Article: Strength Training for Pain & Injury Rehab Jan 2020

Sly Saint · Jan 25, 2020

Am posting this because of this bit:

Exactly what can go wrong with strength training
This is a list of specific examples of how strengthening can go significantly wrong without exercising extra caution, which is sadly rare in practice.

Misdiagnosis is a large category of ways that strength training can go wrong. Some problems that appear to be “simple” musculoskeletal problems, like back pain, actually have medical causes, some of them ominous, such as pain caused by a tumour, or a drug side effect. The failure to diagnose such things correctly can lead to prescriptions of completely ineffective or harmful strength training. Here’s just a few key examples, and there are probably dozens more (because there are so many surprising ways to hurt:
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Chronic fatigue syndrome (unexplained fatigue, also often overlapping with chronic pain, which is why I’m including it here): these patients may seem like ideal candidates for exercise therapy, but if the cause of the fatigue is myalgic encephalomyelitis — a nasty infectious neurological disease that routinely evades diagnosis — exercising can backfire severely,24 and might even make the condition permanently worse.25
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24:
These waters have been muddied by the infamous “PACE” trial, a big British experiment which concluded that graded exercise therapy was helpful for myalgic encephalomyelitis patients. But the PACE trial has been tainted by scandal and harshly criticized as “uninterpretable.” There are good reasons to believe that PACE got it disastrously wrong, and exercise actually hurts ME patients: see Shepherd.
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25:
“We hypothesize that these crashes, or episodes of heightened fatigue, may have a cumulative effect on a patient’s health, and may compromise the patient’s potential for a full recovery.” From: Instructions for Stanford Chronic Fatigue Syndrome Patients.
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https://www.painscience.com/articles/strength-training.php

NelliePledge · Jan 25, 2020

Nice one

Mithriel · Jan 25, 2020

Wow!

rvallee · Jan 25, 2020

And in those few words, the authors actually took into consideration the patient experience as a whole, as an individual, the tripe that BPS pretends to do, more than the entirety of BPS research since it began, who instead focus on an extremely narrow and micron-deep slice that is mostly filled with their own thoughts and beliefs about illness.

So: kudos. Some people do get it and it doesn't even take them decades to learn. More of that, please.

Sly Saint · Jan 30, 2020

by contrast:

Furthermore, exercise can substantially enhance energy levels for people dealing with chronic fatigue syndrome (CFS) plus other major medical ailments. In fact, exercise seems to be more reliable at combating CFS than several other therapies, like passive therapies including: resting, stretching, or no treatment whatsoever. Also, even a slight amount of exercise increases the ability to heal in people struggling with long term ailments, such as cancer, HIV/AIDS and a variety of sclerosis diseases.

Summary:
Participating in a regular exercise program can raise your overall energy. This holds true also in individuals with persistent exhaustion as well as those experiencing major diseases.
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https://gravityfitness-tennis.com/benefits-of-exercise/

Aslaug · Jan 30, 2020

Wow, nice one (the first, not the second).

Invisible Woman · Jan 30, 2020

Furthermore, exercise can substantially enhance energy levels for people dealing with chronic fatigue syndrome (CFS) plus other major medical ailments.
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Quite the sweeping statement! I'm intrigued to know which other major medical ailments? Is major used here as a medical term?

DigitalDrifter · Jan 30, 2020

It's great to here someone mentioning permanent damage in relation to ME as I have suffered this and become very severe. Worsening from exercise should be part of the inclusion criteria for ME.

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Article: Strength Training for Pain & Injury Rehab Jan 2020

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