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Patient Educ Couns. 2009 Nov;77(2):237-41. doi: 10.1016/j.pec.2009.02.015. Epub 2009 Apr 8.

The impact of energy modulation on physical functioning and fatigue severity among patients with ME/CFS.

Author information

1
DePaul University, Center for Community Research, Chicago, IL 60614, USA. Ljason@depaul.edu

Abstract

OBJECTIVE:

The energy envelope postulates that patients with Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS) will improve functioning when maintaining expended energy levels at the same level as available energy level.

METHODS:

Estimated weekly Energy Quotients were established by dividing expended energy level by perceived energy level and multiplying by 100. Two groups of patients were identified following participation in a non-pharmacologic intervention trial. Some were able to keep expended energy close to available energy and others were not successful at this task.

RESULTS:

Those who were able to stay within their energy envelope had significant improvements in physical functioning and fatigue severity.

CONCLUSION:

Findings suggest that helping patients with ME/CFS maintain appropriate energy expenditures in coordination with available energy reserves can help improve functioning over time.

PRACTICE IMPLICATIONS:

Health care professionals that treat patients with ME/CFS might incorporate strategies that help patients self-monitor and self-regulate energy expenditures.

PMID:
19356884
PMCID:
PMC2767446
DOI:
10.1016/j.pec.2009.02.015
[Indexed for MEDLINE]
Free PMC Article

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