Anonymous
Not logged in
Talk
Contributions
Create account
Log in
Search
Editing
Energy Envelope Theory
(section)
From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history
Namespaces
Page
Discussion
More
More
Page actions
Read
Edit
Edit source
History
Warning:
You are not logged in. Your IP address will be publicly visible if you make any edits. If you
log in
or
create an account
, your edits will be attributed to your username, along with other benefits.
Anti-spam check. Do
not
fill this in!
=== Avoid underexertion === At the same time the envelope theory also warns about the dangers of too little activity. According to Jason et al. “it is important to avoid under-exertion, which might involve increasing activity for some individuals.”<ref name=":3">{{Cite journal | last = Jason | first = Leonard A. | author-link = Leonard Jason | last2 = Roesner | first2 = Nicole | last3 = Porter | first3 = Nicole | authorlink3 = Nicole Porter | last4 = Parenti | first4 = Brittany | last5 = Mortensen | first5 = Jennifer | last6 = Till | first6 = Lindsay | date = 2009 | title = Provision of social support to individuals with chronic fatigue syndrome | url =https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693568/|journal=Journal of Clinical Psychology|language=en|volume=66|issue=3 | pages = n/a–n/a|doi=10.1002/jclp.20648|issn=0021-9762|pmc=|pmid=19902489|via=}}</ref> This constituted the main criticism of [[Activity Pacing Therapy]] (APT), the form of pacing used in the [[PACE trial]]. APT promoted the use of pre-emptive rest and the 70%-rule. Patients were advised to not exceed 70% of their perceived amount of energy. According to Jason, this advice might have unwanted consequences: <blockquote>“By doing less than what patients have the energy to do, and the resulting pre-emptive rest, this intervention could even have the unwitting effects of increasing social isolation.”</blockquote>The energy envelope theory advises patients to do as much as they can without triggering post-exertional malaise and relapses. The phrase ‘staying within the envelope’ does not simply mean ‘don’t do too much’. Instead it refers to “a comfortable range of energy expenditure, in which an individual avoids both over-exertion and under-exertion, maintaining an optimal level of activity over time.”<ref name=":4">{{Cite journal | last = Jason | first = Leonard | last2 = Benton | first2 = Mary | date = Nov 2009 | title = The Impact of Energy Modulation on Physical Functioning and Fatigue Severity among Patients with ME/CFS| url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2767446/|journal=Patient education and counseling|volume=77|issue=2 | pages = 237–241|doi=10.1016/j.pec.2009.02.015|issn=0738-3991|pmc=2767446|pmid=19356884}}</ref>
Summary:
Please make sure your edits are consistent with
MEpedia's guidelines
.
By saving changes, you agree to the
Terms of use
, and you irrevocably agree to release your contribution under the
CC BY-SA 3.0 License
and the
GFDL
. You agree that a hyperlink or URL is sufficient attribution under the Creative Commons license.
Cancel
Editing help
(opens in new window)
Navigation
Navigation
Skip to content
Main page
Browse
Become an editor
Random page
Popular pages
Abbreviations
Glossary
About MEpedia
Links for editors
Contents
Guidelines
Recent changes
Pages in need
Search
Help
Wiki tools
Wiki tools
Special pages
Page tools
Page tools
User page tools
More
What links here
Related changes
Page information
Page logs