Rowe, Peter C, Marden, Colleen L, Flaherty, Marissa A K et al. · The Journal of pediatrics · 2014 · DOI
This study compared how freely teenagers and young adults with ME/CFS could move their limbs and spine compared to healthy peers. Researchers found that people with ME/CFS had much more restricted movement and were more likely to experience pain or other symptoms when their nerves and muscles were gently stretched during testing. The findings suggest that movement limitations are a real physical feature of ME/CFS, not just in the mind.
This study provides objective, measurable evidence that people with ME/CFS have physical differences in joint and nerve mobility that are not explained by general joint flexibility alone. Understanding these impairments may help clinicians develop better rehabilitation strategies and validate that ME/CFS involves real physiological changes beyond fatigue.
This study does not establish causation—it shows that ROM impairments are associated with CFS but does not prove what causes them or whether they contribute to disability or symptom severity. It also does not indicate whether these impairments improve with treatment or how they relate to post-exertional malaise, the hallmark symptom of ME/CFS. The findings are limited to adolescents and young adults and may not apply to older ME/CFS patients.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Rowe, Peter C, Marden, Colleen L, Flaherty, Marissa A K, Jasion, Samantha E, Cranston, Erica M, Johns, Allison S, et al. (2014). Impaired range of motion of limbs and spine in chronic fatigue syndrome.. The Journal of pediatrics. https://doi.org/10.1016/j.jpeds.2014.04.051
BibTeX
@article{mecfsatlas-rowe-2014-impaired-range,
author = {Rowe, Peter C and Marden, Colleen L and Flaherty, Marissa A K and Jasion, Samantha E and Cranston, Erica M and Johns, Allison S and Fan, John and Fontaine, Kevin R and Violand, Richard L},
title = {Impaired range of motion of limbs and spine in chronic fatigue syndrome.},
journal = {The Journal of pediatrics},
year = {2014},
doi = {10.1016/j.jpeds.2014.04.051},
note = {PubMed: 24929332},
url = {https://www.mecfsatlas.com/evidence/rowe-2014-impaired-range},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/rowe-2014-impaired-range
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