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Can physical assessment techniques aid diagnosis in people with chronic fatigue syndrome/myalgic encephalomyelitis? A diagnostic accuracy study.

Authors
  • Hives, Lucy1
  • Bradley, Alice2
  • Richards, Jim3
  • Sutton, Chris4
  • Selfe, James5
  • Basu, Bhaskar6
  • Maguire, Kerry7
  • Sumner, Gail8
  • Gaber, Tarek9
  • Mukherjee, Annice10
  • Perrin, Raymond N3
  • 1 School of Dentistry, University of Central Lancashire, Preston, UK.
  • 2 Department of Neurophysiology, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
  • 3 Allied Health Research Unit, University of Central, Lancashire, UK.
  • 4 Lancashire Clinical Trials Unit, University of Central Lancashire, Preston, UK.
  • 5 Department of Health Professions, Manchester Metropolitan University, Manchester, Greater Manchester, UK.
  • 6 University Hospital of South Manchester NHS Foundation Trust/ Central, Manchester University Hospitals NHS Foundation Trust, Rehabilitation Medicine, Manchester, UK.
  • 7 Department of Osteopathy, The Good Health Centre, County Clare, Ireland. , (Ireland)
  • 8 Back to Health Physiotherapy, Bolton, UK.
  • 9 Taylor Rehabilitation Unit leigh, Leigh Infirmary, Leigh, Greater Manchester, UK.
  • 10 Department of Endocrinology, Salford Royal NHS Foundation Trust, Salford, UK.
Type
Published Article
Journal
BMJ Open
Publisher
BMJ
Publication Date
Nov 13, 2017
Volume
7
Issue
11
Identifiers
DOI: 10.1136/bmjopen-2017-017521
PMID: 29133321
Source
Medline
Keywords
License
Unknown

Abstract

Using the physical signs appears to improve the accuracy of identifying people with CFS/ME and shows agreement with current diagnostic techniques. However, the present study concludes that only two of these may be needed. Examining for physical signs is both quick and simple for the AHP and may be used as an efficient screening tool for CFS/ME. This is a small single-centre study, and therefore, further validation in other centres and larger populations is needed.

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