The method

The Integral Movement Method for Hypermobility

The Integral Movement Method (IMM) is a clinically-informed approach to exercise and movement for people with hEDS, HSD and related conditions. Developed by Jeannie Di Bon, it sequences breath, relaxation, proprioception, stability, balance and posture before strength, building capacity in the right order for a hypermobile body.

IMM six-stage diagram: Breath, Relaxation, Proprioception, Stability, Balance, Posture arranged in a hexagonal sequence around a central IMM logo

The problem

Why doesn't generic exercise work for hypermobile bodies?

Most people who find us have already tried gyms, Pilates studios, physical therapy and YouTube. Many were told to "strengthen the muscles around the joints" – and ended up worse than before.

This isn't because they did it wrong. Generic exercise prioritises intensity before control, strength before stability, volume before readiness. For a body whose connective tissue doesn't behave the way most bodies do, that order makes things worse. The IMM was built to do it the other way round.

Generic exercise

  • Intensity before control
  • Strength before stability
  • Volume before readiness

The IMM

  • Control before intensity
  • Stability before strength
  • Readiness before volume
  • Built for hypermobile bodies

The method

What are the six principles of the Integral Movement Method?

The IMM is built on six principles that determine not just what you do, but the order in which you do it. For hypermobile bodies, sequence matters more than intensity. Each principle builds on the one before it.

Breath

Regulation before progression

A nervous system in alarm can't build capacity. Calm comes first. For people with hEDS and HSD, breathwork supports autonomic regulation before any movement progression begins.

Relaxation

Sequence before intensity

Order matters more than effort. The right movement at the wrong time is the wrong movement. Hypermobile bodies often hold chronic tension as compensation for joint instability — the IMM sequences movement deliberately to avoid increasing pain.

Proprioception

Awareness before repetition

Reps without awareness reinforce the patterns that got you here. Joint hypermobility affects proprioception — the sense of where you are in space — so the IMM prioritises body awareness before repetition to retrain movement patterns.

Stability

Alignment before load

Add resistance only when the joint can hold itself in place without it. In hEDS and HSD, adding load too soon is a common source of pain flares — alignment comes before resistance.

Balance

Control before strength

If a joint can't find its end range, loading it just makes it more unstable. The IMM develops neuromuscular control before progressing to strengthening exercises for hypermobility.

Posture

Function before performance

The goal isn't a perfect plank. It's getting through the day with energy left. For people with hypermobile EDS and HSD, functional capacity in daily life is the measure of progress.

Ready to experience the IMM?

Jeannie Di Bon teaching a movement session

Photo credit: Bart Mazurczak

About Jeannie

Built on 18 years of clinical experience with hypermobile bodies

The IMM is founded on the clinical expertise and lived experience of Jeannie Di Bon, who offers a unique perspective as both a clinician and a patient. Over 18 years, she worked one-to-one with thousands of hypermobile clients, refining the method through independent research and study of movement therapy, anatomy, neuroscience and biomechanics.

About Jeannie

The evidence

What does the research show?

The IMM is the subject of ongoing peer-reviewed research, including a 2025 paper in the Journal of Bodywork & Movement Therapies (Russek, Di Bon, Simmonds et al.) studying participant outcomes from an online IMM-based Pilates program, and a 2026 pragmatic clinical trial by Russek et al. in the Journal of Multidisciplinary Healthcare.

The Zebra Club is currently running collaborative studies with the University of Illinois Chicago and Cardiff University, and is in research and pilot partnerships with NHS Dorset and NHS Kent.

See the research →

88.2%

would recommend the IMM for hypermobility

11.5%

impact of hypermobility on function (BIOH)

11.5%

improvement in body awareness (BARQ)

Reduced

fear of movement (TSK)

The IMM FAQ

The Integral Movement Method (IMM) is a clinically-informed approach to movement and rehabilitation for people with hypermobile Ehlers-Danlos Syndrome (hEDS), Hypermobility Spectrum Disorders (HSD), and related conditions. Developed by movement therapist Jeannie Di Bon, it sequences breath, relaxation, proprioception, stability, balance and posture before strength and load.

Generic exercise allows people to attempt intensity before control, strength before stability, and volume before readiness. Hypermobile bodies, whose connective tissue doesn't behave the way most bodies do, can get worse under that order — joints overload before they're ready, the nervous system stays alarmed, and pain increases. The Integral Movement Method guides people through a different sequence, using research-based principles of exercise for hypermobility.

The Integral Movement Method has six principles, mapped to six pillars: Breath (regulation before progression), Relaxation (sequence before intensity), Proprioception (awareness before repetition), Stability (alignment before load), Balance (control before strength) and Posture (function before performance). Together, they guide hypermobile bodies toward stable, sustainable movement without over-loading vulnerable joints.

Two peer-reviewed studies support the Integral Movement Method. A 2025 qualitative study found that feeling safe, condition-specific instruction, and exercising at home were key facilitators for people with hEDS and HSD. A 2026 clinical trial found measurable improvements in function, body awareness, and fear of movement in 8 weeks, with 88.2% of participants recommending the IMM.

Russek, Di Bon, Simmonds et al., Journal of Bodywork and Movement Therapies, 2025; Russek, Di Bon, Simmonds et al., Journal of Multidisciplinary Healthcare, 2026.