{"id":34078,"date":"2022-02-08T08:56:28","date_gmt":"2022-02-08T08:56:28","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?p=34078"},"modified":"2022-02-28T07:21:14","modified_gmt":"2022-02-28T07:21:14","slug":"lessons-from-me-cfs-for-long-covid-postexertional-symptom-exacerbation-aka-pem","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/lessons-from-me-cfs-for-long-covid-postexertional-symptom-exacerbation-aka-pem\/","title":{"rendered":"Lessons from ME\/CFS for long COVID: Postexertional Symptom Exacerbation (aka PEM)"},"content":{"rendered":"

Lessons from Myalgic Encephalomyelitis\/Chronic Fatigue Syndrome for long COVID:<\/strong> Postexertional Symptom Exacerbation is an abnormal response to exercise\/activity<\/a>, by Todd E Davenport, Staci R Stevens, Jared Stevens, Christopher R Snell, J Mark Van Ness in<\/span> JOSPT<\/em> blog, February 2, 2022 [doi.org\/10.2519\/jospt.blog.20220202]<\/h3>\n

 <\/p>\n

Researchers from the Workwell Foundation in California offer guidance for physical therapists with understanding and identifying PESE in patients with long COVID, following extensive research with patients with ME.<\/p>\n

PESE – postexertional symptom exacerbation – is a constellation of unusual symptom responses to exercise\/activity<\/strong><\/h3>\n

 <\/p>\n

Blog post extract:<\/strong><\/h3>\n

What the Physical Therapist can do<\/strong><\/p>\n

Clinicians may ask evidence-based questions that may suggest PESE (TABLE<\/strong>). These questions may be used to direct clinical reasoning. They also can form the basis for collaborative treatment approaches that consider the patient’s perspective. Variability in PESE symptoms between patients\/clients, during exercise\/activity recovery, and according to disease staging reinforces there is no one-size-fits-all approach to working with patients who have PESE.<\/p>\n

Identification of the patient\/client’s top three symptoms, how much activity is necessary to provoke PESE, how long symptoms of PESE last, and how they change over time are critical to inform patient-centered approaches to PESE management.<\/p>\n

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 <\/p>\n

Read full article<\/a><\/p>\n

Read Part 2:\u00a0<\/strong>Physiological characteristics during acute exercise are abnormal in people with PostExertional Symptom Exacerbation<\/a><\/p>\n

Read Part 3: <\/strong>\u201cEnergy System First Aid\u201d for people with Post Exertional Symptom Exacerbation<\/a><\/p>\n

Read Part 4: <\/strong>Heart Rate Monitoring to manage PostExertional Symptom Exacerbation<\/a><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Lessons from Myalgic Encephalomyelitis\/Chronic Fatigue Syndrome for long COVID: Postexertional Symptom Exacerbation is an abnormal response to exercise\/activity, by Todd E Davenport, Staci R Stevens, Jared Stevens, Christopher R Snell, J Mark Van Ness in JOSPT blog, February 2, 2022 … 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":[4539,1447,4604,584,7206,7207,585,654,2074,3896],"class_list":["post-34078","post","type-post","status-publish","format-standard","hentry","category-news","tag-christopher-r-snell","tag-exercise-capacity","tag-jared-stevens","tag-pem","tag-pese","tag-post-exertional-symptom-exacerbation","tag-post-exertional-malaise","tag-prof-mark-vanness","tag-staci-r-stevens","tag-todd-e-davenport"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-8RE","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/34078","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=34078"}],"version-history":[{"count":10,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/34078\/revisions"}],"predecessor-version":[{"id":34404,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/34078\/revisions\/34404"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=34078"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=34078"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=34078"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}