I appreciate that this study was essentially a compilation of focus group comments but to that end, its refreshing to read a study about physical activity (not "exercise") where the authors were listening to CFS patients. The conclusions are amongst the most reasonable to date as well: "Exercise programmes (and the authors were so close to making it through he abstract without using the word "exercise" - I don't think they can help themselves) should be adapted (good), paced (good), and self-managed (better) in accordance with personal preferences and activity levels to be beneficial and empowering for CFS patients." Now if they could drop the need to call it exercise and emphasize that CFS patients need to be counseled to avoid the crashes associated with too much activity. Has anyone read the entire article? It is behind an Elsevier paywall. Patient Educ Couns. 2010 Jun 25. [Epub ahead of print] Finding the right balance of physical activity A focus group study about experiences among patients with chronic fatigue syndrome. Larun L, Malterud K. Research Unit for General Practice, Uni Research, Bergen, Norway; Norwegian Knowledge Centre for the Health Services, Oslo, Norway. Abstract OBJECTIVE: To explore contexts of experiences of physical activity perceived as beneficial or harmful for CFS patients. METHODS: A qualitative study with empirical data from two focus groups with purposive sampling. Mean age was 50, two of ten participants were male, and social demographics varied. Participants were invited to share stories of good as well as bad experiences concerning physical activity. Data were analysed with systematic text condensation. RESULTS:Participants were not averse to physical activity, but specific preconditions would determine how the activity was perceived. Physical activity was experienced as helpful and enjoyable, especially related to leisure activities where flexible and individual adaptation was feasible. Non-customized activity may precipitate set-backs giving patients the impression of losing control and being betrayed by their bodies. Strategies to review energy usage in daily life could adjust expectations, diminish stress load and assist in approaching a more appropriate priority and balance. CONCLUSION: Self-management, body awareness and physical activity of choice combined with facilitation and advice from health care professionals is essential to achieve a positive outcome. PRACTICE IMPLICATIONS: Exercise programmes should be adapted, paced, and self-managed in accordance with personal preferences and activity levels to be beneficial and empowering for CFS patients.