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Exercise and chronic fatigue, 2021, Wrightson & Twomey

Discussion in 'Psychosomatic research - ME/CFS and Long Covid' started by Dolphin, Feb 3, 2022.

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  1. Dolphin

    Dolphin Senior Member (Voting Rights)

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    Free full text:
    https://kinesiologybooks.org/index.php/stork/catalog/view/10/1/185-1

    Chapter 18
    Exercise and Chronic Fatigue

    James G. Wrightson1 and Rosemary Twomey2

    1Department of Clinical Neurosciences, University of Calgary, Canada 2Cumming School of Medicine, University of Calgary, Canada

    Please cite as: Wrightson, J. G., & Twomey, R. (2021). Exercise and chronic fatigue. In Z. Zenko & L. Jones (Eds.), Essentials of exercise and sport psychology: An open access textbook (pp. 409–428). Society for Transparency, Openness, and Replication in Kinesiology. https://doi.org/10.51224/B1018

    CC-By Attribution 4.0 International This content is open access and part of Essentials of Exercise and Sport Psychology: An Open Access Textbook. All other content can be accessed at https://doi.org/10.51224/B1000

    Chapter Overview

    Fatigue is a symptom that can be experienced by anyone, whether through extended physical or mental activity, sleep deprivation or other environmental and social factors. Typically, fatigue is temporary and can be alleviated by rest or sleep. However, for some people, fatigue is an ever-present symptom that causes considerable distress and negatively impacts quality of life. Fatigue that is pathological, persistent and not resolved by rest can be called chronic fatigue. One of the most striking things about chronic fatigue is that it is common in people with many different diseases and disorders. Even though the underlying causes of fatigue may be different from one disease to the next, there are remarkable similarities in the experience of chronic fatigue. One consequence is that treatments and therapies which reduce fatigue in people with one disease may also be effective in reducing fatigue in people with a completely different disease. Exercise is one such treatment. Perhaps because of the historical (and incorrect) view that fatigue is caused by the depletion of an unspecified physiological source of energy (Hockey, 2013), exercise has long been examined as a possible treatment for chronic fatigue. Interestingly, there is growing evidence that exercise is an effective treatment to reduce chronic fatigue, at least in some cases. In this chapter, we will present the evidence for exercise as a treatment for chronic fatigue in four different patient groups; people living with and beyond cancer, people with multiple sclerosis, people who have had a stroke, and people with myalgic encephalomyelitis/chronic fatigue syndrome. First, it is important to understand what is meant by the word fatigue, both in general and in relation to these clinical populations.
     
    Michelle, Sean, ukxmrv and 3 others like this.
  2. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    Hard to find nonsense as distilled as that.

    The basic problem that I see more and more is that exercise therapy is somehow built in to the establishment model and immune to the charge of quackery.

    People want pills. People want exercises. Other people will sell both. But exercise is unregulated.
     
    EzzieD, MEMarge, FMMM1 and 15 others like this.
  3. Shadrach Loom

    Shadrach Loom Senior Member (Voting Rights)

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    The Hockey cited is a tome called “The Psychology of Fatigue”. Depressing stuff.
     
    Chris, Michelle, Sean and 3 others like this.
  4. Snow Leopard

    Snow Leopard Senior Member (Voting Rights)

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    Did you read the bit on ME/CFS?

    Here is a part:
     
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  5. Lilas

    Lilas Senior Member (Voting Rights)

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    And in their conclusion, about ME:

    " However, as we have also shown in the case of ME/CFS, extreme caution should be exercised in recommending exercise to people with chronic fatigue. Without knowing the causes of the symptom, it is possible that a therapy that alleviates fatigue in one group of patients could make it worse in another. It is often said that exercise is medicine (Pedersen & Saltin, 2015). For this to be true, then just like a drug, it is vital to understand the mechanisms of action and the dose of safe and beneficial exercise. "

    Surprising. More nuanced than it appeared in the summary.
     
    Mithriel, Sean, Midnattsol and 6 others like this.
  6. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    No, pity they didn't focus on that in the blather of the overview.

    Rather in the way that homeopathy is? Important to get just the right dose of something that doesn't work.
     
    Sean, Art Vandelay, MEMarge and 3 others like this.
  7. Lilas

    Lilas Senior Member (Voting Rights)

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    Well, it's certainly not ME who can say otherwise, don't you think ? ;)
     
    FMMM1 and Peter Trewhitt like this.

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