ME/CFS -post-exertional symptomology

[Guest guest]

REPOSTING

 

Frank Twisk <frank.twisk

 

http://www.acsm-msse.org/pt/re/msse/fulltext.00005768-200705001-02583.htm

 

 

Post-exertional Symptomology

In Chronic Fatigue Syndrome

~~~~~~~~~~~~~~~~~~~~~~~~~

 

(CFS Medicine & Science in Sports & Exercise: Volume 39(5)

Supplement, May 2007, p S445

 

Stiles, Travis L.; Snell, Christopher R.; Stevens, Staci R.; Moran,

Megan; VanNess, J. Mark

 

University of the Pacific, Stockton, CA.

Email: tstiles

 

Supported by the CFIDS Association of America

 

 

Symptom exacerbation following physical stress has been documented in

illnesses such as multiple sclerosis (MS), lupus and rheumatoid arthritis (RA).

Similar phenomenology has been reported in CFS but is not well understood.

 

 

PURPOSE:

 

The purpose of this study was to explore symptom exacerbation following an

exercise challenge in CFS patients relative to a sedentary control population.

 

 

METHODS:

 

Forty female subjects (n=40),

20 CFS and

20 matched sedentary controls served as subjects.

 

All participants underwent a graded maximal cardiopulmonary exercise test

(CPX).

 

Two questionnaires, Short Form-36 (SF-36) and a series of open-ended

questions, were completed 7 days after the exercise challenge to assess

post-exertional differences between groups.

 

The open-ended questions pertained to symptoms experienced following the test

and time taken to recover from any testing effects.

 

SF-36 data were analyzed using a multivariate analysis.

 

Written questionnaire responses were evaluated by determining recovery time

in days as well as number and type of symptoms experienced.

 

 

RESULTS:

 

SF-36 analysis found statistical significance across all 8 health domains

measured between groups (p <.01), but no effects were found for the exercise

test.

 

Analysis of the open-ended questionnaires revealed that within 24 hours of

the exercise challenge, 85% of controls indicated full recovery in contrast to

0% of CFS patients.

The remaining 15% of controls recovered within 48 hours of the test as

opposed to only one CFS patient.

 

Clear differences in number and type of reported symptoms were also found

between groups.

 

 

CONCLUSIONS:

 

The results of this study indicate that CFS patients suffer symptom

exacerbation following physical stress. As with MS, lupus and RA,

post-exertional

symptom exacerbation appears to be both a real and incapacitating feature of the

syndrome.

The delayed recovery response evoked by a single bout of exercise stress is

distinctly different from that of sedentary controls.

 

The debilitating effects experienced by these patients help to explain

activity avoidance, which should be considered when prescribing exercise and

activity management

programs for CFS patients.

 

 

© 2007 The American College of Sports Medicine

 

 

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[Guest guest]

It would be well understood of they read up on what alternative

practitioners already know. Most cases of CFS are due to adrenal fatigue,

adrneal burnout syndrome, adrenal insufficiency, whatever you want to call

it. It is rather well-documented.

 

Best,

Michelle

http://www.ChestnutHillDesigns.com

Blog ~ http://shellyct.blogspot.com/

 

~One can always be kind to people about whom one cares nothing.~

-- Oscar Wilde, The Picture of Dorian Gray, 1891

 

 

 

REPOSTING

 

Frank Twisk <frank.twisk

 

http://www.acsm-msse.org/pt/re/msse/fulltext.00005768-200705001-02583.htm

 

 

Post-exertional Symptomology

In Chronic Fatigue Syndrome

~~~~~~~~~~~~~~~~~~~~~~~~~

 

(CFS Medicine & Science in Sports & Exercise: Volume 39(5)

Supplement, May 2007, p S445

 

Stiles, Travis L.; Snell, Christopher R.; Stevens, Staci R.; Moran,

Megan; VanNess, J. Mark

 

University of the Pacific, Stockton, CA.

Email: tstiles

 

Supported by the CFIDS Association of America

 

 

Symptom exacerbation following physical stress has been documented in

illnesses such as multiple sclerosis (MS), lupus and rheumatoid arthritis

(RA).

Similar phenomenology has been reported in CFS but is not well understood.

 

 

PURPOSE: