Zaman, R, Puri, B K, Main, J et al. · Experimental physiology · 2001 · DOI
This study used a brain stimulation technique called TMS to test whether the motor control systems in ME/CFS patients work differently than in healthy people. Researchers found that the brain's ability to inhibit (turn off) muscle activity was normal in ME/CFS patients, even though these patients moved more slowly and took longer to react to simple tasks. This suggests that the fatigue and slowness experienced in ME/CFS may not be caused by problems in how the brain controls muscles.
Understanding where in the nervous system ME/CFS symptoms originate is crucial for developing targeted treatments. This study helps narrow the search by showing that the basic motor control circuits in the brain appear to function normally, suggesting that fatigue and movement difficulties may arise from other biological mechanisms such as energy metabolism, immune dysfunction, or higher-level brain processes.
This study does not prove that motor or neurological problems do not exist in ME/CFS—it only shows that one specific aspect of motor control (corticospinal inhibition) appears normal. It does not explain why patients had slower reaction times and movement times, nor does it assess other potential neurological abnormalities such as central sensitization, autonomic dysfunction, or mitochondrial function. Small sample size (n=11 per group) also limits generalizability.
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
Zaman, R, Puri, B K, Main, J, Nowicky, A V, & Davey, N J (2001). Corticospinal inhibition appears normal in patients with chronic fatigue syndrome.. Experimental physiology. https://doi.org/10.1113/eph8602244
BibTeX
@article{mecfsatlas-zaman-2001-corticospinal-inhibition,
author = {Zaman, R and Puri, B K and Main, J and Nowicky, A V and Davey, N J},
title = {Corticospinal inhibition appears normal in patients with chronic fatigue syndrome.},
journal = {Experimental physiology},
year = {2001},
doi = {10.1113/eph8602244},
note = {PubMed: 11571481},
url = {https://www.mecfsatlas.com/evidence/zaman-2001-corticospinal-inhibition},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/zaman-2001-corticospinal-inhibition
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