Department of Physical Therapy, Thomas J Long School of Pharmacy and Health Sciences, University of the Pacific, 3601 Pacific Ave, Stockton, CA 95211, USA.
Phys Ther. 2010 Apr;90(4):602-14. doi: 10.2522/ptj.20090047. Epub 2010 Feb 25.
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.
疲劳是人们咨询医疗保健提供者的最常见原因之一。慢性疲劳综合征/肌痛性脑脊髓炎（CFS/ME）是导致临床衰弱性疲劳的原因之一。CFS/ME 的诊断不足，以及代表多种原因进入物理治疗环境的症状谱，使物理治疗师能够识别这种健康状况并指导其进行适当的管理。尽管这种情况的最佳临床管理仍存在争议，但 CFS/ME 的诊断和临床相关性正在得到更好的理解。本文的 4 个目的是：（1）总结 CFS/ME 的诊断，以期促进物理治疗师对这种疾病的最佳识别；（2）讨论可能导致 CFS/ME 临床表现的有氧系统和认知缺陷；（3）审查分级运动的证据，目的是解决 CFS/ME 患者的身体结构和功能、活动和参与受限的问题；（4）提出物理治疗师对 CFS/ME 的临床管理的概念模型。
