Two-Year Follow-Up of Impaired Range of Motion in Chronic Fatigue Syndrome

To measure changes in range of motion (ROM) over time in a cohort of 55 adolescents and young adults with chronic fatigue syndrome and to determine whether changes in ROM correlated with changes in health-related quality of life. Participants underwent a standardized examination of 11 areas of limb...

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Bibliographic Details
Published in:The Journal of pediatrics 2018-09, Vol.200, p.249-253.e1
Main Authors: Rowe, Peter C., Marden, Colleen L., Flaherty, Marissa A.K., Jasion, Samantha E., Cranston, Erica M., Fontaine, Kevin R., Violand, Richard L.
Format: Article
Language:English
Subjects:
adverse neural tension
fatigue
Myalgic encephalomyelitis
neurodynamics
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Summary:To measure changes in range of motion (ROM) over time in a cohort of 55 adolescents and young adults with chronic fatigue syndrome and to determine whether changes in ROM correlated with changes in health-related quality of life. Participants underwent a standardized examination of 11 areas of limb and spine ROM at baseline and at 3- to 6-month intervals for 2 years, resulting in a ROM score that ranged from 0 (normal throughout) to 11 (abnormal ROM in all areas tested). We measured the time until the ROM score was ≤2 (the score in healthy age-matched controls). Change in ROM was measured by subtracting the 24-month from the baseline ROM score and by summing the degrees of change in the 10 tests with continuous outcomes. Health-related quality of life was measured using the Pediatric Quality of Life Inventory 4.0 (PedsQL). The mean age at enrollment was 16.5 years (range 10-23). Two-year follow-up was available for 53 (96%). The proportion with a ROM score of >2 fell gradually over 2 years, from 78% at entry to 20% at 24 months (P 
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2018.05.012