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Favourable results of a rehabilitation programme with cognitive behavioural therapy and graded physical activity in patients with the Chronic-Fatigue Syndrome [Article in Dutch]

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By M Torenbeek, et al. • • October 18, 2006

Journal: Ned Tijdschr Geneeskd. 2006 Sep 23;150(38):2088-94. Authors and Affiliation: Torenbeek M, Mes CA, van Liere MJ, Schreurs KM, ter Meer R, Kortleven GC, Warmerdam CG. Het Roessingh, Centrum voor Revalidatie, divisie Pijnrevalidatie, Enschede. Address correspondence to PMID: 17036861

Objective: To determine whether a specific course of interdisciplinary rehabilitation might lead to clinically significant changes in fatigue, experienced disability and physical function in patients with Chronic Fatigue Syndrome (CFS)

Design: Prospective and uncontrolled.

Method: “Het Roessingh,” a rehabilitation centre in Enschede, the Netherlands, has developed an interdisciplinary clinical rehabilitation programme for patients with CFS in cooperation with the “Nijmeegs Kenniscentrum Chronische Vermoeidheid” [Chronic-Fatigue Knowledge Centre] in Nijmegen, the Netherlands. In this programme, physical, mental and social activities are gradually increased on the basis of cognitive behavioural principles and graded activity. Of the 127 successive persons who enrolled for the therapy during the period from August 2000 to December 2004, 99 fulfilled the inclusion criteria; they had a median duration of symptoms of 6 years. The results of treatment were evaluated by a measurement with the “Checklist individuele spankracht” [Checklist individual muscle tone] before and after treatment and the scores on the “Patientspecifieke beperkingen” [Patient-specific disability] and the Short form-36. The measured data were complete in 74 patients.

Results: Before rehabilitation, the levels of fatigue, disability and distress were high. After treatment, the studied population showed significant improvement in fatigue, experienced disability and physical function. The magnitude of the improvement was generally “average.”. At the end of treatment, 70% of the patients were clinically less fatigued, 68% experienced less disability and 55% functioned better physically. In 34% the level of fatigue was normalised after treatment, but 9.5% of the patients were more fatigued.

Conclusion: The rehabilitation programme offered for CFS led to significant improvements in function and fatigue.

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