The Symptoms of a Patient with Myalgic Encephalopathy/Chronic Fatigue Syndrome (ME/CFS) Were Treated Effectively with Physical Therapy Interventions

Abstract

Myalgic Encephalopathy/Chronic Fatigue Syndrome (ME/CFS) is a syndrome of unexplained severe chronic fatigue, and is accompanied by a variety of symptoms, including widespread pain and sleep disorders. Case: A 14-year-old girl with ME/CFS had systemic allodynia and flexion contracture of fingers and toes. Her ADL (activities of daily living) scores were 51 out of 126 in functional independence measure (FIM). Clinical course: We not only applied tonifying method, but prescribed rehabilitation exercises that were supervised by a physical therapist (PT). Results: Her symptoms of ME/CFS and ADL scores improved (FIM: 110 out of 126). Conclusion: ME/CFS leads to more than 50%reduction in the ability to perform daily activities. Some patients even become housebound or bedridden. Although post-exertional fatigue is a hallmark of ME/CFS and is a symptom required for diagnosis, patients are often prescribed inappropriate exercises. We consider that the patient's ADLs improved through a combination of tonifying method, her resources, and appropriate physical therapy interventions.