Editing Workwell Foundation

Workwell Foundation was founded by [[Staci Stevens]] and is based in Ripon, California, US. It specialises in [[two-day cardiopulmonary exercise test]] (2-day CPET) for people with [[ME/CFS]], [[Fibromyalgia]] and other fatiguing illnesses. 

==Notable people==
*[[Staci Stevens]]: Founder 
*[[Christopher Snell]]: Scientific Advisory Committee Chair
*[[Daniel Peterson]]: Medical Supervisor
*[[Mark VanNess]]: Scientific Advisory Committee Member
*[[Todd Davenport]]:  Scientific Advisory Committee Member

==Notable studies==
*2013, [http://ptjournal.apta.org/content/early/2013/06/26/ptj.20110368.short Discriminative validity of metabolic and workload measurements to identify individuals with Chronic Fatigue Syndrome]<ref name="Snell2013" />
*2011, [http://www.ncbi.nlm.nih.gov/pubmed/21208154 Diagnostic accuracy of symptoms characterising chronic fatigue syndrome]<ref name="Davenport2011" />
*2010, [http://www.ncbi.nlm.nih.gov/pubmed/20095909 Post-exertional malaise in women with chronic fatigue syndrome]<ref name="VanNess2010" />
*2010, [http://ptjournal.apta.org/content/90/4/602.full Conceptual model for physical therapist management of Chronic Fatigue Syndrome/Myalgic Encephalomyelitis]<ref name="Davenport2010" />
*2005,[http://iv.iiarjournals.org/content/19/2/387.full.pdf Exercise capacity and immune function in male and female patients with Chronic Fatigue Syndrome (CFS)]<ref name="Snell2005" />
*2003, Subclassifying Chronic Fatigue Syndrome through Exercise Testing<ref name="VanNess2003">{{cite journal | last=VanNess | first=J. Mark | authorlink =  J. Mark VanNess  | last2 = Snell | first2=Christopher R. | authorlink2 = Christopher Snell | last3 = Strayer | first3=David R. | authorlink3= David Strayer | last4 = Dempsey | first4 = Line | author-link4  = | last5 = Stevens | first5 = Staci R. | authorlink5 = Staci Stevens | title=Subclassifying Chronic Fatigue Syndrome through Exercise Testing | url = https://doi.org/10.1249%2F01.mss.0000069510.58763.e8 |journal=Medicine & Science in Sports & Exercise | volume=35 | issue=6 | year=2003 | issn=0195-9131 | doi=10.1249/01.mss.0000069510.58763.e8 | pages=908–913}}</ref>

==Exercise recommendations for [[ME/CFS]]==
Workwell Foundation recommends short periods (eg: 30 seconds) of analeptic exercise, with periods of rest which are 3-6 times longer than the period of exercise. The amount of exercise that the individual undertakes should be guided by VO2 max testing (or a safe heart rate threshold (generally 60% of maximum heart rate)), and the use of a heart rate monitor (both during exercise and to help with [[pacing]]) is recommended to ensure that the individual doesn't exceed their capacity. The Foundation also advises against aerobic exercise for people with [[ME/CFS]].<ref name="Workwell201404rae" /><ref name="Workwell201404wwodwo" /><ref name="Workwell201512foar" />

This approach to exercise differs from [[graded exercise therapy]] (GET) in several important ways:
*There is no claim that the exercise program will cure the condition. The aim is to increase functional strength and flexibility, and to improve quality of life<ref name="Workwell201404wwodwo" />
*This program is based on a deep understanding of [[Post-exertional malaise]] (PEM), and the importance of staying within the [[energy envelope]] in order to not trigger [[PEM]]<ref name="Workwell201404rae" />
*There is a recognition that any approach to exercise with people with [[ME/CFS]] must be carefully tailored to the individual. There is no one-size fits all<ref name="Workwell201404wwodwo" />
*This approach utilises objective measures such as VO2 max testing and heart rate monitoring to guide the level of activity suitable for the individual<ref name="Workwell201512foar" />
==COVID-19 rehabilitation information==
* May 2020, [https://www.physiosforme.com/covid-19 Post Covid-19 Rehabilitation]<ref name="PhysiosforME-COVID19">{{Cite web|url=https://www.physiosforme.com/covid-19 | title = Post Covid-19 Rehabilitation | last =Physio for ME | first = |authorlink=Physios for ME | last2 = Workwell Foundation | first2= | authorlink2 = Workwell Foundation | date = May 2020 | website = Physiosforme|language=en|archive-url=|archive-date=|url-status=|access-date=2020-05-02 | last3 = ME Association | author-link3 = ME Association}}</ref> - [[Physios for ME]], Workwell Foundation, and [[ME Association]]

==Open letters==
*2018, [https://www.meassociation.org.uk/2018/05/me-awareness-week-workwell-foundation-graded-exercise-for-me-cfs-is-detrimental-to-the-health-of-patients-and-should-not-be-recommended-07-may-2018/ The Workwell Foundation release an open letter to healthcare providers, detailing their concerns about GET.]
*2020, [[Opposition to Oxford Health NHS Foundation Trust: "Coping with Coronavirus: Fatigue"]] - joint letter with over 20 UK organisations, professionals and politicians

