schema: eds-research/corpus/v1
category:
  id: folk-and-early-management
  label: Folk practices and early management
  description: Pre-criteria management and folk practices — how laxity was accommodated and treated before the modern evidence era. Documented as historical record, not endorsement.
  order: 70
records:
  - id: folk-rest-immobilization-era
    kind: practice
    title: Rest, immobilization, and the brace era
    summary: Before modern physiotherapy, management of joint instability centered on rest and immobilization — bandaging, splinting, activity restriction. The clinical consensus has moved the opposite direction toward active strengthening, but the historical record documents what was actually done.
    date: "1900"
    date_precision: century
    subtypes: [unspecified]
    status: historical-record
    criteria_era: pre-nosology
    practice_kind: folk-practice
    evidence:
      - stratum: historical
        tier: retrospective-account
        source_ids: [source-5c33d96b50581fbe82f8]
        note: The treatment-arc literature documents the rest-and-support era before active rehabilitation became standard.
    reviewed_at: "2026-09-16"
    risk:
      level: caution
      note: Sustained immobilization is now understood to weaken the musculature that stabilizes hypermobile joints; the historical record documents the practice, it does not endorse it.
    tags: [rest, immobilization]
  - id: folk-performer-training
    kind: practice
    title: Performer conditioning and occupational flexibility practice
    summary: The travelling-show era's "elastic" performers trained and protected their flexibility as an occupational skill — the historical record documents lifestyle adaptation to hypermobility rather than treatment. It is indexed as folk knowledge about living with laxity, not therapy.
    date: "1880"
    date_precision: decade
    subtypes: [unspecified]
    status: historical-record
    criteria_era: pre-nosology
    practice_kind: folk-practice
    evidence:
      - stratum: historical
        tier: contemporaneous-clinical-account
        source_ids: [source-5c33d96b50581fbe82f8]
        note: Wile 1883 and Gould and Pyle 1897 documented performers and their practices; the record is a historical trace, not a treatment claim.
    reviewed_at: "2026-09-16"
    tags: [performers, folk-context]
  - id: folk-diet-supportive
    kind: practice
    title: Diet, tonics, and general constitutional support
    summary: Historical management of connective-tissue fragility included dietary measures and general constitutional tonics — the standard pre-specific-therapy response to a poorly understood systemic condition. These are historical objects with no validated mechanism for EDS.
    date: "1900"
    date_precision: century
    subtypes: [unspecified]
    status: historical-record
    criteria_era: pre-nosology
    practice_kind: folk-practice
    evidence:
      - stratum: historical
        tier: retrospective-account
        source_ids: [source-5c33d96b50581fbe82f8]
    reviewed_at: "2026-09-16"
    risk:
      level: caution
      note: No dietary measure has validated evidence as an EDS treatment; the historical record documents the practice.
    tags: [diet, constitutional]