In this post, I link to and embed the YouTube video from the Bateman Horne Center, Upright Activity and Exercise Intolerance: Critical Concepts in the Evaluation of Chronic Fatigue [in ME/CFS], 56:12, Oct 19, 2019.
And here is a link to all of the slides (69) in Dr. Bateman’s excellent lecture on YouTube. Reviewing the slides is the best way to quickly review this excellent resource.
Dr. Bateman lists some of the forms the center uses when evaluating patients for ME/CFS.
- Mental Health Screen
- We use the HADS* screen plus interview
- *Hospital Anxiety And Depression Scale
- Ideally SF-36 (RAND-36) but complex scoring
- Revised Fibromyalgia Impact Questionnaire (FIQ-R)
- HUA (Hours of Upright Activity In 24Hours)
- Dr. Bateman states it is the best tool to estimate impaired function
- The number of hours with feet-on-floor in 24 hours (sitting, standing, walking
- Must ask the question clearly to be sure time spent sitting is considered in the total.
- Dr. Bateman’s data on HUA in 24 hours
- Normal folks: 14-17
- Chronic Illness/FM: 10-12
- ME/CFS: 0-7
- Good Day/Bad Day Questionnaire
- Take a good history about the consequences of physical, cognitive, and emotional and upright activity (Post Excertional Malaise [PEM])
- Orthostatic testing—in clinic: 10 min NASA Lean Test
- Consider Cardiopulmonary Exercise Stress Test (CPET)
- Assess cognitive impairment if indicated