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Nightingale Research Foundation definition
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====8. Testable Muscle Dysfunction==== This feature may be due to vascular dysfunction or peripheral nervous or spinal dysfunction and includes both pain and rapid loss of strength of muscle function after moderate physical or mental activity. This feature tends to improve over a period of years but many patients frequently remain permanently vulnerable to new disease episodes. Few centres are equipped or funded to make these examinations. Unfortunately only a few major medical centres are equipped to study this type of dysfunction.
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