How relevant are exercise capacity measures for evaluating treatment effects in chronic fatigue syndrome? Results from a prospective, multidisciplinary outcome study.
Pardaens, K, Haagdorens, L, Van Wambeke, P et al.·Clinical rehabilitation·2006
This study tested whether a 6-month rehabilitation program combining cognitive therapy and graded exercise improved ME/CFS patients' quality of life and physical fitness. Patients reported significant improvements in how they felt and functioned in daily life, but their measured physical capacity (like strength and endurance on a bike test) only improved modestly. Importantly, feeling better didn't require becoming noticeably fitter—especially for patients who started out less fit.