pem

  1. Kalliope

    Information film about ME and PEM - Norwegian ME Association (in English)

    Today is the première of the English version of a three minute long film about ME and PEM. It's made by the Norwegian ME Association - Rogaland County with professional help from psychologist Ketil Jakobsen and paediatric neurologist Kristian Sommerfelt. The film is available for everyone to...
  2. T

    Post-exertional Malaise in People With Chronic Cancer-Related Fatigue, 2020, Twomey et al

    A Canadian study https://www.jpsmjournal.com/article/S0885-3924(20)30098-1/fulltext?rss=yes
  3. Andy

    Action CIND Webinar: "Post-Exertional Malaise: Identifying, Understanding and Preventing", March 24th at 11am PST/2pm EST

    Topic Post-Exertional Malaise: Identifying, Understanding and Preventing Description Post-exertional malaise (PEM) is the hallmark clinical feature of ME/CFS. The webinar will present research that advances our understanding of this important complex of symptoms and introduce a timecourse for...
  4. ahimsa

    Action CIND Webinar: "Why Working out Doesn’t Work" by Workwell Foundation

    The video from the Action CIND webinar on Dec. 11th, featuring speakers from Workwell Foundation, is now available on vimeo (about 1 1/2 hours long). Why Working out Doesn’t Work. Answers from 20 years of cardiopulmonary exercise testing (CPET) in ME/CFS I don't think the video will play if...
  5. Hoopoe

    PEM is associated with greater symptom burden and psychological distress in patients ... with CFS (2019) May, Fletcher, Klimas et al.

    https://www.sciencedirect.com/science/article/abs/pii/S0022399919304672
  6. Sly Saint

    Webinar : Deconstructing Post-Exertional Malaise in Myalgic Encephalomyelitis: An Exploratory Biomarker Analysis - with Dr A. Moreau Dec 19 2019

    Action CIND https://zoom.us/webinar/register/WN_v41HUQKxRPKhRTncHHVUoQ?fbclid=IwAR1EFCcuYq4Fv2zbMStETnfEaHVwQ8QFACmWT-mIz77l0I7DbyTNkfshj6Q eta: Dec 19, 2019 02:00 PM in Eastern Time (US and Canada)
  7. Sly Saint

    Elevated blood lactate in resting conditions correlate with post-exertional malaise severity in patients with ME/CFS - Ghali et al Dec 2019

    full paper https://www.nature.com/articles/s41598-019-55473-4
  8. Dolphin

    Post-exertional malaise in veterans with gulf war illness, 2019, Lindheimer Cook et al

    https://www.sciencedirect.com/science/article/abs/pii/S0167876019305495
  9. Andy

    PEM for those who are, or were, mild sufferers, how would you describe it?

    So one challenge that I believe we face is that if most, if not all, research studies insist on PEM as part of the inclusion criteria, we run the risk of mild sufferers not recognising PEM for what it is. For example, CCC description of PEM and ICC description of PENE I would not have...
  10. Andy

    Differentiating post-polio syndrome from myalgic encephalomyelitis and chronic fatigue syndrome, 2019, Jason et al

    Paywall, https://www.tandfonline.com/doi/abs/10.1080/21641846.2019.1687117 Not available via Scihub at time of posting
  11. Mithriel

    The use of the labels ME, CFS, ME/CFS

    Moderator note: This post has been copied and subsequent posts moved from this thread: Concerns about craniocervical instability surgery in ME/CFS _________________________________ Chronic Fatigue Syndrome is a such a vague diagnosis that it can cover many things since fatigue is such a common...
  12. C

    Does PEM contribute to POTS?

    Wondering if PEM itself contributes to POTS. I remember reading Prof Neil McGregor's studies showing PEM involves a hypermetabolic state where we urinate out metabolites. Does anyone know if this contributes to orthostatic intolerance / lowered blood volume?
  13. Hoopoe

    Hypoxia has delayed effects on the brain. Could this explain PEM?

    I was browsing research and noticed that some harmful effects of hypoxia on the brain are delayed by days or even a week. The affected person appears to recover from the immediate effects but then has a delayed and marked worsening of brain health. This is in cases of major hypoxic brain damage...
  14. Andy

    Activity baseline vs activity ceiling, why concepts and language matter

    So, I'm sure many of us are familiar with the idea of establishing an activity baseline, which is where the activity that you are able to manage doesn't trigger PEM. I would argue though that the concept of a baseline is inherently dangerous for PwME as it implies a position that can then be...
  15. Andy

    Post-Exertional Malaise Is Associated with Hypermetabolism, Hypoacetylation and Purine Metabolism Deregulation in ME/CFS Cases, 2019, McGregor et al

    Open access at https://www.mdpi.com/2075-4418/9/3/70
  16. rvallee

    PENE crash and muscle pain

    I have seen some discussions here and there around the puzzling fact of muscle pain being a consequence of neural exhaustion, whatever that actually means in pathophysiology, but not within a formal thread. It's not quite clear how much distinction there is between PEM and PENE. Maybe they are...
  17. Subtropical Island

    Can POTS come and go? Variability of POTS degree with PEM

    I’ve previously considered myself to be unlikely to have POTS. I can be almost normally active on very good days (paid for later). But a recent experience of tachycardia (110-135bpm when normal resting was 58-70) for days on end, and repeated instances in the days before and after that of...
  18. Hutan

    The Timeline of Post Exertional Malaise in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, 2018, Nielsen, Hodges

    https://mro.massey.ac.nz/bitstream/handle/10179/14653/02_whole.pdf?sequence=2&isAllowed=y New Zealand study of PEM using 2xCPETs at 48 or 72 hours. ABSTRACT PURPOSE: To investigate the timeline of post-exertional malaise (PEM) using objective and subjective measures in Myalgic...
  19. Hoopoe

    Symptom fluctuations and daily physical activity in patients with chronic fatigue syndrome: a case-control study, Nijs et al (2011)

    A study that is of interest because it measured activity levels with an accelerometer. https://www.ncbi.nlm.nih.gov/pubmed/22032215 Unfortunately the authors did not investigate further to find out the "direction of these relations".
  20. Trish

    MEA summary review: Assessing PEM (Post-exertional malaise) by Charlotte Stephens March 2019

    https://www.meassociation.org.uk/wp-content/uploads/MEA-Research-Review-Assessing-PEM-in-MECFS-25.03.19.pdf 14 page pdf document that covers definitions of PEM, clinical assessment and management including heart rate monitoring, and the latest research.
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