pem

  1. John Mac

    Measuring Post-Exertional Malaise with DePaul Symptom Questionnaires: Challenges and Opportunities, 2025, Jason

    https://www.lidsen.com/journals/neurobiology/neurobiology-09-01-267 Abstract Following mental or physical exertion, patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) experience Post-Exertional Malaise (PEM). Although self-report questions represent less expensive and...
  2. SNT Gatchaman

    Exertional Exhaustion [PEM] Evaluated by the Effects of Exercise on [CSF] Metabolomics–Lipidomics and Serine Pathway in [ME/CFS], 2025, Baraniuk

    Exertional Exhaustion Post-Exertional Malaise, PEM Evaluated by the Effects of Exercise on Cerebrospinal Fluid Metabolomics–Lipidomics and Serine Pathway in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Baraniuk, James N. Post-exertional malaise (PEM) is a defining condition of myalgic...
  3. forestglip

    Assessing current PEM severity (whether one is in a crash)

    In the News From Germany thread, I posted about how I emailed a researcher about an upcoming study on sleep in ME/CFS. Snippet from my email: Snippet from Claudia Schilling's response: Does any metric exist for assessing whether one is in a crash at the moment, and/or how bad the crash is...
  4. PrairieLights

    PEM question

    I read in a thread that some people find 30 second burst of high energy exercise helpful. I hadn't heard of that idea before and decided, why not give it a try to see if I am one of those people. I'm not. Anyway, didn't give me too bad of PEM. Most of it reared yesterday, today it's mild...
  5. Yann04

    Beyond the Clinic: Virtual Care as the Future of Long COVID Rehabilitation, 2025, Anderson et Bauer

    Abstract: Background and Purpose: As a result of COVID-19 infection, millions of individuals are now affected by Long COVID, and this number continues to increase. These individuals experience a multitude of symptoms and limitations that make accessing conventional rehabilitative care...
  6. Yann04

    Thesis Bedside Monitoring of Mitochondrial Function in Post- COVID Patients, 2024, Behr

    (masters thesis) Background: Post-COVID (PC) is characterized by prolonged symptoms following a COVID-19 infection, with Post-Exertional Malaise (PEM) being a feature with a large negative impact on quality of life. Mitochondrial dysfunction has previously been related to PEM-related symtpoms...
  7. Yann04

    What would a good questionnaire for diagnosing PEM look like?

    The most popular questionnaire for PEM is the De-Paul Symptom Questionnaire, which, to be frank, is not the best, as it mostly focuses on fatigue after exertion and seems to flag an unlikely proportion of people with other illnesses having PEM. It seems there isn’t much competition. The FUNCAP...
  8. Kalliope

    Medscape: Post-Exertional Malaise in Fatiguing Diseases: What to Know to Avoid Harmful Exercise - by Miriam Tucker

    Quote: Identifying the phenomenon of post-exertional malaise (PEM) in patients with fatiguing conditions is critical because it necessitates a far more cautious approach to exercise, experts said. PEM is a defining feature of the condition myalgic encephalomyelitis/chronic fatigue syndrome...
  9. SNT Gatchaman

    Effects of a symptom-titrated exercise program on fatigue and quality of life in people with post-COVID condition, 2024, Barz+

    Effects of a symptom-titrated exercise program on fatigue and quality of life in people with post-COVID condition – a randomized controlled trial Barz, Andreas; Berger, Joshua; Speicher, Marco; Morsch, Arne; Wanjek, Markus; Rissland, Jürgen; Jäger, Johannes Fatigue is the most prevalent symptom...
  10. Yann04

    Delayed Cytotoxicity: A relation to ME/PEM?

    It seems cytotoxicity (the ability of a stressor to damage cells) can be a phenomenon that is delayed in comparison to the original stimulus. Ie. it seems depending on the immune or chemical leading to cytotoxicity it can occur instantaneously to a week after. [1] It seems also a well regarded...
  11. SNT Gatchaman

    Preprint Virtual rehabilitation for individuals with Long COVID: a randomized controlled trial, 2024, Janaudis-Ferreira et al.

