When a patient has a damaged or broken aerobic energy system, they're unable to produce enough energy for that activity/task. Their body goes into the lactic acid system, and they start to have neurologic and other PEM/PESE related symptoms. https://www.youtube.com/watch?v=ioSe6LPVLDM
I just started this video and the first claim—that delayed onset muscle soreness (DOMS) after a workout is caused (primarily) by lactic acid—seems to have been debunked a while back.
Agree. It was debunked by Mark VanNess at Workwell with a very a detailed explanation. Lactic acid is actully good for us.
'new' series of 7 videos on Post-Exertional Malaise PEM/PESE Post-Exertional Malaise: Defining PEM/PESE, Part 1 of 7 https://www.youtube.com/watch?v=wwgwHzgAz7s
Bateman Horne Center "Post-exertional malaise (PEM) isn’t due to laziness or deconditioning." - Clayton Powers, DPT Do your symptoms worsen when you push yourself beyond your energy threshold? Clayton Powers, doctor of physical therapy, explains what PEM is in this short video: https://www.youtube.com/watch?v=UkS6L3Klc00 (link in bio and stories) This video is part of BASICS: a series that simplifies and explains aspects of ME/CFS and related comorbid conditions. ***** Bateman Horne Center’s involvement in this program is made possible with the additional support of Open Medicine Foundation (@openmedf), the Whittemore Peterson Institute, and donors like you.
https://www.youtube.com/watch?v=Gh4vpKsLbr8 The Basics: Orthostatic Intolerance (OI) 17 Apr 2024 BHC Education Clayton Powers, DPT, discusses the basics of orthostatic intolerance (OI). - What is orthostatic intolerance? - Symptoms of orthostatic intolerance - Pacing upright activity Note to community members: We advise viewers to always speak with their medical care team prior to making any adjustments or changes to their current regimen. Bateman Horne Center’s involvement in this program is made possible with the additional support of the Open Medicine Foundation. van Campen CLM, Rowe PC, Visser FC. Two-Day Cardiopulmonary Exercise Testing in Females with a Severe Grade of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Comparison with Patients with Mild and Moderate Disease. Healthcare (Basel). 2020;8(3):192. Published 2020 Jun 30. doi:10.3390/healthcare8030192 Cerebral blood flow remains reduced after tilt testing in myalgic encephalomyelitis/chronic fatigue syndrome patients. van CampenCLMC, Rowe PC, Visser FC. Clin NeurophysiolPract. 2021 Sep 23;6:245-255. doi: 10.1016/j.cnp.2021.09.001. PMID: 34667909
"Recognize M.E." (May 2024) (158 seconds) https://www.youtube.com/watch?v=6fJb7VYlzB0 Bateman Horne Center 11 May 2024 BHC Education This powerful piece, delivered by Doctor of Physical Therapy Clayton Powers, recognizes myalgic encephalomyelitis (ME/CFS), a condition often misunderstood and overlooked despite its profound impact on millions worldwide. The video delves into the daily struggles faced by individuals battling ME/CFS or post-COVID related ME/CFS, emphasizing the immense challenges posed by extreme and all consuming fatigue, metabolic, neurologic, and immune impairments, to name a few. ME/CFS ranks lower in terms of quality of life compared to major diseases like cancer, stroke, and debilitating autoimmune conditions. Yet, it's a condition that's unrecognized by many and often misdiagnosed or dismissed. We want you to know that you are not alone in this fight. Your experiences are valid, and your voices matter. Falk Hvidberg M, Brinth LS, Olesen AV, Petersen KD, Ehlers L. The Health-Related Quality of Life for Patients with Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS). PLoS One. 2015 Jul 6;10(7):e0132421. doi: 10.1371/journal.pone.0132421. PMID: 26147503; PMCID: PMC4492975.
