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Can pacing self-management alter physical behavior and symptom severity in chronic fatigue syndrome? A case series

Jo Nijs, PhD, PT

Chronic fatigue syndrome (CFS) is a serious illness with high disability levels. This study examined whether physical behavior and health status of patients with CFS improve in response to an activity self-management program. Activity self-management for people with CFS involves encouraging the patients to pace their activities and respect their physical and mental limitations. It involves encouraging the patient to achieve an appropriate balance between activity and rest in order to avoid exacerbating symptoms. Seven patients with CFS were observed for 7 consecutive days prior to and following the activity self-management program. Following treatment, patients experienced less severe symptoms, improved daily functioning, and displayed different physical behavior.



Volume 46 Number 7, 2009
Pages 985  — 996

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