The controversial exercise techniques used to manage chronic fatigue syndrome are no longer recommended by the National Health Technology Assessment Organization (Nice).
The decision to discontinue graded exercise therapy (GET) recommendations involves gradual increase in physical activity and gradual increase in tolerance. This is a decisive victory for patient advocates who have long stated that their practice is more harmful than good.
A group of patients suggest that the use of retirement homes suggests that patients with chronic fatigue syndrome (also known as ME) have no underlying physical problems but suffer from symptoms due to inactivity. Claims to be.
“We are so widely dismissed that the hand suffering of this condition is constantly diminished by inappropriate and harmful guidance / concepts, so that not all of us seek or deserve it physically. It’s easy to exercise and think about ways to get out of a sickness, “said my patient Glenbucanan.
Chronic fatigue syndrome is thought to affect about 250,000 people in the UK and is estimated to cost the economy billions of pounds a year. One in four is so severely affected that they can’t leave the house and often even bed.
Other symptoms include pain, mental fog, light and noise hypersensitivity, and memory and sleep problems. Cognitive-behavioral therapy (CBT) and graded exercise therapy are used to manage symptoms, but there is no effective treatment.
Claire Ogden, Head of Communication and Engagement at UK Charity Action For Me, said Nice’s previous guidelines “believed that Nice was the best evidence available at the time, but their experience is that. The difference was well understood by the patient. ” ..
Nice finally published a recommendation on chronic fatigue syndrome in 2007. The new draft guidelines state a complex situation in which there is no cure for everyone, especially when there is potential for interventions that benefit some but harm others. I will. ..
According to a survey of 4,000 patients conducted by Action for ME last year, only one in ten reported that exercise therapy helped manage symptoms, even with expert support, and nearly half worsened. I reported the effect.
Following patient criticism, Nice guidelines also emphasized that CBT is neither a cure nor a cure, but may serve as a supportive psychotherapy.
Some healthcare professionals criticized the new Nice guidance, arguing that graded exercise therapy and CBT were the only evidence-based treatments for this condition.
“I know there was controversy about these approaches, but there is no evidence of harm and they continue to be the only evidence-based treatment approach in CFS,” said Dr Alastair Miller, Deputy Medical Director of the Joint Royal Colleges of Physicians. Stated. Action for ME training board and former doctor.
“Therefore, it is very disappointing that Nice chose to exclude them from the updated guidelines, and I am certainly concerned that this omission is based on political pressure rather than good science. I will. “
Exercise Therapy for Fatigue Syndrome Lose Great Recommendations | Society
Source link Exercise Therapy for Fatigue Syndrome Lose Great Recommendations | Society