    Virtual rehabilitation for individuals with Long COVID: a randomized controlled trial Tania Janaudis-Ferreira; Marla K. Beauchamp; Amanda Rizk; Catherine M. Tansey; Maria Sedeno; Laura Barreto; Jean Bourbeau; Bryan A. Ross; Andrea Benedetti; Pei Zhi Li; Kriti Agarwal; Rebecca Zucco; Julie Lopez...
  12. Yann04

    PEM-like descriptions and accounts in non-ME illnesses

    I thought It would be interesting to have a place to collect descriptions or accounts of living with other illnesses that include phenomena seemingly nearly identical to what we call PEM. For Mitochondrial disease, check out the thread: What differentiates ME/CFS from known primary...
  13. Hoopoe

    Is PEM related to exerkines?

    Exercise leads to the release of a wide variety of substances, in the category of exerkines. https://www.nature.com/articles/s41574-022-00641-2 What if one or several of these exerkines were blunted in ME/CFS or, for some obscure reason, had a damaging effect instead of a health-promoting...
  14. forestglip

    Preprint Guardian angels off duty? ME/CFS is Sustained by an Impaired Stress Response in the Central Nervous System, 2024, Renz-Polster

    Guardian angels off duty? ME/CFS is Sustained by an Impaired Stress Response in the Central Nervous System Herbert Renz-Polster Abstract ME/CFS researchers agree that ME/CFS is a multisystem disease with a multitude of pathobiological features including endothelial dysfunction, immune...
  15. forestglip

    Comparing acute sickness symptoms with ME/CFS

    I thought it might be worthwhile to have a discussion comparing and contrasting the symptoms of an acute infection (a week or two of flu, cold, staph, etc.) and ME/CFS. Viral persistence is often mentioned in discussions of mechanism theories. I personally think there's a good chance ME/CFS is...
  16. Dolphin

    Two-Day Cardiopulmonary Exercise Testing in Long COVID Post-Exertional Malaise Diagnosis, 2024, Gattoni

    Chiara Gattoni, Asghar Abbasi, Carrie Ferguson, Charles W. Lanks, Thomas W. Decato, Harry B. Rossiter, Richard Casaburi, William W. Stringer, Two-Day Cardiopulmonary Exercise Testing in Long COVID Post-Exertional Malaise Diagnosis, Respiratory Physiology & Neurobiology, 2024, 104362, ISSN...
  17. Nightsong

    Using Exercise Therapy for [LC] Without Screening for Post-Exertional Symptom Exacerbation Potentially Increases the Risks for Patients.., 2024, Vink+

    Background: Three systematic reviews all concluded that exercise is an effective treatment for long COVID. Objective: To determine if exercise therapy is also an effective treatment for long COVID patients who suffer from Post-Exertional Malaise (PEM) or Post-Exertional Symptom Exacerbation...
  18. Trish

    Is PEM triggered by physical exertion the same as worsening triggered by sensory stimuli, cognitive exertion or emotions? What are the implications?

    I have started this thread in order to reduce diversion of another thread where the subject arose. Here are a couple of quotes from that thread: My questions for discussion: pwME experiences: Is the worsening of symptoms triggered by sensory stimuli such as light and sound the same from a...
  19. Nightsong

    Prevalence and measurement of post-exertional malaise in post-acute COVID-19 syndrome: A systematic review and meta-analysis, 2024, An+

    Objective Post-exertional malaise (PEM) is a common and debilitating symptom of post-acute COVID-19 syndrome (PACS), and it is also included in the core outcome set for PACS. Our aims are to determine the prevalence of PEM in patients with PACS, and to review the measurement tools utilized in...
  20. Haveyoutriedyoga

    Creatively visualising PEM and fatigue

    How could someone draw, paint or otherwise visually portray these? [eta - over time] I want to do a creative project for myself but it's tricky to get going with this one... PEM Exertion intolerance / Fatiguability Random symptoms coming on for no apparent reason needing to sit or lie down I...
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