Brianna is 47 years old and has not been able to work for over a year. She finds the simplest daily tasks difficult to do because of her extreme fatigue
In spite of her fatigue, her sleep is disturbed and is never refreshing for her. She also suffers from joint pain, muscle soreness, low-grade fever, and frequent sore throats. Her doctor examined her thoroughly, and after careful consideration, concluded Brianna had chronic fatigue syndrome.
There are other functional disorders that share similar features to chronic fatigue syndrome, making a definitive diagnosis of CFS difficult. What are some examples?
Her doctor told Brianna that, in spite of how difficult it may seem, regular gentle exercise would be beneficial for her, particularly for her immune system. Why did he emphasize that the exercise should be moderate and not strenuous?
Brianna told her doctor that what she preferred to do was to go to bed and stay there until her muscle and joint discomfort went away. Why would her doctor dissuade her from this decision?
Symptoms of CFS closely mimic those of fibromyalgia, multiple chemical sensitivities, depression, and irritable bowel syndrome.
Some students may note that in CFS, muscular activity can create postexertional malaise that lasts longer than 24 hours. In terms of immunity, strenuous activity can have a negative effect on immune system integrity. Moderate exercise, however, increases the number of circulating leukocytes and increases NK cell activity.
Bed rest is detrimental to the musculoskeletal system because it
promotes muscular disuse atrophy.
decreases force-generating capacity and increases fatigability in muscles.
encourages muscle shortening.
causes contractures leading to a decreased range of motion in joints.
promotes anatomical changes in articular cartilage, tendons, and ligaments.
results in altered bone metabolism and the development of osteoporosis.
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