use of Exercise for Treatment of Chronic Fatigue Syndrome

@article{McCully1996useOE,
  title={use of Exercise for Treatment of Chronic Fatigue Syndrome},
  author={Kevin K McCully and Sue A. Sisto and B. H. Natelson},
  journal={Sports Medicine},
  year={1996},
  volume={21},
  pages={35-48}
}
SummaryChronic fatigue syndrome (CFS) is a condition that results in moderate to severe disability, the primary feature of which is fatigue of unknown origin. There is a lot of interest in classifying, characterising and treating patients with CFS. Currently, the two major theories of a medical cause of CFS are viral infection and immune dysregulation. Patients report critical reductions in levels of physical activity, and many experience ‘relapses’ of severe symptoms following even moderate… 
The effectiveness of interventions used in the treatment/management of chronic fatigue syndrome and/or myalgic encephalomyelitis in adults and children
TLDR
The effectiveness of all available interventions which have been evaluated for use in the treatment or management of adults and children with CFS/ME is evaluated.
Chronic fatigue syndrome: diagnosis and treatment.
TLDR
Treatment options include cognitive behavior therapy and graded exercise therapy, both of which have been shown to moderately improve fatigue levels, work and social adjustment, anxiety, and postexertional malaise.
Chronic Fatigue Syndrome
TLDR
Prevention of overtraining by careful monitoring seems the most effective approach in athletes, and treatment should aim at breaking the vicious cycle of effort avoidance, deterioration in physical condition and an increase in fatigue through a combination of encouragement and a progressive exercise programme.
The role of deconditioning and therapeutic exercise in chronic fatigue syndrome (CFS)
TLDR
A non-systematic review of published papers concerning deconditioning and therapeutic exercise in patients with chronic fatigue syndrome concluded that graded exercise has an important role to play in the treatment of patients with CFS.
Myalgic encephalomyeltitis/chronic fatigue syndrome: rehabilitation through activity management, stress management and exercise therapy
TLDR
The present manuscript uses ME/CFS to acknowledge the lack of an appropriate name for this severely underestimated illness and uses the current understanding of the illness to provide guidelines for applying rehabilitation to those with ME/ CFS.
Exercise capacity in chronic fatigue syndrome.
TLDR
Reaching the age-predicted target heart rate seemed to be a limiting factor of the patients with CFS in achieving maximal effort, which could be due to autonomic disturbances.
Chronic fatigue syndrome: intracellular immune deregulations as a possible etiology for abnormal exercise response.
TLDR
The hypothetical interactions between the deregulation of the 2-5A synthetase/RNase L pathway and the activation of the protein kinase R enzyme, a characteristic feature in atleast subsets of CFS patients, might account for the observed excessive nitric oxide production in patients with CFS.
Chronic fatigue syndrome: lack of association between pain-related fear of movement and exercise capacity and disability.
TLDR
Results indicate a lack of correlation between kinesiophobia and exercise capacity, activity limitations, or participation restrictions, at least in patients with CFS who are experiencing widespread muscle or joint pain.
Can exercise limits prevent post-exertional malaise in chronic fatigue syndrome? An uncontrolled clinical trial
TLDR
It was shown that the use of exercise limits (limiting both the intensity and duration of exercise) prevents important health status changes following a walking exercise in people with chronic fatigue syndrome, but was unable to prevent short-term symptom increases.
Chronic fatigue syndrome.
TLDR
The most important starting point is to promote a consistent pattern of activity, rest, and sleep, followed by a gradual return to normal activity; ongoing review of any 'catastrophic' misinterpretation of symptoms and the problem solving of current life difficulties.
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References

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TLDR
There was no consistent correlation between symptoms and changes in fibre type prevalence, fibre size, degenerative or regenerative features, glycogen depletion, or mitochondrial abnormalities, and it is clear that CFS is not a myopathy.
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
Assessment should focus on the symptoms and syndromes of depressive disorder, utilization of a single rating scale to assess presumed depression is discouraged, and alternate approaches to classification that allow for symptomatic overlap of a major depressive disorder and CFS are suggested.
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