STABLE Pilates for Hypermobility

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBrigham and Women's Hospital

About this trial

This study is looking at whether Pilates-based exercise can help with hypermobility-related symptoms, like pain.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

≥ 18 years old;

Self-reported hypermobility with confirmed or suspected diagnosis of hEDS/HSD;

Self-reported persistent pain ≥ 3 months;

A minimum of 3/10 self-reported pain intensity in the past week

Disqualifiers

Regular ongoing mind-body practice (e.g. Tai chi, yoga, pilates) defined as a regular weekly practice of at least 20min/week over the past 6 months;

Recent surgery or acute bone, joint or nerve injury (<6 months);

Have a history of a severe or progressive neurological or movement disorder;

Pregnant, planning to become pregnant during the study, or currently breast feeding;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Pilates

    Behavioral

    Pilates is a gentle mind-body exercise with an emphasis on muscular control, postural awareness, and breathing that may be particularly well-suited for managing hypermobility. Exercises are mostly floor-based and focus on developing muscular strength and stability which may improve pain and symptom management

  • Education

    Behavioral

    Educational seminars pertaining to hypermobility symptom management

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: PilatesExperimental treatment 1 intervention
Group B: Enhanced Usual CareActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Intervention Feasibility

Recruitment, Retention, Attendance

Time frame
Enrollment to end of intervention (week 6) and follow-up (week 12)
2

Acceptability

Treatment Helpfulness Questionnaire (THQ): The THQ is a single-item measure that evaluates the perception of helpfulness of an intervention. Participants will be asked to rate the helpfulness of the intervention to which they are randomized on a scale of -5 (extremely harmful) to 5 (extremely helpful) with 0 indicating "neutral."

Time frame
Enrollment to end of intervention (week 6)

Secondary outcomes

1

Pain intensity

The Patient Reported Outcomes Measurement Information System Profile (PROMIS-29) will be used to assess pain intensity. Scores range from 8-40 with higher scores indicating a greater presence of the corresponding construct.

Time frame
Baseline, week 6 and week 12
2

Pain interference

The Patient Reported Outcomes Measurement Information System Profile (PROMIS-29) will be used to assess pain interference. Scores range from 8-40 with higher scores indicating a greater presence of the corresponding construct.

Time frame
Baseline, week 6 and week 12
3

Bristol Questionnaire

The Bristol Impact of Hypermobility Questionnaire will be used to assess the self-reported functional impact of joint hypermobility. Higher scores indicate more severe functional impact

Time frame
Baseline, week 6 and week 12
4

WPI

The Widespread Pain Inventory (WPI) will be used to assess the widespreadness of body pain. Scores range from 0-19 with higher scores indicating more widespread pain.

Time frame
Baseline, week 6 and week 12

Other outcomes

1

Pain Sensitivity

Pain sensitivity will be assessed using a Quantitative Sensory Testing (QST) battery. The QST assessment will include responses to innocuous stimuli, mechanical pain sensitivity, heat sensitivity, conditioned pain modulation, and temporal summation of pain (a measure of central sensitizability).

Time frame
Baseline testing

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Brigham and Women's Hospital

Lead sponsor

Bernard Osher Foundation

Collaborator

National Institutes of Health (NIH)

Collaborator