♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- Hi I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together we are the most famous physical therapists
on the internet.
- In our opinion of course, Bob.
- Brad, we're gonna talk about, are you double jointed?
We have a test to determine if you're double jointed.
And we also have some advice for you if you are,
because it can give you problems.
- And I think we can clarify double jointed is a slang term.
In the therapy world we call it hyper mobility of the joint.
- Yeah, it doesn't mean you have two joints.
There's there's no issue there.
- It just means they have excess range of motion
at the end range basically.
- You have a single joint,
10 to 25% of the population has this.
And it's called joints hypermobility syndrome.
I looked that up.
Or benign joints hypermobility syndrome.
And it's also called kind of interchanged with,
Ehlers-Danlos syndrome.
- Right, right.
The big thing is, a lot of people have this condition
and there's no problems with it.
There are some things that you need to watch for.
And if you wanna be active,
some things that we'll go through later in the video.
- So first we're gonna go through the test,
which is Beighton's Hypermobility Score.
And it's a nine points test,
and if you get six points or over
you're considered hyper mobile.
So you're testing both sides.
So let's go ahead and start Brad.
- Okay. We have our clinic clothes on,
This is really best to be done with
a pair of shorts and short sleeves.
But you'll see why.
- Oh and before we do the test, Brad, by the way
if you haven't subscribed already,
there's people that are coming
onto our channel all the time.
We upload a video every day, usually in the evening.
And there's a little subscribe button right down there.
It's free.
- It's red on my computer,
just put the little arrow on it.
- But just covered it up right now.
- Yeah, sorry.
- Go ahead and hit that baby,
and we're gonna give you lots of videos on how to
stay healthy and fit and pain-free and all those things.
- All right, let's do the test.
- Let's do the test.
The first test is gonna be the little pinky Brad,
and you're gonna take that, and you're gonna bend it back.
And if you can bend it back to this point,
where it's actually a right angle like that.
- There would be 90 degrees.
- Yep, if I could go all the way back to that,
and I don't, so I don't pass, or I don't get a point.
You do it on either side.
- You get a point for each hand.
- Yes. - Okay, good.
90 degrees on the pinky.
- Number two is the thumb,
so now you're gonna take the thumb,
this is the one I see in a lot of people,
this is the one I have patients do, Brad, by the way,
When we're checking out people
we wanna see if they're hyper mobile.
So I say, can you take your thumb,
and if you can take your thumb and put it down to the wrist.
- I don't even come close.
- Yeah, you're you're not hyper mobile at all.
We should have had somebody here that was hyper mobile.
- We did last time.
- I know last time we did, Nancy.
Okay, now it's the left elbow.
- So you'd have four points so far.
- You could have four points, if you could.
- The elbow, you go like this
and you can see my elbow is straight.
- He's completely straight,
so you wanna see if it bends down a little bit,
beyond that, 10 degrees.
So if it bent down,
- Show what 10 degrees would look like.
- Okay, 10 degrees is right there.
Oh no, that's too much.
10 degrees is right there.
- That's 10 degrees,
Are we at flexion or extension.
- Oh, there we go.
- Yeah it's gotta go backwards.
- 10 degrees.
- Okay, so that gives you an idea.
I don't know if they could see that very well on the camera.
- If his arm was level with that.
- You'll see people that do this,
they go like that and their elbows backwards.
- A lot more common in women on that one,
I think a lot of people that might be hyper mobile
in that joint alone, but not anywhere else, I see it.
- Is that one point for each arm
- One point for each arm.
- Okay, next one.
- Next one is the knee. - Okay.
- Okay so, that one is a good one where,
if you you wanna grab that other chair Brad too, maybe.
That's kind of the same issue on this one.
- Oh, we gotta subject these people to your legs.
- I should have had a tattoo on there.
Now, I used to be a little bit hyper mobile
how am I now?
- You might be extending down a little bit.
- A little bit?
- If we put this gony here straight at zero.
- Can you see that Lonnie?
You can see this side too?
Okay.
- Now 10 degrees would be here,
and you can see he would have to go up back far.
- So I'm a few degrees probably, huh?
- Right, yep I would say you're at about three or four.
- This is probably more normal right there,
and I'm a little bit hyper extended.
I think I used to be worse.
And we'll talk about this later.
- Sure, you bet.
- All right, so you can get one point for each knee.
- Each knee, okay.
So we're at two, four, six, eight, right now?
- Two, four, six, eight, who do you appreciate?
All right, and then we're gonna go, oh,
forward flexion of the trunk.
Let's do this both.
- Okay.
- See who's the best, or the worst.
- So we're gonna keep our knees straight.
- Knees straight.
See how close you can get to the floor.
- Well you're taller though.
- Yeah, if I bend my knees.
- That doesn't count though right.
- This is what it would count, if you had
your knees straight and you could put your hands flat,
that would be meaning that you're hyper mobile.
- Right, a lot of people say, can you palm the floor?
But the knees have to be straight.
- And a lot of people think that's a good thing,
and if you're hyper mobile in all the other joints,
that's not necessarily a good thing
that you can put your hands on the floor.
All right Brad, so,
you've discovered that you have six points or more.
If you're having painful joints along with that,
I'd see the doctor actually.
- Sure, yep.
- Because there's some other issues that could,
there's Marfan's disease and stuff like that,
that show up with things like this.
So you really wanna make sure it's checked out
if you're having some of the issues.
Now, our advice to you is we got some things
that you wanna really be aware of.
One thing is with your posture,
you wanna avoid positions
where you do have the joints at the end range.
