PEM

Understanding Post Exertional Malaise (PEM)

Understanding PEM
A Quick guide to PEM
Contributors:

• Dr Luis Nacul
Co-principal Investigator CureME London School of Hygiene and Tropical Medicine
Medical Director of the Complex Chronic Diseases Program at British Columbia Women’s Hospital in Vancouver, Canada.

• Dr Christopher Snell
former Chair CFS Advisory Committee to the US Secretary for Health.

• Staci Stevens
Founder the Workwell Foundation

• Prof Mark VanNess
Professor and Co-Chair, Health, Exercise & Sport Sciences,
University of the Pacific. Stockton. CA

• Prof Todd Davenport
Program Director Physical Therapy, University of the Pacific, Stockton. CA

• Dr Nina Muirhead
Dermatology surgeon Buckinghamshire NHS Trust
Chair CMRC Medical Education Working Group

• Dr Nigel Speight
Paediatric Consultant with a special interest in ME
Paediatric medical advisor  ME Association
Medical advisor  25% Group for the Severely Affected.

• Dr David Systrom
Pulmonary and Critical Care Physician at Brigham and Women’s Hospital.
Professor of Medicine, Harvard Medical School.

• Dr Charles Shepherd
Medical advisor for the ME Association.

• Grace, UK ME/CFS biobank patient

Resources.

• MEA Summary Review: Assessing PEM (Post-exertional malaise)  Charlotte Stephens, March 2019. ME Association website.
https://www.meassociation.org.uk/wp-content/uploads/MEA-Research-Review-Assessing-PEM-in-MECFS-25.03.19.pdf

Assessment of Post-Exertional Malaise (PEM) in Patients with Myalgic Encephalomyelitis (ME) and Chronic Fatigue Syndrome (CFS): A Patient-Driven Survey by Carly S. Holtzman, Shaun Bhatia, Joseph Cotler and Leonard A. Jason. Diagnostics 20199(1), 26; https://doi.org/10.3390/diagnostics9010026

https://www.mdpi.com/2075-4418/9/1/26/htm

Deconstructing post-exertional malaise in myalgic encephalomyelitis/ chronic fatigue syndrome: A patient-centered, cross-sectional survey: Chu L, Valencia IJ, Gavert DW, Montoya JM.
Published: PLoS One 2018. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5983853

• Postexertional malaise in women with chronic fatigue syndrome.
VanNess JM1Stevens SRBateman LStiles TLSnell CRJournal of  Womens Health  2010
https://www.ncbi.nlm.nih.gov/pubmed/20095909

Diminished Cardiopulmonary Capacity During Post-Exertional Malaise 2008
J. Mark VanNessChristopher R. Snell & Staci R. Stevens  Journal of Chronic Fatigue Syndrome   2007

https://www.tandfonline.com/doi/abs/10.1300/J092v14n02_07