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More evidence that CFS and CFS+FM differ in their responses to exercise

  [ 15 votes ]   [ 1 Comment ]
www.ProHealth.com • December 14, 2011

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Article:
Responses to Exercise Differ for Chronic Fatigue Syndrome Patients with Fibromyalgia
– Source: Medicine and Science in Sports & Exercise, Dec 12, 2011

By Dane B Cook, Benjamin H Natelson, et al.

Abstract:
Chronic fatigue syndrome (CFS) and fibromyalgia (FM) are chronic multisymptom illnesses with substantial clinical and diagnostic overlap.

We have previously shown that when controlling for aerobic fitness and accounting for comorbid FM, CFS patients do not exhibit abnormal cardiorespiratory responses during maximal aerobic exercise compared to healthy controls, despite differences in pain and exertion.

Purpose: The purpose of the present study was to examine cardiac and perceptual responses to steady-state, submaximal exercise [keeping below maxiumum heart rate] in CFS patients and healthy controls.

Methods: Twenty-one CFS patients [13 CFS with comorbid FM (CFS+FM) and 8 CFS only] - and 14 controls completed 20 minutes of submaximal cycling exercise.

Impedance cardiography was used to determine cardiac responses during exercise. Systolic blood pressure (SBP), perceived exertion (RPE) and leg-muscle pain were also measured. Data were analyzed using a doubly-multivariate, repeated-measures MANOVA to model the exercise response.

Results: There was a significant multivariate Time by Group interaction (p < 0.05). [Assuming by comparison with the CFS-only subjects] The CFS+FM group exhibited an exercise response characterized by:

• Higher stoke index, ventilatory equivalents for oxygen and carbon dioxide and perceived exertion,

• Lower systolic blood pressure,

• And similar heart rate responses.

Conclusions:


The present results extend upon our previous work with maximal exercise and show that CFS and CFS+FM differ in their responses to steady-state exercise.

These results highlight the importance of accounting for comorbid conditions when conducting CFS research, particularly when examining psychophysiological responses to exercise.

Source:
Medicine and Science in Sports & Exercise, Dec 12, 2011 doi: 10.1249/MSS.0b013e3182417b9a, by Cook DB, Stegner AJ, Nagelkirk PR, Meyer JD, Togo F, Natelson BH. Pain & Fatigue Study Center, Beth Israel Medical Center, New York, New York; Department of Kinesiology, University of Wisconsin-Madison, USA.
 



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EXERCISE DIFFERENCES IN FM AND CFS PATIENTS
Posted by: shafm
Dec 19, 2011
aS i HAVE BEEN IN REMISSION OF BOTH DIFFERENT CHRONIC ILLNESSES FOR 19 YRS, WITH 15 YRS IN PRIVATE, HLISTIC HEALTHCARE PRACTICE, HAVING LEARNED AS MUCH AS I HAD TO AND STILL HAVE TO KNOW ABOUT THE DIFFERENCES BETWEEN THESE 2 ILLNESS (AND AT TIMES PATIENTS WILL PRESENT WITH BOTH WHCIHC ADDS TO THE EXERCISE REHAB PROBLEMS), THE 1ST DISTINCTION MADE IN FUNCTIONAL MEDICINE IS TO ESTABLISH WHICH 'CATAGORY' PATIENTS FALL INTO BEFORE CONSIDERING WHAT EXERCISE REFIME TO IMPLIMENT WITH THE HELP OF BIO KINETISISTS, MYOFASCIAL THERAPISTS, HYDRO THERAPISTS, YOGA TEACHING. THE GENERAL CONCENSUS WITH FIBROMYALGIA, DEPENDING AGAIN ON HOW SEVERELY AFFECTED THE PATIENT IS, IS THAT MULTIPLE DYSTROPHY BASE LINE EXERCISES SHOULD BEGIN REESTABLISHING ESP HAND, FINDGERS, FEET, TOES MOBILITY, DEEP BREATHING TAUGHT FROM THE DIAPHRAM, SOFT 'TODDLER' BALLS TO BE USED TO ASSIST WITH MOVEMENT, FROM 5 MINS-15 MINS TDS, BEFORE MOVING ONTO WALKING, ASSISTED OR NOT, ON FLAT GRAVEL/GRASS, AS IN SPORTS FIELDS, WITH LIGHTWEIGHT BEST FITTED WALKING SHOES, AGAIN 5 MINS-20 MINS, AFTER ENSURING THAT BATHING, BREAKFAST AND LIQUID HAVE BEEN TAKEN, THEN REST (DEPENDING ON PATIENT'S ABILITY), FOR 20 MIN-30 MINS IF CONDITION SEVERE, WITH MICROWAVABLE BEAN BAGS FOR SOOTHING HEAT, BREATHING ESERCISES AGAIN, AND WHILST LYING DOWN, THE MD FEET, PELVIC FLOOR EXERCISES. PROGRESSING THEN IS NEEDED TO BE WITH THE ABOVE TEAM CHOSEN, TO WORK AN-AEROBICALLY, STRETCHING, STRENGTH WITHOUT WEIGHTS, TREADMILL WALKING AT THE THERAPISITS PACE WITH IMPROVMENT, FROM 5-30 MINS ONCE A WEEK. HYDRO THERAPISTS WHO ARE MYOFASCIALLY QUALIFIED SHOULD BE SOUGHT (WORKING INSALT AND NON-CHLORINATED WARM WATER) FOR BOTH CONDITIONS, ASAP, MAX TIME AFTER FOOD AND DRINK, AND REPEAT WITH A SNACK THEREAFTER, 20-30 MINS. 5 MINS TO BEGIN WITH IN CFS. GREAT CARE MUST BE GIVEN TO CFS PATIENTS' EXERCISE REGIME AS FATIGUE IS THE PROBLEM RATHER THAN THE PAIN AS IN FM WHO HAVE BOTH. ONE MUST OMIT IN BOTH ILLNESSES THAT THERE IS NOT ADRENAL FATIGUE PRESENT FOR THAT WILL ALTER THE EXERCISE PROTOCOL AS WELL AS SUPPLEMENTAL REGIMES. BEST EXERCISE FOR CFS, SHORT WALKS (NEVER ON AN INCLINE AS WITH FM ABOVE), STRENGTH, STRETHC YOGA EXERCISING, NOT THE ACTUAL MOVEMENTS, BIO KINETICS LATER ON, IF NEC. HYDRO THERAPY CAN BECOME SWIMMING AND BIO COMBINED FOR BOTH ILLNESSES. STRETCHING BEFORE ANY EXERCISE UNDERTAKING IS OF PARAMOUNT NB'ANCE. SHARON LEVIN. FM/CFS-ME/ADRENAL FATIGUE HEAD SOUTHERN AFRICA. http//:www.fibromyalgiasa.co.za fmssha@ibi.co.za
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