"Staying within Your Energy Envelope by Modifying Tasks" (Bateman Horne Center) Amy Mooney, MS OTR/L discusses the details of pacing strategies from the perspective of an occupational therapist and mother of an adult daughter with severe ME/CFS. Note to community members: We advise viewers to always speak with their medical care team before making any adjustments or changes to their current care regimen. Time Stamps 00:00 Introduction 2:30 Post-exertional malaise (PEM) 3:56 Occupational therapy vs physical therapy treatment for PEM 11:23 Pacing for PEM 27:18 Task analysis 39:00 Types of rest 41:12 Example of patient PEM symptom time course 47:15 Accommodations and Modifications Recording https://www.youtube.com/watch?v=RVJG6t1tjbE Recap (comments & suggestions from others on topic): https://batemanhornecenter.org/wp-content/uploads/2024/06/20240516-LunchLearn.pdf Slides: https://batemanhornecenter.org/wp-c...and-Learn-presentation-slides-pdf-version.pdf
Bateman Horne Center · Medical lecture now available! Dr. Melanie Hoppers presents “Post-Exertional Malaise: The Price of Exertion” to a group of medical professionals at the Post-COVID Primary Care ECHO. https://www.youtube.com/watch?v=p9kdYIfLer4 She #postexertionalmalaise #PEM #PENE #PESE #PacingforPEM #MECFS #LongCOVID #IACCs #MedEdMatters
From OMF email newsletter: Did you know that OMF is working with Bateman Horne Center (BHC) to educate healthcare providers on ME/CFS and Long COVID, and provide resources for patients navigating these diseases? A couple of years ago, we joined forces to create the Medical Education Resource Center (MERC), designed to help patients and providers with the resources they need. Life with a Low Battery: Living with ME/CFS Our team understands that it can be incredibly frustrating and difficult to explain how to live in a body that functions differently than it once did. In response to feedback from the lived experience community, the MERC team created an animated video, "Life with a Low Battery: Living with ME/CFS," explaining energy utilization in an engaging way. This video aims to help your friends and family members understand what it is like to live with ME/CFS and to help you identify ways to close unnecessary “apps” (when possible) to conserve energy. To accommodate the sensory sensitivities of our community, there are several versions of "Life with a Low Battery: Living with ME/CFS" available for viewing: Read the content: transcript A version that has dialogue audio only A low sensory video with muted colors and no background music One with full color, with no background music And finally, a version that includes full color and background music. This is one you may want to share with people in your life who don’t have sensory sensitivities because it is the most engaging version. We hope you enjoy this new resource created by the OMF supported Medical Education Resource Center at BHC, with support from the Whittemore Peterson Institute and donors like you. ----- Full color/music version: https://www.youtube.com/watch?v=gKWk99Fsd_o
A similar message from the Bateman Horne Center: Bateman Horne Center https://batemanhornecenter.org/ understands that it can be incredibly frustrating and difficult to explain how to live in a body that functions differently than it once did. In response to feedback from the lived experience community, we created an animated video, "Life with a Low Battery: Living with ME/CFS," explaining energy utilization in a fun and engaging way. This video aims to help your friends and family members understand what it is like to live with ME/CFS and to help you identify ways to close unnecessary “apps” (when possible) to conserve energy. To accommodate the sensory sensitivities of our community, there are several versions of, "Life with a Low Battery: Living with ME/CFS," available for viewing: Read the content: transcript https://batemanhornecenter.org/wp-c...Life-with-a-Low-Battery-Living-with-MECFS.pdf A version that has dialogue audio only https://www.youtube.com/watch?v=bmeXM4w0eZ4 A low sensory video with muted colors and no background music https://www.youtube.com/watch?v=P-MZqi6mUPo One with full color, with no background music https://www.youtube.com/watch?v=00f6Yx9ab3I And finally, a version that includes full color and background music https://www.youtube.com/watch?v=gKWk99Fsd_o . This is one you may want to share with people in your life who don’t have sensory sensitivities because it is the most engaging version. You can find links to these in the YouTube descriptions at batemanhornecenter.org. We hope you enjoy this new resource created by the OMF-supported Medical Education Resource Center at BHC, with support from the Whittemore Peterson Institute and our generous donors. Help make ME/CFS common knowledge by liking and sharing with your friends and family. Read more about the inspiration behind this video by co-creator and Bateman Horne Center's Education Director, Tahlia Ruschioni. The Story Behind "Life with a Low Battery: Living with ME/CFS." https://batemanhornecenter.org/30953-2/
Did you know many with ME/CFS and Long COVID also have connective tissue disorders? EDS and hEDS affect the connective tissue found in the skin, joints, and blood vessel walls, which can make some prone to comorbid conditions. Proper diagnosis and management can improve QoL. https://twitter.com/user/status/1849555097291980925
