On the cfsknowledgecenter website there has just been a video put up by Nancy Klimas on the importance of implementing a safe exercise program for people with M.E. She, as I am sure many people know, advocates doing exercise within your aerobic limit. One can establish this best by doing a VOX test, although I think one can also use a heart rate monitor to get a rough guess at what's one limit is. What concerns me is that on the video Klimas says that if we don't exercise, we will get worse. I can see the advice on doing brief exercise episodes within one's limits when moderately affected is incredibly helpful advice. However, I don't know how one with severe M.E incorporates her advice. Firstly, if you are bedridden, or spending a lot of time flat on the sofa and bed, I don't see how you could possibly manage doing a vox test. Secondly, if your limit is literally one leg raise, how on earth do you establish a program? I find it a bit worrying that she says you will get worse if you don't exercise, when you are too ill even to manage basic stretches etc.. Any thoughts much appreciated.