By Dr. Fabiano de Abreu Agrela Rodrigues
In Ehlers-Danlos Syndrome (EDS), alterations in connective tissue, especially collagen, compromise joint stability and the integrity of various bodily systems. As a consequence, the body requires greater muscle activation and compensatory mechanisms to maintain postural alignment and joint function. This additional effort can increase the overall energy cost, affecting both the musculoskeletal system and central processes such as attention and autonomic regulation.
The energy used by the body is distributed among multiple functions, including brain activity, movement, and maintenance of homeostasis. Thus, a chronic increase in energy demand may be associated with a greater feeling of fatigue, both physical and cognitive, frequently reported by individuals with EDS (Excessive Deficiency Syndrome). This condition can contribute to a greater need for rest or sleep, although sleep quality is not always adequate.
Another frequently observed aspect is the variability in sleeping positions. Individuals with joint hypermobility may assume unusual or asymmetrical postures, possibly as an unconscious strategy to reduce discomfort, relieve tension in certain structures, or increase stability during rest. These positions do not represent a structural “readjustment” per se, but rather functional adaptations to the biomechanical characteristics of the body.
