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Pacing
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=== No plans or targets but internal cues === In contrast to graded exercise therapy, pacing does not rely on plans, targets or goals, but on how patients feel. As one writer poetically described it: “pacing is not a static decision but necessarily fluctuates with the monitoring of the physiological imperative.”<ref>Wiener CL. The burden of rheumatoid arthritis. In: Straus AL, Corbin J, Fagerhaugh S, Glaser BG, Maines D, Suczek B, Wiener CL, editors. Chronic illness and the quality of life. 2nd ed. St. Louis: The CV Mosby Company; 1984. p 94.</ref> Rest is advised at the first signs of muscle weakness. According to [[Ellen Goudsmit|Goudsmit]] & [[Sandra Howes|Howes]] cognitive tasks form the major exception where a time-contingent approach might be more helpful.<ref name=":0" /> Because cognitive activities such as reading provide few internal cues to detect overexertion, it might be useful to use a timer to restrict energy expenditure.
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