Graded exercise therapy
From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history
Graded exercise therapy (GET) is a form of physical therapy for the management of chronic fatigue syndrome where physical activity is gradually increased over time. It is a treatment offered to ME/CFS patients in the UK by the National Health Service (NHS) as specified in the NICE guidelines.
Patient Analysis of PACE Results[edit | edit source]
Graham McPhee and others created videos investigating the PACE trial data in relation to Graded Exercise Therapy.[1][2]
Fear of exercise[edit | edit source]
The PACE trial investigators have stated that they believe a causal factor of the persistence of ME/CFS is fear of exercise.[3] This claim as been criticized as unsupported by trial results.[4]
Criticism[edit | edit source]
- 2010, At the Invest in ME International ME Conference Doctor Paul Cheney said "The whole idea that you can take a disease like this and exercise your way to health is foolishness. It is insane".[5]
Notable studies[edit | edit source]
- 2016, Exercise therapy for chronic fatigue syndrome (Lillebeth Larun, Kjetil G. Brurberg, Jan Odgaard-Jensen, Jonathan R Price)
- 2016, Neurocognitive improvements after best-practice intervention for chronic fatigue syndrome: Preliminary evidence of divergence between objective indices and subjective perceptions. (Cvejic E, Lloyd AR, Vollmer-Conna U)
- 2009, A review on cognitive behavorial therapy (CBT) and graded exercise therapy (GET) in myalgic encephalomyelitis (ME) / chronic fatigue syndrome (CFS): CBT/GET is not only ineffective and not evidence-based, but also potentially harmful for many patients with ME/CFS (Frank Twisk)
Learn more[edit | edit source]
- Wikipedia - Graded Exercise Therapy"
- NHS Graded Exercise Therapy Booklet - A self-help guide for those with chronic fatigue syndrome/myalgic encephalomyelitis (pdf)
See also[edit | edit source]
References[edit | edit source]
- ↑ "PACEindividuals"
- ↑ "PACEgraph"
- ↑ Tackling fear about exercise produces long term benefit in chronic fatigue syndrome
- ↑ Objective measures found a lack of improvement for CBT & GET in the PACE Trial: subjective improvements may simply represent response biases or placebo effects in this non-blinded trial
- ↑ The Media and ME