physiotherapy

Physical therapy can relieve Chronic Fatigue Syndrome

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Last updated 18/03/2022 by The pain clinics - Interdisciplinary Health

physiotherapy

Physical therapy can relieve Chronic Fatigue Syndrome and ME

A study published in the research journal PLOS One has shown that there is a direct link between chronic fatigue syndrome, ME and irritation / strain of nerves and muscles. The researchers found a newer neurophysiological factor in the problem through this study - which provides the basis that physiotherapy and physical treatment that reduces restrictions and stiffness in muscles and joints - often with associated nerve irritation - should have a direct function-improving / symptom-relieving effect on those affected of the diagnoses chronic fatigue syndrome (CFS) or ME.

 

- Traditional training can provide increased "flare ups" for those with CFS or ME

It is important to understand that this is about adapted physiotherapy - adapted and gentle such that takes into account that the person is affected by CFS or ME. This is not about traditional exercise - and those who read the article will see that this is further evidence that certain forms of exercise and neurophysiological stress actually cause increased incidence of symptoms. One can therefore speculate on whether intensive training should be avoided and that one should rather focus on gentle forms of exercise such as yoga, stretching exercises, mobility training and hot water pool training.

 

You can read the entire study via the link at the bottom of the article. Do you have input? Use the comment box below or ours Facebook Page.



 

Chronic fatigue syndrome is also known as CFS - and is defined as a persistent fatigue that does not improve with sleep or rest, and which often worsens with physical or mental strain. In addition to fatigue, the symptoms can include difficulty concentrating, headaches, joint pain, sore lymph nodes, sore throat and sleep problems.

Stretched leg lift

Straight leg lift provoked exhaustion symptoms

An orthopedic test known as Lasegue, or stretched leg lift, is a method for investigating possible nerve irritation or disc injury - as it places demands on the sciatic nerve, among other things. 80 people participated in the study, where 60 were diagnosed with CFS and 20 were asymptomatic. The test consisted of lying on your back and keeping your leg stretched upwards at 90 degrees - over a 15 minute period. Every 5 minutes, symptom criteria were reported, such as pain, headache, and difficulty concentrating. Participants also had to report how it went 24 hours after they had passed the test. The other half of those with CFS performed a similar maneuver - a "fake" variant - which does not put pressure on muscles and nerves.

 

The results were clear

Those with the diagnosis of chronic fatigue syndrome / CFS or ME who went through the true variant of the test reported a clear increase in physical pain and concentration difficulties - compared with the control groups. Also 24 hours later, the patients who had completed the real test reported an increased incidence of symptoms and pain. These results clearly indicated that even mild to moderate physical exertion can be enough to cause chronic fatigue symptoms.

Exhaustion

But why does the test increase the incidence of CFS and ME symptoms?

The study could not say with 100% certainty the mechanical reason why the test showed results among those with chronic fatigue syndrome, but they believe that the study gives us an increased understanding of how nerves and muscles play a neurophysiological role in this diagnosis. Which provides a basis for further research and studies in this field.

 



Can be treated - the researchers believe

The researchers themselves believe that this mapping of such a clear neurophysiological factor can facilitate more correct physical treatment and specific techniques. The research team has previously stated that limited mobility in muscles and joints should be addressed before starting intense training sessions - and that they thus believe that custom Physical therapy and other manual techniques / professions can relieve symptoms of chronic fatigue syndrome caused by physical limitations.

 

Exercise for the chest and between the shoulder blades

 

Conclusion

Exciting mapping of a new factor in the extensive chronic fatigue syndrome (CFS) and ME. Here they show a clear connection between strain on nerves and muscles in relation to "flare ups" of symptoms - suggesting that adapted physiotherapy and physical therapy should provide functional improvement and symptom relief among this patient group. A step in the right direction towards a better understanding of CFS and ME. To read the entire study, find the link at the bottom of the article.

 

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Also read: - THIS IS HOW TO LIVE WITH MYALGIC ENCEPHALOPATHY (ME)

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Photos: Wikimedia Commons 2.0, Creative Commons, Freemedicalphotos, Freestockphotos and submitted reader contributions.

 

References:

Neuromuscular strain increases symptom intensity in chronic fatigue syndrome, Peter Rowe et al., PLOS One. July 2016.

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