Graded exercise therapy
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]
Fear of exercise[edit | edit source]
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".
- 2011, Reporting of Harms Associated with Graded Exercise Therapy and Cognitive Behavioural Therapy in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome by Tom Kindlon.
- 2015, ME/CFS Illness Management Survey Results “No decisions about me without me” by the ME Association
- 2016, Can patients with chronic fatigue syndrome really recover after graded exercise or cognitive behavioural therapy? A critical commentary and preliminary re-analysis of the PACE trial
Notable studies[edit | edit source]
- 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)
- 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)
Centers for Disease Control and Prevention[edit | edit source]
July 2017, The United States Centers for Disease Control and Prevention's (CDC) Chronic Fatigue Syndrome page has been changed to Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and GET and CBT recomendations have been removed.
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]
- 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 - MEAction UK
- Trial By Error: The CDC Drops CBT/GET - Virology Blog
- ME/CFS Treatment - CDC