High-Load Resistance Training Versus Usual Care for Knee Pain and Hypermobility in Young Adults
A Randomized Trial to Improve Knee Stability and Reduce Pain
Led by University of Southern Denmark · Updated on 2026-04-29
90
Participants Needed
2
Research Sites
52 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are investigating whether high-load resistance training is more effective than usual care in reducing activity-related knee pain in young adults aged 18 to 45 with hypermobile joints and knee pain. This study focuses on patients who often do not respond well to standard low-intensity resistance and proprioceptive training. The goal is to improve knee stability and reduce pain by exploring a training method that may enhance muscle size, nerve activation, and tendon stiffness.
Participants are randomly assigned to one of two groups. One group will perform a progressive high-load resistance training program twice a week for 12 weeks. The other group receives standard care involving neuromuscular training focusing on knee stability and function at low intensities, also performed twice weekly for 12 weeks. Both exercise programs target muscles around the knee.
Throughout the study, participants will be assessed at baseline, 6 weeks, 12 weeks, and 12 months. Researchers will measure activity-related pain using a visual analogue scale, along with knee function, injury outcomes, knee strength, reposition sense, and hopping ability. Adverse events will be monitored for up to 12 months. The study includes double-blind procedures and randomized allocation to groups, with the total participation lasting at least 12 months to evaluate long-term effects.
CONDITIONS
Brief Title
Exercise in Patients With Hypermobile Joints and Knee Pain
Research Team
B
Behnam Liaghat, PhD
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Knee pain of at least 30 mm on a 0-100 mm visual analogue scale during the last week
Generalised joint hypermobility with a positive Five-Part Hypermobility Questionnaire score of 2 or more out of 5
Local knee joint hyperextension greater than 10 degrees measured both standing and lying down
Age between 18 and 45 years
You will not qualify if you...
Diagnosed with patellar tendinopathy
Pregnant or gave birth within the past year
Knee surgery within the past year
Participation in regular structured resistance training within the past six months
Inability to speak and understand Danish
All types of Ehlers-Danlos syndrome
Other heritable connective tissue disorders such as Marfan syndrome, osteogenesis imperfecta, Loeys-Dietz syndrome, Stickler syndrome, skeletal dysplasias
Autoimmune rheumatic connective tissue disorders such as lupus, rheumatoid arthritis
Chromosomal conditions such as Fragile X syndrome, Kabuki syndrome, Down syndrome
Neuromuscular disorders causing joint instability such as multiple sclerosis
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 12 weeks
Participants receive either a progressive high-load resistance training program or a neuromuscular training program focused on knee stability and function, both performed twice weekly.
Twice weekly exercise sessions for 12 weeks
Follow-up
Duration - Up to 12 months
Participants are monitored to assess knee pain, function, and any adverse events after completing the training program.
Follow-up assessments at 6 weeks, 12 weeks, and 12 months
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
High-load strength training compared with standard care treatment in young adults with joint hypermobility and knee pain: study protocol for a randomised controlled trial (the HIPEr-Knee study).