I agree that there is always a risk of an assumption about what researchers think is right. But a study if the sort I am thinking of would say in...
That would be good and it is what the professionals say they do. But in terms of hard evidence how do yo do controlled trials on individuals - it...
Maybe you have never seen a child with arthritis sitting in a buggy.
Yes, it can be passive. There is no need to expend energy. Just to go through range.
I actually think the situation for children who are ill is quite different. An adult who is unwell is aware of a need to protect their...
I see no reason why not. Maybe there need to be several different sorts of studies with different emphasis. Measuring everything with high-tech...
But you cannot get a clear pattern of what helps unless you instigate some form of help. And you cannot tell if that is what makes a difference...
There are certainly risks, although my assumption would be that plans would be tried out on people newly ill who had not yet developed their own...
Yes, I think measuring activity needs to be done in a sophisticated way and as part of a larger package of assessments. When it comes to...
It is not in any useful sense blinding. The concept of double blinding arose for drug treatments where patient and assessor are the key sources of...
Now having said all that there is something that I realise makes my idea very tricky. If you are advised to do something and at the same time...
The trouble is that what we are concerned with, as I have recently been trying to make clear for NICE, is the psychology of gathering evidence....
Absolutely right. Except that in a sense I am not asking for a scientific basis because a scientific basis is a supported hypothesis. All we need...
I wouldn't want to be in either of this guy's columns. People like this are as much the problem as any one else - giving advice from a position of...
There is certainly significant harm that can come from rest without attention to problems. It is all too easy, particularly for for a child or...
I admit that I don't understand ME. I assume that nobody does. But it seems you maybe have not understood my suggestion. It has nothing to do with...
A doctor is now involved... Rather a lot of doctors have been involved for quite a long time. I am afraid that pinning hopes on Sarah Myhill with...
To be honest what is there at present just looks like blather. OK, having someone with experience of looking after severe ME is likely to be...
I guess you measure not getting worse just by getting the same numbers on your activity measures. It is an interesting point that most clinical...
I think you are missing my point. I am suggesting testing plans such as sleep hygiene in a trial of the sort Keith Geraghty suggested - where the...
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