Pacing as a strategy to improve energy management in myalgic encephalomyelitis/chronic fatigue syndrome: a consensus document

Article


Goudsmit, Ellen M, Nijs, Jo, Jason, Leonard A and Wallman, Karen E 2012. Pacing as a strategy to improve energy management in myalgic encephalomyelitis/chronic fatigue syndrome: a consensus document. Disability and Rehabilitation. 34 (13), pp. 1140-1147.
AuthorsGoudsmit, Ellen M, Nijs, Jo, Jason, Leonard A and Wallman, Karen E
Abstract

Purpose: Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a debilitating condition characterized by a number of symptoms which typically worsen following minimal exertion. Various strategies to manage the limited energy levels have been proposed. Of these, pacing has been consistently rated as one of the most helpful in surveys conducted by patient groups. This review is a response to the paucity of the information on pacing in the scientific literature. Method: We describe the principle of pacing and how this can be adapted to meet individual abilities and preferences. A critical evaluation of the research was conducted to ascertain the benefits and limitations of this strategy. Results: Based on various studies, it is proposed that pacing can help to stabilize the condition and avoid post-exertional malaise. Conclusion: Pacing offers practitioners an additional therapeutic option which is acceptable to the majority of patients and can reduce the severity of the exertion-related symptoms of ME/CFS.

Keywordsmyalgic encephalomyelitis; envelope theory; fatigue; chronic fatigue syndrome
JournalDisability and Rehabilitation
Journal citation34 (13), pp. 1140-1147
ISSN1464-5165
0963-8288
Year2012
PublisherInforma
Accepted author manuscript
License
CC BY-ND
Web address (URL)http://dx.doi.org/10.3109/09638288.2011.635746
Publication dates
Print19 Jun 2012
Publication process dates
Deposited02 Nov 2012
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