Pacing with a heart rate monitor: Difference between revisions

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A person's [[heart rate]] increases with their physical activity level, and decreases when they rest. Heart rate monitors offer a simple and accessible way to monitor activity level in order to help ME/CFS patients avoid the over-exertion that causes [[post-exertional malaise|significantly worsening symptoms]]. Heart rate monitors typically display the person's heart rate on a monitor that is worn like a wristwatch, and many have audible alarms to alert the person if their heart rate rises above (or below) a value they have chosen.{{citation needed | date = 2022}}
==Theory==
==Theory==
 
People with [[Myalgic encephalomyelitis|ME]]/CFS have [[mitochondria dysfunction]] and biological [[List of abnormal findings in chronic fatigue syndrome and myalgic encephalomyelitis|abnormalities]] resulting from the disease which significantly restrict the amount of energy they can use for everyday activities.<ref name="ICC2011primer"/> Doing activities that exceed [[energy limit|available energy]] usually triggers a flood of [[cytokine]]s causing pain and immune symptoms, and a variety of other negative affects also occur, resulting in [[post exertional malaise]] (PEM).{{citation needed}}
People with [[Myalgic encephalomyelitis|Myalgic Encephalomyelitis]] have dysfunctional [[mitochondria]]{{citation needed}}.  This limits their ability to generate [[cellular energy]].  Doing activities that exceed available energy, usually triggers a flood of [[Cytokine|cytokines]], and other negative affects, known as [[post exertional malaise]] (PEM).{{citation needed}}


Some researchers believe that each time PEM is triggered, it is reactivating the disease process of ME.{{citation needed}}
Some researchers believe that each time PEM is triggered, it is reactivating the disease process of ME.{{citation needed}}


Using a heart rate monitor, to measure heart rate, [[heart rate variability]], and other factors, allows people with ME to observe their energy usage, and learn how to stay within their safe limits.{{citation needed}}
Using a heart rate monitor, to measure heart rate, [[heart rate variability]], and other factors, allows people with ME to observe their energy usage, and learn how to stay within their safe [[energy limit]]s.{{citation needed}}


This [[pacing]] method is often used in conjunction with other treatments (electrolyte loading, pharmaceuticals to assist blood volume & cardiovascular function, extreme resting and meditation, etc).{{citation needed}}
This [[pacing]] method is often used in conjunction with other treatments (electrolyte loading, pharmaceuticals to assist blood volume & cardiovascular function, extreme resting and meditation, etc).{{citation needed}}
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==Clinicians==
==Clinicians==
* [[Workwell Foundation]] have produced information on pacing with a heart rate monitor with ME/CFS


* [[Workwell Foundation]]
==Costs and availability==


==Risks and Safety==
==Risks and safety ==
 
==Costs and Availability==


==Notable studies==
==Notable studies==
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==Learn more==
==Learn more==
 
* [[Workwell Foundation]] - [https://workwellfoundation.org/educational-videos/ Videos]
* [[Workwell Foundation]] - [http://www.workwellfoundation.org/sample-page/ Videos & Publications]
* [[Workwell Foundation]] - [http://www.workwellfoundation.org/resources/ Presentations & Publications]
* [[Leela Play]] - [https://www.facebook.com/notes/leela-play/intro-to-pacing-using-a-heart-rate-monitor-for-me-patients/1502884386402097/ Intro to pacing using a heart rate monitor for ME patients]
* [[Leela Play]] - [https://www.facebook.com/notes/leela-play/intro-to-pacing-using-a-heart-rate-monitor-for-me-patients/1502884386402097/ Intro to pacing using a heart rate monitor for ME patients]
* [[CFIDS & Fibromyalgia Self-Help]] - [http://www.cfidsselfhelp.org/library/pacing-numbers-using-your-heart-rate-to-stay-inside-energy-envelope Pacing by Numbers: Using Your Heart Rate To Stay Inside the Energy Envelope]
* [[CFIDS & Fibromyalgia Self-Help]] - [http://www.cfidsselfhelp.org/library/pacing-numbers-using-your-heart-rate-to-stay-inside-energy-envelope Pacing by Numbers: Using Your Heart Rate To Stay Inside the Energy Envelope]
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==See also==
==See also==
* [[Activity management based on 2-day cardiopulmonary exercise testing results]]
* [[Activity management based on 2-day cardiopulmonary exercise testing results]]
* [[Energy Envelope Theory]]
* [[Energy Envelope Theory]]
* [[Pacing]]
* [[Pacing]]
* [[Spoon theory]]


==References==
==References==
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[[Category:Potential treatments]]
[[Category:Potential treatments]]
[[Category:Management strategies]]
[[Category:Management strategies]]
[[Category:Stubs]]

Latest revision as of 05:31, November 30, 2022

A person's heart rate increases with their physical activity level, and decreases when they rest. Heart rate monitors offer a simple and accessible way to monitor activity level in order to help ME/CFS patients avoid the over-exertion that causes significantly worsening symptoms. Heart rate monitors typically display the person's heart rate on a monitor that is worn like a wristwatch, and many have audible alarms to alert the person if their heart rate rises above (or below) a value they have chosen.[citation needed]

Theory[edit | edit source]

People with ME/CFS have mitochondria dysfunction and biological abnormalities resulting from the disease which significantly restrict the amount of energy they can use for everyday activities.[1] Doing activities that exceed available energy usually triggers a flood of cytokines causing pain and immune symptoms, and a variety of other negative affects also occur, resulting in post exertional malaise (PEM).[citation needed]

Some researchers believe that each time PEM is triggered, it is reactivating the disease process of ME.[citation needed]

Using a heart rate monitor, to measure heart rate, heart rate variability, and other factors, allows people with ME to observe their energy usage, and learn how to stay within their safe energy limits.[citation needed]

This pacing method is often used in conjunction with other treatments (electrolyte loading, pharmaceuticals to assist blood volume & cardiovascular function, extreme resting and meditation, etc).[citation needed]

Evidence[edit | edit source]

Anecdotally, some people experience gradual improvements in their health, with occasional setbacks due to over-exertion, infections & immune reactivity.[citation needed]

Clinicians[edit | edit source]

Costs and availability[edit | edit source]

Risks and safety[edit | edit source]

Notable studies[edit | edit source]

Examples[edit | edit source]

Learn more[edit | edit source]

See also[edit | edit source]

References[edit | edit source]

  1. ↑ Cite error: Invalid <ref> tag; no text was provided for refs named ICC2011primer

heart rate monitor (HRM) - A device that measures your heart rate (pulse rate). Heart rate monitors may come as a chest strap, wrist strap, smartwatch, or even as a mobile phone app. Heart rate monitors are often used by ME/CFS patients to pace their exertion, in order to avoid post-exertional malaise (PEM). For more information, see pacing with a heart rate monitor.

heart rate (HR) - the number of times the heart beats within a certain time period, usually a minute

post-exertional malaise (PEM) - A notable exacerbation of symptoms brought on by small physical or cognitive exertions. PEM may be referred to as a "crash" or "collapse" and can last for days or weeks. Symptoms can include cognitive impairments, muscle pain, trouble remaining upright (orthostatic intolerance), sleep abnormalities, and gastro-intestinal impairments, and others.

heart rate monitor (HRM) - A device that measures your heart rate (pulse rate). Heart rate monitors may come as a chest strap, wrist strap, smartwatch, or even as a mobile phone app. Heart rate monitors are often used by ME/CFS patients to pace their exertion, in order to avoid post-exertional malaise (PEM). For more information, see pacing with a heart rate monitor.

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