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Differences in physical functioning between relatively active and passive patients with CFS

Discussion in 'Latest ME/CFS Research' started by Dolphin, Sep 3, 2013.

  1. Dolphin

    Dolphin Senior Member

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  2. Dolphin

    Dolphin Senior Member

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    Shows such sub-divisions have problems in chronic low back pain (CLBP). Also, highlights the problems of relying on self-report measures:
     
  3. Dolphin

    Dolphin Senior Member

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    They said:

    The therapists didn't have access to the activity monitor data when making the subdivision, but they did have a lot of other data, probably a lot more than clinical practice (these were baseline measurements for a clinical trial).


    In terms of the SF-36 physical functioning scale:
    Median (IQR)
    Relatively active: 60 [45.0-72.5]
    Passive: 45 [36.3-55.0]

    To me, this would mean classifying people who still had a reasonable amount of functioning as passive. Passive meant you weren't encouraged to stabilise at the start of CBT, just increase, which seems problematic. [Although, I question having this approach to any patients].
     
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  4. Dolphin

    Dolphin Senior Member

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    This is a random comment they make:
    I think there could be something to it. In which case, one approach would be to try to ensure patients do get help in their environment.

    Unfortunately, a lot of those promoting CBT blame the support people get for keeping people ill.
     
  5. Dolphin

    Dolphin Senior Member

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    and (from conclusion)
    Another reason to focus on using objective measures in trials, and doubt subjective measures, one would think.
     
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  6. Sparrowhawk

    Sparrowhawk Senior Member

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    West Coast USA
    Thanks for sharing research reports like this and breaking them down into such digestible chunks.
     
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  7. Sean

    Sean Senior Member

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    Translation: We still don't know shit.
     
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  8. biophile

    biophile Places I'd rather be.

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