Document Detail

Conceptual model for physical therapist management of chronic fatigue syndrome/myalgic encephalomyelitis.
MedLine Citation:
PMID:  20185614     Owner:  NLM     Status:  MEDLINE    
Fatigue is one of the most common reasons why people consult health care providers. Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is one cause of clinically debilitating fatigue. The underdiagnosis of CFS/ME, along with the spectrum of symptoms that represent multiple reasons for entry into physical therapy settings, places physical therapists in a unique position to identify this health condition and direct its appropriate management. The diagnosis and clinical correlates of CFS/ME are becoming better understood, although the optimal clinical management of this condition remains controversial. The 4 aims of this perspective article are: (1) to summarize the diagnosis of CFS/ME with the goal of promoting the optimal recognition of this condition by physical therapists; (2) to discuss aerobic system and cognitive deficits that may lead to the clinical presentation of CFS/ME; (3) to review the evidence for graded exercise with the goal of addressing limitations in body structures and functions, activity, and participation in people with CFS/ME; and (4) to present a conceptual model for the clinical management of CFS/ME by physical therapists.
Todd E Davenport; Staci R Stevens; Mark J VanNess; Christopher R Snell; Tamara Little
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Publication Detail:
Type:  Journal Article     Date:  2010-02-25
Journal Detail:
Title:  Physical therapy     Volume:  90     ISSN:  1538-6724     ISO Abbreviation:  Phys Ther     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-02     Completed Date:  2010-05-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  602-14     Citation Subset:  AIM; IM    
Department of Physical Therapy, Thomas J Long School of Pharmacy and Health Sciences, University of the Pacific, 3601 Pacific Ave, Stockton, CA 95211, USA.
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MeSH Terms
Cognition Disorders / physiopathology
Exercise / physiology*
Exercise Test
Exercise Tolerance / physiology
Fatigue Syndrome, Chronic / diagnosis,  physiopathology,  rehabilitation*
Oxygen Consumption / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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