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Prescribing exercise interventions for patients with chronic conditions - from Canada

Discussion in 'Latest ME/CFS Research' started by MeSci, Mar 21, 2016.

  1. MeSci

    MeSci ME/CFS since 1995; activity level 6?

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    Apologies in advance for poor presentation - am suffering a setback or something, but hope this is appropriate. It includes reference to 'chronic fatigue syndrome' and cites 'White PD', so maybe they don't know!

    Prescribing exercise interventions for patients with chronic conditions

    Tammy C. Hoffmann BOccThy (Hons 1) PhD, Chris G. Maher BAppSc(Phty) PhD, Tom Briffa BPhysEd PhD,
    Catherine Sherrington BAppSc(Physio) PhD, Kim Bennell BAppSci(Physio) PhD, Jennifer Alison MSc PhD,
    Maria Fiatarone Singh MD, Paul P. Glasziou MBBS PhD

    http://www.cmaj.ca/content/early/2016/03/14/cmaj.150684
     
    Esther12 likes this.
  2. MeSci

    MeSci ME/CFS since 1995; activity level 6?

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    Forgot to include the Physician's First Watch reference:

    How to Prescribe Exercise to Patients with Chronic Health Conditions
    By Kelly Young
    Edited by
    - Jaye Elizabeth Hefner, MD

    A review in CMAJ offers advice on how to prescribe exercise to patients with chronic medical conditions, including chronic obstructive pulmonary disease, low back pain, knee or hip osteoarthritis, type 2 diabetes, chronic fatigue syndrome, coronary heart disease, and heart failure.

    Among the condition-specific recommendations:

    -- For chronic nonspecific low back pain, a physiotherapist can guide patients in motor control exercises and graded activity.
    -- For type 2 diabetes, the review recommends a structured program of aerobic exercise and/or resistance training to improve glucose control.
    -- For COPD, patients should undergo pulmonary rehabilitation in hospital outpatient departments or community facilities.

    The document provides evidence of exercise's benefits, contraindications, and potential adverse effects for each condition.

    The authors conclude: "Even when a family physician may not be involved in delivering the exercise intervention, they should know the main elements of an evidence-based exercise intervention so they can discuss with patients and refer appropriately."

    Link(s):
    CMAJ article (Free PDF) http://response.jwatch.org/t?ctl=7689:5FF9B588B7CB016C0C5D25A7640665F4&
    Background: NEJM Journal Watch General Medicine coverage of exercise referrals (Your NEJM Journal Watch registration required) http://response.jwatch.org/t?ctl=768A:5FF9B588B7CB016C0C5D25A7640665F4&
     
    Esther12 likes this.
  3. Denise

    Denise Senior Member

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    MeSci likes this.
  4. lansbergen

    lansbergen Senior Member

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    Pace is all about decondition. Nothing to do with ME.
     
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  5. lansbergen

    lansbergen Senior Member

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    Who diagnosed the PACE participants with deconditioning and how did they do that?
     
    GracieJ likes this.
  6. lansbergen

    lansbergen Senior Member

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    GracieJ likes this.
  7. Kati

    Kati Patient in training

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    Thank you for sharing @MeSci. i wonder if you could add to the title it's coming from Canada to alert Canadian advocates. This begs for a response (but I am currently not able to muster) and at the very least for Canadians to look at.
     
    L'engle likes this.
  8. alex3619

    alex3619 Senior Member

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    Sigh.
     
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  9. Old Bones

    Old Bones Senior Member

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    ME-exercise-text.JPG ME-exercise-table.JPG
    I can't say I "like" the original post, but I'm glad that @MeSci brought this document to my attention. Thanks.

    Considering the Canadian Consensus Criteria is one of the best-known and most-respected ME criteria around the world, it boggles the mind that CMAJ appears not to be aware of it. If they were, they wouldn't publish such fiction. Above is an excerpt they need to read.
     
    Last edited: Mar 21, 2016
    ahmo, L'engle, u&iraok and 7 others like this.
  10. Kati

    Kati Patient in training

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    Patients had to beg the Canada public Health Agency to publish the Canadian Consensus Criteria, and when they did a couple years ago, they supplied an australian link.

    Do not assume that the CCC is widely distributed- or read in Canada and across medical associations. Cohrane reviews are more respected.
     
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  11. MeSci

    MeSci ME/CFS since 1995; activity level 6?

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    Is the changed title OK? Sorry but I am really not with it at present.
     
  12. Old Bones

    Old Bones Senior Member

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    @Kati I had no idea -- thanks for enlightening me. I've often wondered about the Australian link. Another reason to be ashamed, and alarmed, about the treatment (including lack of treatment) of ME patients in Canada.
     
    Kati likes this.
  13. ScottTriGuy

    ScottTriGuy Stop the harm. Start the research and treatment.

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    Toronto, Canada
    Grrr.

    I find this laughable:

    "This article has been peer
    reviewed."

    Perhaps a response should be directed to:

    CMAJ Editor-in-Chief (interim)
    Diane Kelsall

    as well as the author:

    Correspondence to:
    Tammy Hoffmann,
    thoffmann@bond.edu.au

    Our national ME orgs should respond.
     
  14. Kati

    Kati Patient in training

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    Thx, yes it's perfect.
     
  15. Denise

    Denise Senior Member

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    Sadly this article has been written up in Medscape.
     
  16. u&iraok

    u&iraok Senior Member

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    Thanks for the Response to Exercise chart, it's great.
     
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