Exercise therapy for chronic fatigue syndrome

Larun, Lillebeth; Brurberg, Kjetil Gundro; Odgaard‐Jensen, Jan; Price, Jonathan

doi:10.1002/14651858.cd003200.pub3

Cited by 59 publications

(41 citation statements)

References 59 publications

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“…After exercise therapy, patients with CFS may generally feel less fatigued, and no evidence suggests that exercise therapy may worsen outcomes. Moreover, a positive effect with respect to sleep, physical function and selfperceived general health has also been observed [25] .…”

Section: Rheumatic Diseasesmentioning

confidence: 93%

Effects of exercise on physical limitations and fatigue in rheumatic diseases

Musumeci

2015

WJO

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Physical activity covers not just sports but also simple everyday movements such as housework, walking and playing. Regular exercise has a great importance in maintaining good health, indeed inactivity is a risk factor for different chronic diseases. Physical exercise can play a crucial role in the treatment of rheumatic diseases, optimizing both physical and mental health, enhancing energy, decreasing fatigue and improving sleep. An exercise program for patients with rheumatic diseases aims to preserve or restore a range of motion of the affected joints, to increase muscle strength and endurance, and to improve mood and decrease health risks associated with a sedentary lifestyle. In this editorial I describe the benefits of the exercise on physical limitations and fatigue in rheumatic diseases that seem to have a short and long-term effectiveness. A literature review was conducted on PubMed, Scopus and Google Scholar using appropriate keywords based on the present editorial.

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Section: Rheumatic Diseasesmentioning

confidence: 93%

Effects of exercise on physical limitations and fatigue in rheumatic diseases

Musumeci

2015

WJO

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“…41 There was moderate-quality evidence for the effect of exercise on fatigue, with a mean reduction of 2.8 points (95% CI 1.57 to 4.07) on a 0-33 point scale (a lower score indicates less fatigue). Studies that used other scoring for the fatigue scale had similar results (see Appendix 2).…”

Section: Evidence Of Benefitmentioning

confidence: 97%

Prescribing exercise interventions for patients with chronic conditions

Hoffmann

Maher

Briffa

et al. 2016

CMAJ

120

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“…This approach results into confusion, discussion and fierce debates, e.g. with regard to the (assumed) positive effects of behavioral therapies, CBT and GET [21,22,38,40,57,58], and pharmaceutical therapies, including rituximab [59,60]. With regard to diagnosis, most researchers, including members of the IOM committee [16] urging for a new diagnostic entity (SEID), consider ME and CFS to be 'similar disorders' .…”

Section: Discussionmentioning

confidence: 99%

“…A common interpretation of the Oxford definition, i.e. a cut-off score on the Chalder Fatigue Scale [19], is used in studies into Cognitive Behavorial Therapy (CBT) and/or Graded Exercise Therapy (GET) to select patients and to define 'recovery' [20][21][22].…”

Section: Cf (Oxford Criteria)mentioning

confidence: 99%

An Accurate Diagnosis of Myalgic Encephalomyelitis and Chronic Fatigue Syndrome requires strict Clinical Case definitions and Objective Test Methods

Twisk¹

2017

J Med Diagn Meth

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Myalgic Encephalomyelitis (ME) and Chronic Fatigue Syndrome (CFS) are subject to controversy. Although ME and CFS are often considered to be to be synonymous, the case criteria for ME and CFS define two distinct diseases with partial overlap. ME, recognized as a new clinical entity in the 1950's, is characterized by distinctive muscular, neurological and autonomic symptoms. In contrast the core feature of CFS, introduced in 1988 and redefined in 1994, is chronic fatigue. Some researchers consider CFS to be equivalent to (incapacitating) chronic fatigue (CF). After the introduction of CFS, other criteria for ME, ME/CFS, CFS and CF were introduced and used in research studies, creating obfuscation and controversy. The use of various diagnostic criteria has hampered effective research into ME and CFS.Next to the various diagnostic criteria, the assessment of symptoms is almost always based on questionnaires and subjective measures, e.g. physical functioning. Due to their nature subjective measures are incomparable over time and between patients. Moreover subjective measures introduce a significant risk of bias, for example due to researcher allegiance, the Hawthorne effect, and buy-in effects. Despite the fact that ME and CFS (subtypes) lack a clear etiological explanation (yet), the symptoms can and should be assessed by objective test measures, since subjective measures are ambiguous, incomparable and introduce the risk of bias. Objective test measures can also confirm the seriousness of both ME and CFS.To resolve the diagnostic issues in research studies and clinical practice, a clear distinction between ME and CFS (not ME), based on the original criteria, is crucial.Although the use of objective test methods is more expensive and time-consuming and severe cases cannot be subjected to these tests, considering the (scientific) confusion originating from the use of subjective measures it is essential to assess the symptoms of patients objectively both in clinical practice and research settings.

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Exercise therapy for chronic fatigue syndrome

Abstract: Exercise therapy for chronic fatigue syndrome.

Cited by 59 publications

References 59 publications

Effects of exercise on physical limitations and fatigue in rheumatic diseases

Effects of exercise on physical limitations and fatigue in rheumatic diseases

Prescribing exercise interventions for patients with chronic conditions

An Accurate Diagnosis of Myalgic Encephalomyelitis and Chronic Fatigue Syndrome requires strict Clinical Case definitions and Objective Test Methods

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