Abstract

Background: Cognitive function disturbance is a frequently described symptom of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). In this study, the effects of a structured exercise programme (SEP) upon cognitive function in ME/CFS patients was examined. Methods: Out of the 53 ME/CFS patients initiating SEP 34 (64%) completed the 16 week programme. Cognitive function was assessed using a computerized battery test consisting of a Simple Reaction Time (SRT) (repeated three times) and Choice Reaction Time (CRT) measurements, a Visual Attention Test (VAT) and a Delayed Matching to Sample (DMS) assessment. Results: Statistically significant improvement was noted in the third attempt to SRT in reaction time for correct answers, p = 0.045, r = 0.24. Moreover, significant improvement was noted in VAT reaction time, number of correct answers and errors committed, p = 0.02, omega = 0.03, p = 0.007, r = 0.34 and p = 0.004, r = 0.35, respectively. Non-significant changes were noted in other cognitive tests. Conclusions: A substantial number of participants were unwilling or unable to complete the exercise programme. ME/CFS patients able to complete the SEP showed improved visual attention both in terms of reaction time and correctness of responses and processing speed of simple visual stimuli.

Highlights

  • Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a complex disorder characterised by symptoms including chronic fatigue, exercise intolerance, disordered cognitive functions, autonomic dysfunction, pain, and non–restorative sleep

  • A statistically significant improvement was noted in reaction time for correct answers in the third

  • A statistically significant improvement was observed in the number of correct answers and errors committed in Visual Attention Test (VAT) (53.77 before vs. 55.47 after structured exercise programme (SEP)), T = 118.5, z = 2.72, p = 0.007, r = 0.34 and 6.68 before vs. 4.68 after SEP), T = 120.5, z = 2.86, p = 0.004, r = 0.35, respectively (Figures 3 and 4)

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Summary

Introduction

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a complex disorder characterised by symptoms including chronic fatigue, exercise intolerance, disordered cognitive functions, autonomic dysfunction, pain, and non–restorative sleep. Cognitive function disturbance is a frequently described symptom of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). The effects of a structured exercise programme (SEP) upon cognitive function in ME/CFS patients was examined. Cognitive function was assessed using a computerized battery test consisting of a Simple Reaction Time (SRT). Results: Statistically significant improvement was noted in the third attempt to SRT in reaction time for correct answers, p = 0.045, r = 0.24. Significant improvement was noted in VAT reaction time, number of correct answers and errors committed, p = 0.02, omega = 0.03, p = 0.007, r = 0.34 and p = 0.004, r = 0.35, respectively

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