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Movement Strategies for People With Hypermobility

movement strategies for people with hypermobility

Hypermobility—when joints move beyond the typical range of motion—can be both a strength and a challenge. While some people experience enhanced flexibility, others face recurring pain, instability, and fatigue in daily movement. Research shows that joint hypermobility often affects connective tissues, leading to reduced joint stiffness, decreased proprioception, and increased injury risk (Castori et al., 2017). Because of this, purposeful movement strategies – often guided through kinesiology – are key to improving stability, strength, and confidence.

Below are evidence-informed strategies to help individuals with hypermobility move safely and effectively.

1. Prioritize Controlled Strength Training

Strength training is one of the most effective interventions for people with hypermobility. Studies demonstrate that resistance training improves joint stability, neuromuscular control, and functional capacity (Kemp et al., 2019). For hypermobile individuals, the goal isn’t to “tighten” joints but to build muscular support around them.

Key guidelines:

  • Focus on slow, controlled movements.
  • Begin with lower loads and gradually progress.
  • Incorporate closed-chain exercises (e.g., squats, wall push-ups), which offer more stability.
  • Avoid locking joints into end ranges during lifts.

Exercises like glute bridges, rows, leg presses, and modified planks help build foundational strength without overstressing vulnerable joints.

2. Improve Proprioception and Motor Control

Proprioception—your awareness of joint position—is often reduced in people with hypermobility. This can contribute to poor coordination, balance challenges, and repeated injuries. Research suggests that proprioceptive training can significantly improve function and stability in hypermobile individuals (Rombaut et al., 2012).

Proprioceptive exercises may include:

  • Balance training using stable surfaces (start simple before using wobble boards).
  • Slow, mindful movement such as Pilates or controlled mobility drills.
  • Band-resisted movements that require active joint positioning.
  • Step-ups, weight shifts, and single-leg stance holds.

The key is to develop awareness—not speed. Repetition with attention to alignment helps reinforce safer motor patterns.

3. Emphasize Mid-Range Stability

Hypermobility often makes it tempting to sit or move into end-range positions because those positions feel “easy” or familiar. However, staying in mid-range positions helps build joint stability and reduces strain on passive tissues.

Strategies to reinforce mid-range control:

  • Cue soft knees rather than locked knees.
  • Use shorter range-of-motion variations of exercises (e.g., half-depth lunges).
  • Practice neutral alignment in daily activities—standing, sitting, lifting.

By strengthening within mid-range, individuals gain better control before gradually exploring increased range (if appropriate).

4. Incorporate Breathwork and Core Stabilization

A well-functioning core supports the entire kinetic chain. Breath patterns also matter—poor diaphragmatic control can contribute to compensatory movement patterns and increased tension. Research highlights that individuals with hypermobility benefit from core stabilization and diaphragmatic breathing exercises to support spine and pelvic alignment (Sahin et al., 2018).

Key practices:

  • Diaphragmatic breathing (belly breathing)
  • Dead bug variations
  • Bird-dog
  • Side planks (modified as needed)
  • Pelvic tilts with breath control

These exercises promote intermuscular coordination and stabilize the body during everyday movement.

5. Use Mobility Training Strategically

Since hypermobile individuals often already possess high flexibility, traditional stretching routines may not always be necessary—and may even worsen symptoms if overstretching occurs.

Instead, consider:

  • Prioritizing muscle activation over passive stretching.
  • Using gentle mobility work to reduce stiffness from muscle guarding.
  • Avoiding prolonged end-range stretches, especially when joints feel unstable.

Research suggests that stability-focused training is more beneficial than increasing flexibility for hypermobile individuals (Voermans & Knoop, 2020). Rather we should strengthen hypermobile ranges so joints are supported and stable.

6. Pace Activity and Manage Fatigue

Fatigue is a common and valid symptom in hypermobile populations. Muscle activation around unstable joints requires more energy, and many individuals compensate without realizing it. Activity pacing reduces flare-ups and supports long-term consistency.

Try:

  • Breaking workouts into shorter sessions.
  • Alternating strength days with lower-intensity or restorative days.
  • Prioritizing sleep, hydration, and recovery.

Listening to the body’s signals—rather than pushing through discomfort—is essential.

How We Can Help

Working with exercise professionals, such as kinesiologists or certified trainers, can help you design flexible, efficient workouts that fit your environment—whether you’re training in a busy gym or at home. Professional guidance ensures your form, structure, and progression remain on track even when equipment options are limited.

At CARESPACE, we take a holistic approach to health, helping clients like YOU reach your unique fitness goals. Whether you’re just starting out or looking to elevate your training, our team of kinesiologists and movement specialists are here to help you thrive.

Conclusion

People with hypermobility can absolutely build strength, stability, and resilience with the right strategies. A combination of controlled strength training, proprioceptive work, mid-range stabilization, breath integration, and smart pacing can significantly improve daily function and reduce injury risk. Working with a trained movement professional—such as a kinesiologist—can provide the individualized guidance needed for safe and effective progress.

References

Castori, M., Tinkle, B., Levy, H., Grahame, R., Malfait, F., & Hakim, A. (2017). A framework for the classification of joint hypermobility and related conditions. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 175(1), 148–157.

Kemp, S., Roberts, I., Gamble, C., Wilkinson, A., & Mitchell, J. (2019). A randomized comparative trial of strength training vs. standard care for hypermobility. Clinical Rehabilitation, 33(7), 1101–1111.

Rombaut, L., Malfait, F., De Paepe, A., & Calders, P. (2012). Joint position sense and muscle strength in patients with Ehlers-Danlos syndrome hypermobility type. Disability and Rehabilitation, 34(21), 1765–1771.

Sahin, N., Baskent, A., Cakmak, A., & Bolukbasi, N. (2018). Core stabilization exercise training for hypermobility. Rheumatology International, 38(2), 261–269.

Voermans, N. C., & Knoop, H. (2020). Perspectives on hypermobility and exercise. Journal of Rehabilitation Medicine, 52(4), jrm00045.

About the Author

Ella Grammatikos, BA, CPTN-CPT is a personal trainer at CARESPACE Uptown Waterloo. She helps clients improve their health through personalized, evidence-based care. If you’re looking for personal training in Waterloo, CARESPACE offers coordinated support designed to help you be your best.