In this episode, We delve into the complexities of hypermobility, exploring its impact on strength training and athletic performance. We discuss the role of collagen types, neuromuscular challenges, and the unique fatigue patterns experienced by hypermobile individuals.

We also look at the importance of tailored training approaches that focus on stability, proprioception, and energy management, while also redefining progress metrics for hypermobile athletes.

00:00 Understanding Hypermobility

05:37 Neuromuscular Challenges in Hypermobility

12:00 Fatigue and Energy Management for Hypermobility

16:53 Building Power and Strength in Hypermobility

20:31 Training Strategies for Hypermobility

29:45 Mindset and Progress for Hypermobility

References & Further Reading

1. Child, A. H. (1986). Joint hypermobility syndrome: A clinical study of 66 patients. Annals of the Rheumatic Diseases, 45(12), 953–957.→ Explores abnormal collagen ratios (Type I vs Type III) in hypermobility.

   
   

2. Hakim, A. J., & Sahota, A. (2006). Joint hypermobility and skin elasticity: The hereditary disorders of connective tissue. Clinical Dermatology, 24(6), 521–533.→ Discusses collagen mutations and connective tissue fragility in Ehlers-Danlos Syndrome.

   
   

3. ALMohiza, M., & Reddy, R. S. (2025). Exploring the dynamics of stability and lumbar proprioception in hypermobility syndrome: A cross-sectional study. Journal of Orthopaedic Surgery and Research, 20, 285.→ Highlights proprioceptive deficits and their impact on movement control.

   
   

4. Rombaut, L., Malfait, F., De Wandele, I., Cools, A., Thijs, Y., De Paepe, A., & Calders, P. (2012). Muscle strength, muscle mass, and function in women with the hypermobility type of Ehlers-Danlos syndrome. Arthritis Care & Research, 64(10), 1584–1592.→ Details strength and neuromuscular issues in women with hEDS.

   
   

5. World Physiotherapy Congress Proceedings (2023). Central fatigue is greater than peripheral fatigue in people with symptomatic joint hypermobility.→ Explores how central nervous system fatigue plays a bigger role than peripheral fatigue in hypermobile populations.

   
   

6. The EDS Clinic. Exercises for Managing Hypermobility and EDS.→ Recommends isometrics, proprioceptive loading, and gradual strength work tailored to joint instability.