Efectos del Ejercicio Combinado en la Hipoalgesia y Variables Autonómicas en una Paciente con Síndrome de Ehlers-Danlos Hipermóvil: Un Informe de Caso

• Alberto Melis-Romeu ^[1] ; Cristian Mendoza-Arranz ^[1] ; Alberto Pérez González ^[1]
  1. [1] Universidad Autónoma de Madrid

     Universidad Autónoma de Madrid

     Madrid, España

     
• Localización: Journal of Move & Therapeutic Science, ISSN 2695-6330, Vol. 7, Nº. 1, 2025, págs. 707-719
• Idioma: español
• DOI: 10.37382/jomts.v7i1.1552
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Los síndromes de Ehlers-Danlos (SED) son un grupo heterogéneo de trastornos del tejido conectivo caracterizados por una hipermovilidad articular, hiperextensibilidad de la piel y fragilidad del tejido. Ademásdesufrir dolor crónico, lesiones musculoesqueléticas y dislocaciones de forma recurrente,su patología suele conllevar síntomas relacionados con disautonomías,los cuales pueden dominar la patología y conllevar una discapacidad muy importante.Este caso es único al explorar los efectos previamente no estudiados del ejercicio sobre la función autonómica y la modulación descendente del dolor en un paciente con síndrome de Ehlers-Danlos hipermóvil.Mujer de 26 años diagnosticada de SED hipermóvil con dolor crónico y síntomas de disautonomías de 3 años de evolución.Seevaluaron:Umbrales de dolor a la presión, frecuencia cardíaca, temperatura de la piel a nivel periféricoyconductancia de la piel durante un Tilt Test y protocolos de Bruce modificados para este estudio. Se tomaron dos mediciones, una antesy otra después de 7 semanas de tratamiento.El tratamiento basado en ejercicio cardiovascular de tipo interválico y trabajo de fuerza general produjo cambios importantes en todas las variables mencionadas anteriormente. Se observaron disminuciones en frecuencia cardíaca, temperatura y conductancia de la piel, así como aumento de los umbrales de dolor a la presión en ciertos casos. Los resultados de este caso podrían indicar que una intervención a base de ejercicio es capaz de producir cambios en variables relacionadas con el sistema nervioso autónomo y los sistemas descendentes de modulación del dolor en una paciente diagnosticada con SEDhipermovil

  • English

    Ehlers-Danlos syndromes (EDS) are a heterogeneous group of connective tissue disorders characterized by joint hypermobility, skin hyperextensibility, and tissue fragility. In addition to experiencing chronic pain, musculoskeletal injuries, and recurrent dislocations, their condition often involves symptoms related to dysautonomia, which can dominate the pathology and lead to significant disability.This case is unique as it explores the previously unstudied effects of exercise on autonomic function and descending pain modulation in a patient with hypermobile Ehlers-Danlos syndrome.A 26-year-old woman diagnosed with hypermobile EDS with chronic pain and dysautonomia symptoms of 3 years' duration was evaluated. Pain pressure thresholds, heart rate, peripheral skin temperature, and skin conductance were assessed during a Tilt Test and modified Bruce protocols for this study. Two measurements were taken, one before and one after 7 weeks of treatment.The treatment, based on interval-type cardiovascular exercise and general strength training, produced significant changes in all the variables mentioned above. Decreases in heart rate, temperature, and skin conductance were observed, as well as an increasein pain pressure thresholds in certain cases.The results of this case may indicate that an exercise-based intervention is capable of producing changes in variables related to the autonomic nervous system and descending pain modulation systems in a patient diagnosed with hypermobile EDS

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