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Conceptual model for physical therapist management of chronic fatigue syndrome / myalgic encephalomyelitis

DAVENPORT TE; STEVENS SR; VANNESS MJ; SNELL CR; LITTLE T
PHYS THER , 2010, vol. 90, n° 4, p. 602-614
Doc n°: 145956
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.2522/ptj.20090047
Descripteurs : AE22 - ORIGINE MEDICALE

Fatigue is one of the most common reasons why people consult health care
providers. Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is one
cause of clinically debilitating fatigue. The underdiagnosis of CFS/ME, along
with the spectrum of symptoms that represent multiple reasons for entry into
physical therapy settings, places physical therapists in a unique position to
identify this health condition and direct its appropriate management. The
diagnosis and clinical correlates of CFS/ME are becoming better understood,
although the optimal clinical management of this condition remains controversial.
The 4 aims of this perspective article are: (1) to summarize the diagnosis of
CFS/ME with the goal of promoting the optimal recognition of this condition by
physical therapists; (2) to discuss aerobic system and cognitive deficits that
may lead to the clinical presentation of CFS/ME; (3) to review the evidence for
graded exercise with the goal of addressing limitations in body structures and
functions, activity, and participation in people with CFS/ME; and (4) to present
a conceptual model for the clinical management of CFS/ME by physical therapists.

Langue : ANGLAIS

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