EDS (Ehlers-Danlos syndromes) form a heterogeneous group of hereditary connective tissue pathologies, which present a characteristic triad: cutaneous hyperelasticity, articular hyperlaxity and connective tissue fragility. The innumerable sprains and dislocations of all the joints require recurrent immobilizations and are responsible for a musculoskeletal handicap, chronic pains and a great fatigability, resounding on the quality of life of the patient. The use of custom-made compression garments seems to provide relief from pain, especially nociceptive pain and in stabilizing joints by proprioceptive effect. The SEDCARE study is an observational monocentric, non-comparative study. 76 patients will be followed in this study for 2 years during which they will wear compression custom-made garments (Cerecare®).The main objective of this study is to demonstrate the effectiveness of pressure garments Cerecare in the EDS, especially in terms of joint pain.
Study Type
OBSERVATIONAL
Enrollment
76
all Cerecare compression garments
Dr Pontier
Clermont-Ferrand, France
Dr Benistan
Garches, France
Dr Michot
Paris, France
Dr Enjalbert
Perpignan, France
SLB Pharma
Rennes, France
Joint pain assessment
Assessment of the most painful joint by an VAS (Visual Analog Scale) \[0-100mm\]. The most painful joint at 0 months (= before use Compression Garments) will be choose as the primary outcome measure. The primary outcome measure will be done at 6 months.
Time frame: 6 months
Joint pain assessment
Assessment of joint pain by an VAS (Visual Analog Scale) \[0-100mm\]: shoulder, elbow, wrist, finger, hip, knee, ankle.
Time frame: 6, 12, 18 and 24 months
Daily monitoring of joint instability
Daily monitoring of joint instability as sprain, dislocation and subluxation (shoulder, elbow, wrist, finger, hip, knee, ankle).
Time frame: 6, 12, 18 and 24 months
Neuropathic pain assessment
Assessment of neuropathic pain by the PAIN Detect questionnaire. The PAIN Detect questionnaire contains: * 3 numerical scales (NS) \[0-10\], * 7 items with categorical response (never, hardly noticed, slightly, moderately, strongly, very strongly).
Time frame: 6, 12, 18 and 24 months
Proprioception disorders
Assessment of proprioception disorders by the Berg Balance Scale (BBS) \[0-56\]. The BBS contains 14 items; each item is scored from 0 to 4.
Time frame: 6, 12, 18 and 24 months
Functional independence assessment
Assessment of functional independence by the Functional Independence Measure (FIM) \[18-126\]. The FIM contains 18 items; each item is scored from 1 (total assistance) to 7 (complete independence).
Time frame: 6, 12, 18 and 24 months
Tiredness
Assessment of Tiredness by the FSS scale (Fatigue Severity Scale) \[1-7\].
Time frame: 6, 12, 18 and 24 months
Patient's quality of life
Assessment of Life quality by the SF-12 questionnaire (Short Form questionnaire on quality of life with 12 items).
Time frame: 6, 12, 18 and 24 months
Tolerance: incidence of Treatment-Emergent Adverse Events
By questioning the patient and by a medical exam, evaluation of adverse effect due to compression garments (Yes/ No): itch, edema, blister, redness, dermal ulceration.
Time frame: 6, 12, 18 and 24 months
Compliance
By questioning the patient, estimate the number of hours of compression garments daily use.
Time frame: 6, 12, 18 and 24 months
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