==Funding==

==Talks and interviews==
*[http://youtu.be/XFz4CK0Js1M Video: Post-exertional malaise: How to do more with less], ''Staci Stevens, Vancouver BC Canada, May 2015''<ref name="Stevens20150524video" />
*[http://youtu.be/q_cnva7zyKM Video: A Realistic Approach to Exercise and Rehabilitation in ME/CFS], ''Mark VanNess, Bristol UK, Feb 2014''<ref name="VanNess20140205video" />
*[http://youtu.be/xIDFahiCySw Video: Cardio-Pulmonary Exercise Test (CPET)], ''Workwell Foundation, Mar 2014''<ref name="Workwell20140317video" />


==Online presence==
*PubMed
*[https://twitter.com/4WorkWell Twitter]
*Facebook
*[http://www.workwellfoundation.org Website]
*YouTube

==Learn more==
*[http://www.cortjohnson.org/blog/2013/07/30/busted-exercise-study-finds-energy-production-system-is-broken-in-chronic-fatigue-syndrome/ Busted! Exercise study finds exercise production system is broken in Chronic Fatigue Syndrome], ''Cort Johnson, Jul 2013''<ref name="JohnsonC20130730busted" />
*[http://www.workwellfoundation.org/wp-content/uploads/2015/12/Functional-Outcomes-of-Anaerobic-Rehabilitation-in-a-Patient-With-Chronic-Fatigue-Syndrome.-Case-Report-With-1-Year-Follow-Up.pdf Functional outcomes of anaerobic rehabilitation in a patient with Chronic Fatigue Syndrome: Case report with 1-year follow up], ''Workwell Foundation, Dec 2015''<ref name="Workwell201512foar" />
*[http://www.workwellfoundation.org/wp-content/uploads/2014/04/When-Working-Out-Doesnt-Work-Out.pdf When working out doesn't work out], ''Workwell Foundation, Apr 2014''<ref name="Workwell201404wwodwo" />
*[http://www.workwellfoundation.org/wp-content/uploads/2014/04/A-Realistic-Approach-to-Exercise-for-CFS-patients.pdf A realistic approach to exercise for CFS patients], ''Workwell Foundation, Apr 2014''<ref name="Workwell201404rae" />

==See also==
*[[Two-day cardiopulmonary exercise test]]
*[[Post-exertional malaise]]
*[[Exercise]]
*[[Mark Vink]]

