Hi guys, I just came across an article through CHIS, which had a bit of information about graded exercise and pacing for sufferers of ME/CFS. I know its a bit of a controversial and confusing thing to consider when you are unwell so here is some guidance. I should also mention that this is only my opinion from what I have learned from my own experiences and also working with others suffering from the condition. A study was conducted to test behavioural therapy and graded exercise for sufferers of ME and chronic fatigue syndrome. The article stated that: "Of the 2,763 people with ME who took part in our 2008 survey, 82% found pacing helpful, compared with 50% for cognitive behavioural therapy and 45% for graded exercise therapy. "Worryingly, 34% reported that graded exercise therapy made them worse." It was noted in the article that the charity Action for M.E said that the conclusions were exaggerated and they didn't back them. I would absolutely agree that not only 34% would have been made worse by graded exercise, but that the percentage was probably much much higher due to my experience of working with patients with this condition. I was also told to do graded exercise and I feel that it is a bad idea for most people. If the body is already in a heightened stress state, any form of exercise or struggling against the condition could only put the body into a higher state of emergency and burn out, contributing to increased and more intense symptoms. This is what I have found to be true for most of my clients, and myself also. I tend to feel that rather than do exercise to get better, use a form of therapy to retrain the stress response and return the body to more normal levels, (in my opinion, EFT is a fantastic and simply way to do this) and then introduce exercise as your body is able in a gentle way. Gradual exercise is in no way a cure and to me could only really worsen the state the patient is in, however if anyone has found this helpful I would like to hear more about it. I'd like to know of others experiences. I think that because the medical profession have nothing to offer as far as therapy and treatment goes, gradual exercise is the only advice generally going because they simply don't have any knowledge or training for the condition. We can only hope that over time more knowledge and awareness will become commonplace in the doctors office, and that hopefully people will try alternative options too. :) Kelly |



