# Reasons for Participating in the EDS-HEART Program: Holistic and Performative Within a Supportive Community

## TL;DR

This study explores how a holistic movement program helps women with hEDS overcome fear of movement and improve their physical and mental health.

## Contribution

The study introduces a novel, community-based movement program combining holistic and performative elements for individuals with hEDS.

## Key findings

- Participants experienced improved body schema, including body awareness and confidence.
- The program was perceived as highly motivating and safe, fostering a sense of pleasure and euphoria.
- A supportive community environment helped reduce fear of movement and social comparisons.

## Abstract

Background: Hypermobile Ehlers–Danlos Syndrome (hEDS) results in multiple, complex health-related risks and associated fear of movement (kinesiophobia). Therefore, the purpose of this research study was to examine how a holistic, embodied, and performative movement program (EDS-HEART) can affect body schema, physical and mental health, and lifestyle, which contribute to the joy of movement and physical activity participation among adult women with hEDS. Methods: This was a hermeneutic, phenomenological, quasi-experimental, and community-based research study among six women with hEDS, who participated in the EDS-HEART movement program at a local physical therapy clinic. The seven-week program incorporated stretching and strength training activities as well as performative-thematic movement sequences. Results: Based on the qualitative analysis, three themes emerged regarding reasons for the joy of the EDS-HEART program: (a) improved body schema: body awareness, confidence, posture, and proprioception; (b) highly motivating program: holistic, embodied, performative, pleasant, and safe; and (c) psychosocial reasons: supportive setting, sense of pleasure and euphoria, and freed from social comparisons and the fear of movement. Conclusions: Based on the study results, public health experts should develop and implement easily accessible and holistic movement programs among people with hEDS and similar conditions to improve physical health, psychosocial health, and the joy of movement.