==References==
<references>
<ref name="Davenport2010">{{citation | last1 = Davenport | first1 = Todd E | authorlink1 = Todd Davenport | last2 = Stevens | first2 = Staci R | authorlink2 = Staci Stevens | last3 = VanNess | first3 = J Mark | authorlink3 = Mark VanNess | last4 = Snell | first4 = Christopher R  | authorlink4 = Christopher Snell | last5 = Little | first5 = Tamara | authorlink5 = Tamara Little | title = Conceptual model for physical therapist management of Chronic Fatigue Syndrome/Myalgic Encephalomyelitis | journal = Physical Therapy (APTA) | volume = 90 | issue = 4 | page = 602-614 | date = 31 Mar 2010 | pmid = 20185614 | doi = 10.2522/ptj.20090047
| url = http://ptjournal.apta.org/content/90/4/602.full }}</ref>
<ref name="Davenport2011">{{citation | last1 = Davenport | first1 = Todd E | authorlink1 = Todd Davenport | last2 = Stevens | first2 = Staci R  | authorlink2 = Staci Stevens | last3 = Baroni | first3 = Katie | authorlink3 = Katie Baroni | last4 = VanNess | first4 = J Mark | author-link4 = Mark VanNess | last5 = Snell | first5 = Christopher R | authorlink5 = Christopher Snell | title = Diagnostic accuracy of symptoms characterising chronic fatigue syndrome | journal = Disabil Rehabil | volume = 33 | issue= 19-20 | page = 1768-75  | date = 6 Jan 2011 | pmid = 21208154 | doi = 10.3109/09638288.2010.546936
| url = http://www.tandfonline.com/doi/abs/10.3109/09638288.2010.546936 }}</ref>
<ref name="JohnsonC20130730busted">{{citation | last1 = Johnson | first1 = Cort | authorlink1 = Cort Johnson | title = Busted! Exercise Study Finds Energy Production System is Broken in Chronic Fatigue Syndrome | date = 30 Jul 2013
| url = http://www.cortjohnson.org/blog/2013/07/30/busted-exercise-study-finds-energy-production-system-is-broken-in-chronic-fatigue-syndrome/  }}</ref>
<ref name="Snell2005">{{citation | last1 = Snell | first1 = Christopher R | authorlink1 = Christopher Snell | last2 = VanNess | first2 = J Mark | author-link2 = Mark VanNess | last3 = Strayer | first3 = David R  | authorlink3 = David Strayer | last4 = Stevens | first4 = Staci R  | authorlink4 = Staci Stevens | title = Exercise capacity and immune function in male and female patients with Chronic Fatigue Syndrome (CFS) | journal = In Vivo | volume = 19 | issue =2 |page = 387-390 | date = 2005 | pmid = 15796202 
| url = http://iv.iiarjournals.org/content/19/2/387.full.pdf }}</ref>
<ref name="Snell2013">{{citation | last1 = Snell | first1 = Christopher R | authorlink1 = Christopher Snell | last2 = Stevens | first2 = Staci R  | authorlink2 = Staci Stevens | last3 = Davenport | first3 = Todd E | authorlink3 = Todd Davenport | last4 = VanNess | first4 = J Mark | author-link4 = Mark VanNess | title = Discriminative Validity of Metabolic and Workload Measurements for Identifying People With Chronic Fatigue Syndrome | journal = Physical Therapy (APTA) | volume = 93 | issue = 11 | page = 1484-1492 | date = 31 Oct 2013 | pmid = 23813081 | doi = 10.2522/ptj.20110368
| url = http://ptjournal.apta.org/content/93/11/1484 }}</ref>
<ref name="Stevens20150524video">{{citation | last1 = Stevens | first1 = Staci R  | authorlink1 = Staci Stevens | last2 = ME/FM Society of British Columbia (Canada) | title = Video: Post-exertional malaise: How to do more with less  | date = 24 May 2015 | place = Vancouver, BC, Canada
| url = http://youtu.be/XFz4CK0Js1M }}</ref>
<ref name="VanNess2010">{{citation | last1 = VanNess | first1 = J Mark | author-link1 = Mark VanNess | last2 = Stevens | first2 = Staci R  | authorlink2 = Staci Stevens | last3 = Bateman | first3 = Lucinda  | authorlink3 = Lucinda Bateman | last4 = Stiles | first4 = Travis L | authorlink4 = Travis Stiles | last5 = Snell | first5 = Christopher R | authorlink5 = Christopher Snell | title = Post-exertional malaise in women with chronic fatigue syndrome | journal = J Womens Health (Larchmt) | volume = 19 | issue = 2 | page = 239-244 | date = 4 Jan 2010 | pmid = 20095909 | doi = 10.1089/jwh.2009.1507
| url = http://online.liebertpub.com/doi/abs/10.1089/jwh.2009.1507 }}</ref>
<ref name="VanNess20140205video">{{citation | last1 = VanNess | first1 = J Mark | author-link1 = Mark VanNess | title = Video: A Realistic Approach to Exercise and Rehabilitation in ME/CFS | date = 5 Feb 2014   | place = Bristol Watershed, UK
| url = https://www.youtube.com/watch?v=q_cnva7zyKM }}</ref>
<ref name="Workwell20140317video">{{citation | author  = Workwell Foundation | title = Video: Cardio-Pulmonary Exercise Test (CPET) | date = 17 Mar 2014 
| url = http://youtu.be/xIDFahiCySw }}</ref>
<ref name="Workwell201404rae">{{citation | last1 = VanNess | first1 = J Mark | author-link1 = Mark VanNess | last2 = Snell | first2 = Christopher R | authorlink2 = Christopher Snell | last3 = Stevens | first3 = Staci R  | authorlink3 = Staci Stevens | title = A Realistic Approach to Exercise for CFS Patients | journal = The CFS Research Review | date = 2000 | volume = 1
| issue = 4 | pages = 3-8
| url = http://www.workwellfoundation.org/wp-content/uploads/2014/04/A-Realistic-Approach-to-Exercise-for-CFS-patients.pdf }}</ref>
<ref name="Workwell201404wwodwo">{{citation | last1 = Snell | first1 = Christopher R | authorlink1 = Christopher Snell | last2 = VanNess | first2 = J Mark | author-link2 = Mark VanNess | last3 = Stevens | first3 = Staci R  | authorlink3 = Staci Stevens | title = When Working Out Doesn't Work Out | journal = The CFIDS Chronicle | volume = 17 |issue = 3 | pages = 6 | date = 2004
| url = http://www.workwellfoundation.org/wp-content/uploads/2014/04/When-Working-Out-Doesnt-Work-Out.pdf }}</ref>
<ref name="Workwell201512foar">{{citation | last1 = Stevens | first1 = Staci R  | authorlink1 = Staci Stevens | last2 = Davenport | first2 = Todd E | authorlink2 = Todd Davenport
| display-authors =  | title = Functional Outcomes of Anaerobic Rehabilitation in a Patient with Chronic Fatigue Syndrome: case report with 1-year follow-up | journal = Bulletin of the IACFS/ME | volume = 18 | issue = 3 | page = 93-98 | date = 2010
| url = http://www.workwellfoundation.org/wp-content/uploads/2015/12/Functional-Outcomes-of-Anaerobic-Rehabilitation-in-a-Patient-With-Chronic-Fatigue-Syndrome.-Case-Report-With-1-Year-Follow-Up.pdf }}</ref>
</references>

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