(Spanish) Effectiveness of graduated therapeutic exercise and CBT in CFS a systematic review, 2020, Polo Ferrandez

[Dolphin]

Free full text:
https://gredos.usal.es/bitstream/ha...ez_EjercicioFatiga.pdf?sequence=1&isAllowed=y

From: Dr. Marc-Alexander Fluks


Source: University of Salamanca
Date: June 2020
URL: https://gredos.usal.es/handle/10366/143718

https://gredos.usal.es/bitstream/ha...ez_EjercicioFatiga.pdf?sequence=1&isAllowed=y
Rem: Translation: Google

Effectiveness of graduated therapeutic exercise and cognitive behavioral
therapy in chronic fatigue syndrome: a systematic review {Spanish]
------------------------------------------------------------------------
Cristina Polo Ferrandez
- Faculty of Nursing and Physiotherapy, University of Salamanca, Spain


Abstract

Introduction
Chronic Fatigue Syndrome (CFS) is a clinical entity characterized by the
presence of severe and disabling fatigue, combined with a set of
physical and psychological symptoms. Its etiology is unknown and
therefore there is no curative treatment for the disease. Currently, the
therapies used to approach this table consist of: graduated therapeutic
exercise, cognitive behavioral therapy and pharmacological therapy.

Objective
To carry out a systematic review to collect and understand the effects
and benefits of current therapies in the treatment of Chronic Fatigue
Syndrome.

Methods
A search was made in the main databases ('Pubmed', 'PEDro' and
'Medline') and a subsequent bibliographic review of 16 randomized
clinical trials,focused on the CFS approach from therapeutic exercise,
cognitive behavioral therapy and combined therapy.

Results
The results were encouraging for both therapies, obtaining positive
effects in 14 of the 16 articles studied, highlighting fundamentally the
clinically significant improvement in fatigue and general physical
functioning.

Conclusion
Graduated therapeutic exercise and cognitive behavioral therapy seem
safe and effective interventions for the treatment of Chronic Fatigue
Syndrome.

Keywords: Chronic Fatigue Syndrome, Exercise therapy, Physiotherapy,
Cognitive Behavioral Therapy,

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(c) 2020 University of Salamanca

 

[wigglethemouse]

CONCLUSIÓN: Tras la realización de esta revisión sistemática, se puede concluir que el ejercicio terapéuticograduado y la terapia cognitivo conductual parecen ser intervenciones efectivasy seguras para el tratamiento del SFC. La importancia de una terapia individualizada y adaptada al estado y evolución del paciente parecen esenciales en el éxito de la misma. En estudios futuros sería interesante seguir evaluando la eficacia de una terapia multidisciplinar desde diferentes ámbitos sanitarios y desarrollar protocolos de tratamiento estandarizados, así como fomentar la búsqueda de un tratamiento curativo para esta patología.

Google translate

CONCLUSION: After carrying out this systematic review, it can be concluded that graduated therapeutic exercise and cognitive behavioral therapy seem to be effective and safe interventions for the treatment of CFS. The importance of an individualized therapy adapted to the state and evolution of the patient seem essential in its success. In future studies, it would be interesting to continue evaluating the efficacy of multidisciplinary therapy from different healthcare settings and to develop standardized treatment protocols, as well as to promote the search for a curative treatment for this pathology.

Will the pain EVER end...... Uggghhh.

They say the importance of individualized therapy but then think standardized treatment protocols would be interesting. Are they not contradicting themselves.

 

[Peter T]

So, so depressing.

 

[Mike Dean]

This is coursework by a trainee physio. Very limited search strategy; studies not evaluated for sources of bias; original authors' claims of efficacy and safety taken at face value. Can be safely ignored.

 

[NelliePledge]

Maybe @PhysiosforME could ping them an email with a bit of advice?

 

[Invisible Woman]

GIGO.

Again.

Is it really not thought necessary to throw in a course module on critical thinking or how to evaluate "evidence" before you go round recommending treatments?

Though it's a trainee and this is the treatment "preferred" by the system the conclusions are hardly surprising.

 

[Sly Saint]

the high dropout rate and differences in the number of dropouts in the different groups stand out, which could condition the study's result.

It is important to highlight the absence of objective measurement techniques for the different parameters, especially fatigue, since most of the questionnaires are self-evaluated, with their consequent subjective component.

The lack of a larger number of studies evaluating the long-term effects questions the effectiveness of different therapies over time.

 

[Barry]

This is really just the perpetuation of bad science due to unhelpful beliefs.

 

[PhysiosforME]

Ah yes I think this may have come our way already! Will share with the others - we have a semi standard response now!