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Funding these clinics not only wastes money, but causes considerable harm by maintaining the fiction that there are effective treatments available to those patients who really want to be well. And strongly implies, their claims to the contrary notwithstanding, their preferred psycho-behavioural...

Our finding that a lower MVPA [moderate-vigorous physical activity] level was associated with more improvements in outcomes in the long-term seems to suggest some benefit from reduced activity. As we have been saying for [checks notes] effing decades. And the earlier patients can implement...

We are in the era of just making shit up, where methodological standards are whatever you want them to be.

Design Observational, self-report, single time-point online assessment. Stopped there. Saved time.

Repeating a previous statement or claim, just with different wording, is something that AI generated text frequently does. -------- Participants engaged in a therapeutic exercise program designed to promote correct body alignment and optimal biomechanics And the evidence for patients having...

Negative (null) results are just as important as positive results. The only important questions about a study are 1) is it relevant, and 2) is it well conducted. I would write 250.000 as 250 000. Positive results have a comparable problem if they are false, which they sometimes are. The story...

And, of course, requires the instruction and oversight by a 'professional expert' to achieve. It just continues the long discredited and very destructive assumption that patients don't know their own body and its limitations, but by some miracle, against all evidence and logic, the experts do...

Interesting. I tend to move about a bit in the shower, changing from one foot to the other, turning around frequently, etc. Maybe that is an unconscious learned thing to dynamically maintain balance and blood flow.

Symptom perception is highly subjective and shaped by complex biopsychosocial factors. Always good to start with your conclusion. :rolleyes:

Showers have a price. I often lie down for a bit after one, depending on various factors. OTOH, a hot shower is very good for soothing sore muscles and stimulating blood flow.

You'd think getting that data was a no brainer.

Good article. Thank you, Fred Rossi.

Yes, what about relevance, safety, and conflicts of interest?

And this, ladies and gentlemen, is why relying on superficial correlations is so dangerous.

Any hypothesis must explain the delayed component of PEM. It is a distinct and core feature, and the main clue, I think. It is not fatigue, tiredness, deconditioning, DOMS, etc. It is something different to all those.

So what that tells me is, ME/CFS is not a single disease, but it is a disease with different biological subtypes. Maybe. Cancer has a wide range of forms, symptoms and signs, and causes (genetic, chemical, infectious, radiological), and different treatments. But all cancers have one thing in...

This.

Functional somatic disorder (FSD) is a common condition characterised by persistent patterns of physical symptoms that cannot be better explained by other physical or mental conditions. Unless there is a translation issue, then this is a disingenuous rhetorical sleight-of-hand. They are not...

I qualify for a disabled parking permit, but have not taken it up for exactly these reasons. Not going to add another layer of abuse to what I already have to deal with. In a practical sense it doesn't make much difference, for various reasons. But there are occasions when I could benefit from...

I agree, as long as there are good records of what the patients do so it can be factored in. Should help reveal what helps and what doesn't, among other things. The key is having a large sample size, and doing it for long enough.