Tag Archives: PEM

Measuring post exertional fatigue

Research abstract: OBJECTIVE: To design and validate an instrument to capture the characteristic post-exertional exacerbation of fatigue in patients with chronic fatigue syndrome (CFS). HIGHLIGHTS: Provides a new self-report measure of fatigue in patients with chronic fatigue syndrome Uniquely captures fatigue … Continue reading

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The effect of submaximal exercise tests in ME/CFS

Research abstract: BACKGROUND Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a debilitating illness. Symptoms include profound fatigue and distinctive post-exertional malaise (PEM). We asked whether a submaximal exercise test would prove useful for identifying different patterns of tissue oxygen utilization in … Continue reading

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Fatigue in MS and ME: similarities and differences

Cort Johnson in his blog Health rising asks if the fatigue found in MS and ME is similar or different: Simply looking at the symptoms indicated that MS is primarily a fatiguing disorder, and that MS patients may, in fact, … Continue reading

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Could use of stress management skills improve PEM?

Research abstract Chronic Fatigue Syndrome (CFS) is characterized in part by debilitating fatigue typically exacerbated by cognitive and/or physical exertion, referred to as post-exertional malaise (PEM). In a variety of populations, the cortisol awakening response (CAR) has stood out as … Continue reading

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Prolonged fatigue [CFS] & cytokines post-West Nile Virus infection in USA

Simon McGrath comments on a research paper: Evaluation of Prolonged Fatigue Post–West Nile Virus Infection and Association of Fatigue with Elevated Antiviral and Proinflammatory Cytokines Extract: 31% of the cohort were fatigued at follow-up (44/140) and “Of those with fatigue … Continue reading

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Important to distinguish ME (with Post-exertional malaise) from CFS

Abstract Myalgic Encephalomyelitis (ME) was identified as a new clinical entity in 1959 and has been acknowledged as a disease of the central nervous system/neurological disease by the World Health Organisation since 1969. Cognitive impairment, (muscle) weakness, circulatory disturbances, marked … Continue reading

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Post-exertion malaise in CFS: symptoms & gene expression

Research abstract BACKGROUND A primary complaint of chronic fatigue syndrome (CFS) patients is post-exertion malaise, which is a worsening of symptoms following activities such as exercise. PURPOSE To examine the link between gene expression for metabolite, adrenergic, immune, and glucocorticoid … Continue reading

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