Rehabilitation professionals profoundly impact the quality of life and functional independence in patients with post-exertional malaise (PEM) /post-exertional symptom exacerbation (PESE).
This page offers short videos, resources, and handouts for patients and rehabilitation professionals.
Coming Soon!
- Sample OT & PT documentation
- Additional patient handouts
- Handouts & short videos covering assessment/screening, treatment resources, and more.
Long COVID & Post-Viral Syndromes ECHO
- Identify/determine immediate & delayed symptoms
- Prioritize/analyze activity within PEM limitations
- Manage pre-emptive and recuperative rest
Short Education Videos
These education videos aim to equip rehabilitation professionals on how to assess and safely manage patients with PEM/PESE.
Series Intro
Why PEM Matters
PEM: The Basics
When Exercise Causes Harm
Pacing for PEM/PESE
Understanding PEM/PESE
Credit to the collective knowledge and collaborative effort shared by ME/CFS informed rehab professionals and that of the Physical Therapist/Occupational Therapist Resources for Treating ME/CFS Facebook Group.
The Push/Crash Cycle
It is critical that patients and healthcare professionals understand the Push/Crash Cycle of PEM/PESE to avoid causing harm.
(Click each image to expand)
- Pacing for PEM/PESE (BHC)
- Pacing Upright Activity (BHC)
- Pacing & Management Guide (MEAction)
- Energy Conservation Tips (BHC)
- Top Energy Saving Tips (Workwell)
- Crash Survival Guidebook
- ME/CFS Activity Management with a Heart Rate Monitor (Workwell)
- Heart Rate Variability (HRV) (BHC)
Coming Soon: Additional patient and provider handouts and videos.
Additional Resources
- Autonomic Dysfunction
- Cognitive Symptoms
- Fatigue
Lucinda Bateman, MD, is a renowned clinician, researcher, and educator. Her Johns Hopkins University Medical School training instilled an approach to care that she has employed throughout her career - the patient comes first and the unknown or unexplained does not equate to a lack of proper and compassionate care. Since starting her own practice in 2000, she has served on six boards or committees, been the principal investigator for 45 studies, authored/coauthored 40 journal articles, served as adjunct instructor and adjunct assistant professor in the University of Utah Departments of Preventative Medicine, Internal Medicine, and Anesthesiology, and lectured around the world.