{"id":16933,"date":"2018-06-18T07:10:01","date_gmt":"2018-06-18T07:10:01","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=16933"},"modified":"2018-06-18T07:10:01","modified_gmt":"2018-06-18T07:10:01","slug":"two-year-follow-up-of-impaired-range-of-motion-in-adolescents-with-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/two-year-follow-up-of-impaired-range-of-motion-in-adolescents-with-cfs\/","title":{"rendered":"Two-year follow-up of impaired Range of Motion in [adolescents with] CFS"},"content":{"rendered":"

Two-Year Follow-Up of Impaired Range of Motion in Chronic\u00a0Fatigue Syndrome<\/a>,by\u00a0Peter C. Rowe,\u00a0Colleen L. Marden,\u00a0Marissa A. K. Flaherty,\u00a0Samantha E. Jasion,\u00a0Erica M Cranston,\u00a0Kevin R. Fontaine,\u00a0and Richard L. Violand in<\/span> J Pediatr<\/em> 2018 [Published online\u00a01 June 2018]<\/p>\n

Objective:<\/strong><\/p>\n

To measure changes in range of motion (ROM) over time in a cohort of 55 adolescents and young\u00a0adults with chronic fatigue syndrome and to determine whether changes in ROM correlated with changes in health related\u00a0quality of life.<\/p>\n

Study design:<\/strong><\/p>\n

Participants underwent a standardized examination of 11 areas of limb and spine ROM at baseline\u00a0and at 3- to 6-month intervals for 2 years, resulting in a ROM score that ranged from 0 (normal throughout) to\u00a011 (abnormal ROM in all areas tested). We measured the time until the ROM score was \u22642 (the score in healthy\u00a0age-matched controls). Change in ROM was measured by subtracting the 24-month from the baseline ROM score\u00a0and by summing the degrees of change in the 10 tests with continuous outcomes. Health-related quality of life\u00a0was measured using the Pediatric Quality of Life Inventory 4.0 (PedsQL).
\nResults The mean age at enrolment was 16.5 years (range 10-23). Two-year follow-up was available for 53 (96%).<\/p>\n

The proportion with a ROM score of >2 fell gradually over 2 years, from 78% at entry to 20% at 24 months (P < .001).\u00a0ROM scores improved from a median of 5 at entry to 2 at 24 months (P < .001). The change in the summed degrees\u00a0of improvement in ROM correlated positively with improvement in the PedsQL physical function subscale (r = 0.30;\u00a0P < .03).<\/p>\n

Conclusions:<\/strong><\/p>\n

\"\"In association with multimodal therapy, young people with chronic fatigue syndrome experienced\u00a0progressively less impairment in ROM over 2 years, correlating with\u00a0 improvements in the physical function subscale\u00a0of the PedsQL.<\/p>\n

NB:<\/strong> Multimodal therapy is not the same as GET<\/p>\n

We hypothesize that treating the movement restrictions first using gentle manual therapy techniques will help the most impaired CFS patients begin to tolerate exercise better\u00a0<\/em> Dr Peter Rowe<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Two-Year Follow-Up of Impaired Range of Motion in Chronic\u00a0Fatigue Syndrome,by\u00a0Peter C. Rowe,\u00a0Colleen L. Marden,\u00a0Marissa A. K. Flaherty,\u00a0Samantha E. Jasion,\u00a0Erica M Cranston,\u00a0Kevin R. Fontaine,\u00a0and Richard L. Violand in J Pediatr 2018 [Published online\u00a01 June 2018] Objective: To measure changes in range … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[625,3591,1022,1021,427],"class_list":["post-16933","post","type-post","status-publish","format-standard","hentry","category-news","tag-adolescents","tag-dr-peter-rowe","tag-range-of-motion","tag-rom","tag-teenagers"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-4p7","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/16933","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=16933"}],"version-history":[{"count":4,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/16933\/revisions"}],"predecessor-version":[{"id":17122,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/16933\/revisions\/17122"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=16933"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=16933"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=16933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}