumatology\/40.5.559","article-title":"British consultant rheumatologists' perceptions about the hypermobility syndrome: a national survey","volume":"40","author":"Grahame","year":"2001","journal-title":"Rheumatology (Oxford)"},{"key":"10.1016\/j.jcm.2014.01.009_bb0310","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1111\/j.1742-1241.2003.tb10455.x","article-title":"A simple questionnaire to detect hypermobility: an adjunct to the assessment of patients with diffuse musculoskeletal pain","volume":"57","author":"Hakim","year":"2003","journal-title":"Int J Clin Pract"}],"container-title":["Journal of Chiropractic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1556370714000108?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1556370714000108?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T08:49:13Z","timestamp":1784796553000},"score":1,"resource":{"primary":{"URL":"https:\/\/jcm.kglmeridian.com\/doi\/10.1016\/j.jcm.2014.01.009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3]]},"references-count":62,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,3]]}},"alternative-id":["S1556370714000108"],"URL":"https:\/\/doi.org\/10.1016\/j.jcm.2014.01.009","relation":{},"ISSN":["1556-3707"],"issn-type":[{"value":"1556-3707","type":"print"}],"subject":[],"published":{"date-parts":[[2014,3]]}}}