Volgens een recente studie van Jo Nijs, Greta Moorkens en collega's in JRRD zijn ME/CVS-patiën-
ten minder lang in staat lang rechtop te staan met twee gewichten in gestrekte armen voor zich.
Deze test lijkt me een goede aanvulling op de testen om invaliditeit te objectiveren (klik hier).
De vraag blijft natuurlijk wat de rol van orthostatische intolerantie en wat de rol van spierzwakte is.
Uiteraard kan ook deze beperking volgens de auteurs via (graduele) revalidatie opgelost worden...
Timed loaded standing in female chronic fatigue syndrome compared with other populations.
J Rehabil Res Dev. 2015;52(1):21-30. doi: 10.1682/JRRD.2014.03.0086.
Eyskens JB, Nijs J, D’Août K, Sand A, Wouters K, Moorkens G.
Patients with chronic fatigue syndrome (CFS),
like patients with osteoporosis,
have similar difficulties in standing and sitting.
The aim of the study was
to compare combined trunk and arm endurance
among women with CFS (n = 72),
women with osteoporosis (n = 30),
nondisabled women (n = 55), and
wwomen from non-industrialized countries (n= 58)
using the timed loaded standing (TLS) test.
TLS measures how long a person can
hold a 1 kg dumbbell in each hand in front of him or her with straight arms.
TLS was higher in the industrialized nondisabled population
than in the non-industrialized study population (p < 0.001) and
in patients with osteoporosis (p = 0.002).
TLS was lower in patients with CFS than in nondisabled controls (p < 0.001).
After adjusting for age, body height, and weight,
combined trunk and arm endurance was even lower in CFS
than in osteoporotic patients more than 25 yr old (p < 0.001).
In CFS, TLS was lower than in the non-industrialized group (p = 0.02).
Since only women were studied,
external validity of the results is limited to adult female patients with CFS.
TLS revealed a specific biomechanical weakness in CFS patients
that can be taken into account from the onset of a rehabilitation program.
We propose that influencing the quality, rather than the quantity, of movement
could be used in the rehabilitation.
Key words:
chronic fatigue syndrome, deformation, endurance, graded exercise/exposure therapy, movement,
non-industrialized population, osteoporosis, physical performance, timed loaded standing, trunk.
http://www.rehab.research.va.gov/jour/2015/521/jrrd-2014-03-0086.html
http://www.rehab.research.va.gov/jour/2015/521/pdf/jrrd-2014-03-0086.pdf
http://dx.doi.org/10.1682/JRRD.2014.03.0086
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