Slide 3 of our "Seven Slides for Physios": Post Exertional Malaise

References (there's a lot... and they are just a small selection) and further reading below 👇

#MEAwarenessWeek #CPD #Physio
@thecspstudents @thecsp @WorldPhysio1951
Further reading on PEM:
journals.plos.org/plosone/articl…
A short video describing PEM:
"Deterioration in cardiopulmonary function":
frontiersin.org/articles/10.33…
Early intracellular acidosis:
plefa.com/article/S0952-…
Prolonged recovery from acidosis:
onlinelibrary.wiley.com/doi/10.1111/j.…
Abnormal increases in lactic acid:
physoc.onlinelibrary.wiley.com/doi/10.14814/p…
Increased oxidative stress:
onlinelibrary.wiley.com/doi/10.1111/j.…
Increased inflammatory immune cells:
jacionline.org/article/S0091-…
Altered gut microbiome:
researchgate.net/publication/28…
Reduced oxygenation of prefrontal cortex:
pubmed.ncbi.nlm.nih.gov/18671793/#:~:t….

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More from @PhysiosForME

May 13
Slide 5 of our "Seven Slides for Physios": Physiotherapy Assessment of ME

Links and resources 👇

#MEAwarenessWeek #Physio #cpdicord
@thecspstudents @thecsp Image
Further reading on considerations for visiting someone with severe ME

mdpi.com/2227-9032/8/3/…
DePaul Symptom Questionnaire

leonardjason.com/cfsme_measures…
Read 8 tweets
May 12
Slide 4: PEM, Fatigue and Diagnostic Issues

This is one area that is key for physios to understand when trying to appraise the evidence

More reading and references 👇

#MEAwarenessWeek #MEAwarenessDay
#Physio #CPD

@thecspstudents @thecsp Image
Read 4 tweets
May 10
Slide 2 of our "Seven Slides for Physios": How serious is ME?

References and further reading 👇

#MEAwarenessWeek #CPD #physiotalk @thecspstudents @thecsp
Definitions of severity and more detailed information on ME in general can be found here:
onlinelibrary.wiley.com/doi/full/10.11…
Quality of Life reference:
bmjopen.bmj.com/content/bmjope…
Read 8 tweets
May 9
Slide 1 of our "Seven Slides for Physios": What is ME, and why do you need to know about it?

Resources and references in this thread 👇

#MEAwarenessweek #CPD #Physio
@thecsp @thecspstudents @WorldPhysio1951 Image
More information and links to resources and a free CPD module for health professionals can all be found on our website:
physiosforme.com/what-is-me
A series of short films by @DialoguesMECFS gives an excellent overview for those who prefer to learn through this medium
dialogues-mecfs.co.uk
Read 4 tweets
Jan 31, 2021
Awareness of post exertional malaise is so key to preventing harm and yet we are still seeing obvious ignorance from medical professionals, or missed opportunities to spread the word when prominent figures are given a platform. 🧵/1
Patient example in our inbox today: #LongCovid since March. Advice to stop-rest-pace from #pwME led to stabilised symptoms. HR Monitoring allowed yoga & small walks. (Learn more here: physiosforme.com/heart-rate-mon…) /2
Consultant told patient it’s been 10 months and it’s time to “get back on your feet”. Referred to LC rehab. Reassured they’d seen some people with PEM and would go extra slow. Rehab programme described as "very gentle GET". /3
Read 8 tweets
Dec 16, 2020
We have now submitted our response to the NICE draft guidelines for ME.

The full response can be downloaded, along with a summary of our main thoughts, on our blog post here.

physiosforme.com/post/physios-f…
Summary of the summary: Overall, we are pleased with the tone and content of the Draft Guideline.
NICE are now advising against the use of structured exercise programmes for people with ME - something all #physio should be aware of
Read 5 tweets

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