- We better define end range.
- Yeah, that means that the joint is all the way straight.
- It can't go any farther.
- Right.
The most common one I would say Brad,
is like if you have knees that do hyper extend
and I had this problem,
I used to stand with my knees locked.
- So if we look at here.
- Yeah.
We can go ahead and bring it up.
- Oh sure Bob show a little leg.
- So I used to stand like this with my knees locked,
and I did this all time and it was stretching out
further and further over time Brad,
I was starting to get knee pain.
I had a patient one time Brad,
he worked at Subway and he came into me and he was really,
he was probably 15 degrees hyper extended.
And it would just jam his joint all night long.
We had him change that one thing,
just had him start standing with his knees bent slightly
or one foot in front of the other like this,
and his knee pain went away.
- Sure, yeah.
- So this is really critical that you don't,
I have to watch it all the time that
I don't sit and put my feet up on an Ottoman,
is that what it's called?
- Ottoman, yeah.
- And just let my legs relax like that,
'cause it'll stretch them out.
- Right, yeah.
You know, and that pretty much goes for anybody,
but people that are hyper mobile, it's even more,
quite a bit more problematic.
- And you're a person, if you're hyper mobile,
and you got hyper mobility in the fingers too,
you don't wanna be in an occupation
like giving massages or doing something where
you're putting a lot of stress on the joints of the hand.
- Well, they even say long term, typing can cause problems.
You know, they're saying use a transcriber
where voice recognition is a lot more available now.
- Writing would be worse than typing.
- Particularly people that grab their pen or their pencil
and they really put out of pressure,
and they're putting their joints to the...
you ever see that extended finger joint.
- Exactly.
Let's go up to the shoulder, Brad.
You're gonna be more likely to dislocate your shoulder.
You're gonna be that pitcher that can
probably go way back here.
But this is the position you wanna avoid with the shoulder
is flexion and external rotation like this.
- That's the most vulnerable position.
- This is how the shoulder pops out actually
in people who are hyper mobile.
- Right, the easiest.
- So, all right,
what about strengthening Brad?
It is important to do some strengthening if you can.
- 'Cause this can help the situation,
but you need to do it properly.
So if you're let's say for example,
oh, where's our weight we don't have that.
I thought we had it right behind me.
If you're doing curls, this is just an example,
'cause you're probably not gonna do,
you may do curls if it's a guy looking for
some attention from the girls.
You're not gonna go all the way out
into that hyper extension.
You're just gonna go down so there's still some flexion
or not quite straight.
And do that joint that way.
- Are you saying curls for the girls Brad?
- Well, you know, they're yeah, you know.
When I was in high school, that's what I did.
- And isometrics are actually good too.
Like let's say you wanna strengthen your knee, Brad.
You could do straight leg raises,
which you're just going like this
and you're lifting up like this
and you're holding it,
one, two, three, four, five, six, seven, eight, nine, ten.
- Working those quads.
- Yep, and you're strengthening the joint
without putting stress on it.
So that's a great one to do.
Pushups, you can do pushups.
- Right, yeah go ahead,
demonstrate the right and the wrong way.
- I wouldn't do full, and I don't know that I'd even
go onto my wrist like this Brad,
'cause that's probably putting a lot of stress on them.
- Yeah, a lot of stress on that wrist.
- You can go a little more neutral like this,
so this puts less stress on the ligaments,
now the stress is on the palm.
And they got the pushup thing called the perfect pushup.
I think we did a review on that,
if I remember I'll put a link on it.
- Sure, okay.
- But you can just go ahead and these are not perfect ones.
Do I have room?
- But it's still nice.
You can just use, you don't have to have these,
if you got some dumbbells that are big enough in diameter,
you can use that.
Look at that Bob, pump away some pushups.
Now he's not gonna go all the way to extension,
he's just gonna keep the elbow,
can you stop right up there?
He's gonna stop here,
there's still some flexion in the elbow.
- Right, how long are you gonna make me stop there?
- See that's how tough he is.
- I'm not.
- How about squats?
- Yeah, you wanna show a squat?
This is where the ball comes in handy Brad,
'cause there's a lot of exercise you can do
for strengthening without
putting a lot of stress on the joints.
- And right up here, you're not gonna go all the way
and lock your knees out.
And most people don't on this anyways.
It's just kind of a natural thing just to go up so far,
but keep in mind if you got this problem
to really keep those quad strength,
and only go partial way.
This is a great quad strength exercise.
- I love that one.
Brad, let's just talk about cardio a little bit too.
Running's not gonna be the best for you,
pretty bad impact, but you could do the elliptical.
Swimming is good but we talked about that,
you may wanna use a kickboard.
- Right, you're probably not gonna do the crawl
because that really brings those shoulders into that
near that end range.
But the breast stroke would be great.
- Or a kick...
- Kickboard.
Right, where you're not using your arms,
you're just kicking with your feet.
Again all in neutral position.
- Right, so that would get help you get your cardio,
walking obviously is fine, too.
- Sure, yeah.
- All right.
You know, this isn't the end of the world
if you are hypermobile,
but you want to protect yourself
to make sure that you don't injure your joints.
- Absolutely.
- And remember, Brad and I can fix just about anything.
- I thought maybe you were gonna say we're pretty,
but pretty ugly.
- Oh, that's right.
Remember Brad and I are pretty,
pretty ugly.
No, we're pretty surprised that you're with us right now,
we want you to stay with us.
- Yeah, it's been quite a while.
- Okay, thanks.