Anonymous
Not logged in
Talk
Contributions
Create account
Log in
Search
Editing
Pacing
(section)
From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history
Namespaces
Page
Discussion
More
More
Page actions
Read
Edit
Edit source
History
Warning:
You are not logged in. Your IP address will be publicly visible if you make any edits. If you
log in
or
create an account
, your edits will be attributed to your username, along with other benefits.
Anti-spam check. Do
not
fill this in!
=== Reliance on subjective symptoms instead of objective limits === Researchers from the [[Workwell Foundation]] have argued that self-managed pacing puts too much emphasis on the subjective experience of symptoms and that objective limits to avoid relapse are preferable. In 2010 [[Todd Davenport|Davenport]] et al. wrote: <blockquote>“To date, recommendations for pacing self-management in people with CFS/ME have been made on the basis of symptom acuity and irritability. Although these criteria seem to be intuitive, they may fail to account for the rapid changes in function that are characteristic of CFS/ ME. An impaired perception of effort in people with CFS/ME may interfere with the optimal maintenance of symptom-free activity levels if pacing self-management criteria that are based solely on symptomatology are used.”<ref>{{Cite journal | last = Davenport | first = Todd E. | last2 = Stevens | first2 = Staci R. | last3 = VanNess | first3 = Mark J. | last4 = Snell | first4 = Christopher R. | last5 = Little | first5 = Tamara | date = Apr 2010| title = Conceptual model for physical therapist management of chronic fatigue syndrome/myalgic encephalomyelitis|url=https://www.ncbi.nlm.nih.gov/pubmed/20185614|journal=Physical Therapy|volume=90|issue=4 | pages = 602–614|doi=10.2522/ptj.20090047|issn=1538-6724|pmid=20185614}}</ref> </blockquote>As an alternative the authors propose to [[Activity management based on 2-day cardiopulmonary exercise testing results|use a cardiopulmonary exercise test (CPET) to gather information about the patient’s physiology]]. The [[anaerobic threshold]] (AT) in particular can be seen as the boundary where exercise becomes harmful for ME/CFS patients. Davenport et al. suggest that a 10% margin below the estimated heart rate at the AT should be used as an exercise limit. Patients can set a heart rate monitor to make an alarm noise, each time the heart rate exceeds this limit. This might provide more reliable feedback to avoid relapses than the mere perception of muscle weakness originally used in pacing. A case study by Stevens and Davenport (2010) describes the use of pacing in a patient with CFS using a heart rate set to below the patient's anaerobic threshold; this resulted in significant improvements and reduced periods of over-exertion.<ref name="HRpacing2010" />
Summary:
Please make sure your edits are consistent with
MEpedia's guidelines
.
By saving changes, you agree to the
Terms of use
, and you irrevocably agree to release your contribution under the
CC BY-SA 3.0 License
and the
GFDL
. You agree that a hyperlink or URL is sufficient attribution under the Creative Commons license.
Cancel
Editing help
(opens in new window)
Navigation
Navigation
Skip to content
Main page
Browse
Become an editor
Random page
Popular pages
Abbreviations
Glossary
About MEpedia
Links for editors
Contents
Guidelines
Recent changes
Pages in need
Search
Help
Wiki tools
Wiki tools
Special pages
Page tools
Page tools
User page tools
More
What links here
Related changes
Page information
Page logs