Functional outcomes of anaerobic rehabilitation in an individual with chronic fatigue syndrome: case report with 1-year follow-up
Bulletin of the International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (IACFSME)
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.
Stevens, S. R.,
Davenport, T. E.
Functional outcomes of anaerobic rehabilitation in an individual with chronic fatigue syndrome: case report with 1-year follow-up.
Bulletin of the International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (IACFSME), 18(3), 93–98.