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J Pediatr. 2018 Sep;200:249-253.e1. doi: 10.1016/j.jpeds.2018.05.012. Epub 2018 Jun 1.

Two-Year Follow-Up of Impaired Range of Motion in Chronic Fatigue Syndrome.

Author information

1
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: prowe@jhmi.edu.
2
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD.
3
Department of Health Behavior, University of Alabama at Birmingham School of Public Health, Birmingham, AL.
4
Rick Violand PT, LLC, Ellicott City, MD.

Abstract

OBJECTIVE:

To measure changes in range of motion (ROM) over time in a cohort of 55 adolescents and young adults with chronic fatigue syndrome and to determine whether changes in ROM correlated with changes in health-related quality of life.

STUDY DESIGN:

Participants underwent a standardized examination of 11 areas of limb and spine ROM at baseline and at 3- to 6-month intervals for 2 years, resulting in a ROM score that ranged from 0 (normal throughout) to 11 (abnormal ROM in all areas tested). We measured the time until the ROM score was ≤2 (the score in healthy age-matched controls). Change in ROM was measured by subtracting the 24-month from the baseline ROM score and by summing the degrees of change in the 10 tests with continuous outcomes. Health-related quality of life was measured using the Pediatric Quality of Life Inventory 4.0 (PedsQL).

RESULTS:

The mean age at enrollment was 16.5 years (range 10-23). Two-year follow-up was available for 53 (96%). The proportion with a ROM score of >2 fell gradually over 2 years, from 78% at entry to 20% at 24 months (P < .001). ROM scores improved from a median of 5 at entry to 2 at 24 months (P < .001). The change in the summed degrees of improvement in ROM correlated positively with improvement in the PedsQL physical function subscale (r = 0.30; P < .03).

CONCLUSIONS:

In association with multimodal therapy, young people with chronic fatigue syndrome experienced progressively less impairment in ROM over 2 years, correlating with improvements in the physical function subscale of the PedsQL.

KEYWORDS:

Myalgic encephalomyelitis; adverse neural tension; fatigue; neurodynamics

PMID:
29866593
DOI:
10.1016/j.jpeds.2018.05.012
[Indexed for MEDLINE]
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