Title

Functional outcomes of anaerobic rehabilitation in an individual with chronic fatigue syndrome: case report with 1-year follow-up

ORCiD

Davenport: 0000-0001-5772-7727

Document Type

Article

Publication Title

Bulletin of the International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (IACFSME)

Volume

18

Issue

3

First Page

93

Last Page

98

Publication Date

Fall 10-1-2010

Abstract

This case study aimed to document the effect of pacing self-management and short-duration exercise on physiological functioning and disability in an individual with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME). A 28-year-old woman with CFS/ME received a rehabilitation program that involved: (1) pacing self-management using a heart rate monitor to maintain heart rate below ventilatory threshold and (2) a pragmatic approach to restorative strengthening and flexibility exercises conducted at an intensity below anaerobic threshold, which were completed 3 times weekly. Cardiopulmonary exercise testing (CPET) with analysis of expired gases and functional self-report were obtained before and 1 year after initiation of intervention. At 1-year follow-up, the patient reported she was able to complete daily activities without reproducing symptoms and 75% improvement in time to recover from CPET. Prior to intervention, patient demonstrated impaired cardiovascular and pulmonary responses at peak and anaerobic threshold, which improved at 1-year follow-up. Pacing self-management combined with short-duration restorative exercise resulted in a favorable clinical outcome in this patient with CFS/ME. Additional research is necessary to determine the efficacy and mechanism of action for this treatment.

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