Cvičení při vaskulárním Ehlers-Danlos (vEDS) — PŘÍSNÝ limit hmotnosti 5-10 lb, BEZ kontaktu, BEZ Valsalvy, celiprolol

Pepin 2014 + 2017 international EDS classification + Byers 2017 GeneReviews. Vascular Ehlers-Danlos syndrome (vEDS) is caused by COL3A1 mutations affecting type-III collagen, leading to spontaneous arterial dissection/rupture, visceral perforation (sigmoid colon is the classic site), spontaneous pneumothorax, and catastrophic obstetric complications. Median survival was 48 years in the natural-history era; BBEST 2010 RCT showed celiprolol 200 mg BID halved arterial events. The vEDS exercise framework is the strictest in the catalog: AVOID any weight lifting >5-10 lb total external load, AVOID contact sports absolutely, AVOID competition or 'push through' training, AVOID Valsalva manoeuvres of any intensity. PRESCRIBE only low-intensity aerobic activity (walking, gentle cycling, water-walking) + range-of-motion + breath control. Annual vascular imaging via MRA or CTA only — arteriography (catheter-based) causes catheter-tip rupture and is contraindicated forever. MedicAlert bracelet + emergency card naming the vEDS diagnosis and the 'NO arteriography' instruction are mandatory because trauma teams default to invasive imaging that kills vEDS patients. Pregnancy in vEDS carries 12-15% historical maternal mortality (modern care: still 12%); pre-conception genetic counselling + maternal-fetal medicine consultation are non-optional.

Volya's catalogue carries only the foundation moves that fit the vEDS envelope: supported-glute-bridge for posterior chain low-intensity (NO weight, NO Valsalva), wall-push-up for scaled upper-body strength (NOT floor push-ups — Valsalva risk increases at full plank load), cat-cow for spinal mobility (gentle, no force), supine-knee-to-chest for low-back release, diaphragmatic-breathing for parasympathetic regulation + Valsalva-prevention training (the central vEDS skill: breathe through everything, never hold), standing-march for managed cardio at conversational intensity, ankle-pump for circulation, sit-to-stand for functional (NO weight), chin-tuck for cervical posture (no resistance). The AI coach also knows the nutrition side — BP control absolute low-sodium <2 g/day + Mediterranean + cardiology team, AVOID stimulants + caffeine >200 mg/day + decongestants + ADHD stimulants without cardiology approval (any arterial event is potentially fatal), AVOID grapefruit + Seville orange (celiprolol metabolism), fibre balance soft-stool target via hydration + soluble fibre (constipation triggers Valsalva), sigmoid perforation history small frequent meals + soft + moist textures + bowel regularity, AVOID alcohol excess + AVOID smoking absolutely, obstetric PRE-conception genetic counselling + maternal-fetal medicine + Mediterranean + folate 400-800 mcg + iron + Ca + B12, wound healing supportive protein 1.2-1.4 g/kg + vit C 500-1000 mg + zinc 15-30 mg, AVOID bromelain + fish oil mega-doses + vit E mega-doses (bleeding risk on celiprolol + thin friable arteries), MedicAlert mandatory + emergency action plan. CRITICAL: Ehlers-Danlos Society + vEDS Movement + cardiology (annual MRA/CTA) + vascular surgery + maternal-fetal medicine + GI + dermatology + dental + family genetic counselling (autosomal dominant 50% transmission). This is NEVER a replacement for cardiology + genetic counselling + emergency-action-plan care.