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Скачать или смотреть When Exercise Causes Harm

  • Bateman Horne Center
  • 2023-07-05
  • 8850
When Exercise Causes Harm
post-exertional malaisePEMPESEpost-exertional symptom exacerbationME/CFSmyalgic encephalomyelitits/chronic fatigue syndromeLong COVIDLCPASCpost-acute sequalae of COVID-19physical therapyPToccupational therapyOTPacingPush-Crashpost-viral syndromeanaerobic thresholdBateman Horne CenterBHCorthostatic intolerancePOTSOIdysautonomiaGraded ExerciseHeartrate biofeedbackHRVPreload failuremitochondrial dysfunctionEnergy conservation
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Описание к видео When Exercise Causes Harm

Traditional therapy or exercise approaches do not work for patients with post-exertional malaise. Therapy providers and patients will need to adapt their expectations and approaches in order to reduce/prevent post-exertional malaise. Activity, heart rate pacing, and energy conservation strategies are helpful in reducing post-exertional malaise episodes.

While a subset of patients with orthostatic intolerance, Postural Orthostatic Tachycardia Syndrome (POTS), or preload failure may benefit from recumbent exercise or aquatic exercise; it is vital to screen for, monitor, and educate patients on pacing to reduce/prevent the likelihood of post-exertional malaise.

Note to community members: We advise viewers to always speak with their medical care team prior to making any adjustments or changes to their current regimen.

This video was made possible by the OMF-funded Medical Education Resource Center (MERC) at BHC, our generous donors, and viewers like you.
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References:

Cheung K, Hume P, Maxwell L. Delayed onset muscle soreness : treatment strategies and performance factors. Sports Med. 2003;33(2):145-164. doi:10.2165/00007256-200333020-00005

Lewis PB, Ruby D, Bush-Joseph CA. Muscle soreness and delayed-onset muscle soreness. Clin Sports Med. 2012;31(2):255-262. doi:10.1016/j.csm.2011.09.009

Joseph P, Arevalo C, Oliveira RKF, et al. Insights From Invasive Cardiopulmonary Exercise Testing of Patients With Myalgic Encephalomyelitis/Chronic Fatigue Syndrome. Chest. 2021;160(2):642-651. doi:10.1016/j.chest.2021.01.082

Singh I, Joseph P, Heerdt PM, et al. Persistent Exertional Intolerance After COVID-19: Insights From Invasive Cardiopulmonary Exercise Testing. Chest. 2022;161(1):54-63. doi:10.1016/j.chest.2021.08.010

Ghali A, Lacout C, Ghali M, et al. Elevated blood lactate in resting conditions correlate with post-exertional malaise severity in patients with Myalgic encephalomyelitis/Chronic fatigue syndrome. Sci Rep. 2019;9(1):18817. Published 2019 Dec 11. doi:10.1038/s41598-019-55473-4

Lien K, Johansen B, Veierød MB, et al. Abnormal blood lactate accumulation during repeated exercise testing in myalgic encephalomyelitis/chronic fatigue syndrome. Physiol Rep. 2019;7(11):e14138. doi:10.14814/phy2.14138

Lim EJ, Kang EB, Jang ES, Son CG. The Prospects of the Two-Day Cardiopulmonary Exercise Test (CPET) in ME/CFS Patients: A Meta-Analysis. J Clin Med. 2020;9(12):4040. Published 2020 Dec 14. doi:10.3390/jcm9124040

Chu L, Davenport TE, Stevens SR, Stevens J, Snell CR, Van Ness JM. Two symptoms accurately identify post-exertional malaise in myalgic encephalomyelitis/chronic fatigue syndrome. 2021 IACFS/ME Virtual Conference 2021 August 21, 2021; Virtual due to COVID-19 Pandemic.

Chu L, Valencia IJ, Garvert DW, Montoya JG. Deconstructing post-exertional malaise in myalgic encephalomyelitis/ chronic fatigue syndrome: A patient-centered, cross-sectional survey. PLoS One. 2018;13(6):e0197811.

Rutherford G, Manning P, Newton JL. Understanding Muscle Dysfunction in Chronic Fatigue Syndrome. J Aging Res. 2016;2016:2497348. doi:10.1155/2016/2497348

van Campen CLM, Rowe PC, Visser FC. Two-Day Cardiopulmonary Exercise Testing in Females with a Severe Grade of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Comparison with Patients with Mild and Moderate Disease. Healthcare (Basel). 2020;8(3):192. Published 2020 Jun 30. doi:10.3390/healthcare8030192

Vink M (2015) The Aerobic Energy Production and the Lactic Acid Excretion are both Impeded in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome. J Neurol Neurobiol 1(4): doi http:// dx.doi.org/10.16966/2379-7150.112

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