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: Fall 2023!
- Sample OT & PT documentation
- Additional patient handouts
- Handouts & short videos covering assessment/screening, treatment resources, and more.ย ย

Short Education Videos
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)
Screening Tools

Pacing Resources
- Pacing for PEM/PESE (BHC)
- Pacing & Management Guideย (MEAction)
- 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.
Screening for PEM/PESE
Additional Resources
- Autonomic Dysfunction
- Cognitive Symptoms
- Fatigue